Reorganisation of obstetric services during the COVID pandemic - Experience from National Maternity Hospital Dublin Ireland.

Published on Apr 9, 2021in Best Practice & Research in Clinical Obstetrics & Gynaecology4.387
· DOI :10.1016/J.BPOBGYN.2021.03.013
Orla Sheil , Fionnuala M. McAuliffe57
Estimated H-index: 57
(UCD: University College Dublin)
Abstract The 2020 SARS-CoV-2 pandemic posed significant challenges to the health service. Many services cancelled all routine appointments and surgery, which allowed them to re direct care towards large numbers of infected patients requiring respiratory and other support. Maternity services are relatively unique in that most of the care is time sensitive and cannot be rescheduled. Assessment such as routine bloods need to be taken in early pregnancy, anatomic surveys are best done at 20-22 weeks’ gestation, and births continue regardless of a pandemic. In this paper we describe how National Maternity Hospital Dublin, with an annual delivery rate of 8000 births, reorganised services to continue to care for our mothers and babies. This included the development of a ‘hospital within a hospital’ approach, and separate physical and care pathways for positive cases. The delivery of virtual outpatient appointments and a comprehensive online patient education portal have proved successful.
#1Shakila Thangaratinam (University of Birmingham)H-Index: 44
#2Shamil D. Cooray (Monash University)H-Index: 8
Last. Helena J. Teede (Monash University)H-Index: 74
view all 9 authors...
The COVID-19 pandemic has required rapid transformation and adaptation of healthcare services. Women with gestational diabetes mellitus (GDM) are one of the largest high-risk groups accessing antenatal care. In reformulating the care offered to those with GDM, there is a need to balance the sometimes competing requirement of lowering the risk of direct viral transmission against the potential adverse impact of service changes. We suggest pragmatic options for screening of GDM in a pandemic setti...
11 CitationsSource
#1Gillian A. RyanH-Index: 3
#2Nikhil C. Purandare (University Hospital Galway)H-Index: 1
Last. C. N. PurandareH-Index: 6
view all 5 authors...
The data pertaining to the COVID-19 pandemic has been rapidly evolving since the first confirmed case in December 2019. This review article presents a comprehensive analysis of the current data in relation to COVID-19 and its effect on pregnant women, including symptoms, disease severity and the risk of vertical transmission. We also review the recommended management of pregnant women with suspected or confirmed COVID-19 and the various pharmacological agents that are being investigated and may ...
23 CitationsSource
#1F. Fontanella (Medisch Spectrum Twente)H-Index: 1
#2S. Hannes (Medisch Spectrum Twente)H-Index: 1
Last. J.H. Baalman (Medisch Spectrum Twente)H-Index: 1
view all 8 authors...
8 CitationsSource
Cited By0