| Title: |
Adapting obstetric and neonatal services during the COVID-19 pandemic: a scoping review |
| Authors: |
Shira Gold, Lauren Clarfield, Jennie Johnstone, Yenge Diambomba, Prakesh S. Shah, Wendy Whittle, Nimrah Abbasi, Cristian Arzola, Rizwana Ashraf, Anne Biringer, David Chitayat, Marie Czikk, Milena Forte, Tracy Franklin, Michelle Jacobson, Johannes Keunen, John Kingdom, Stephen Lapinsky, Joanne MacKenzie, Cynthia Maxwell, Mary Preisman, Greg Ryan, Amanda Selk, Mathew Sermer, Candice Silversides, John Snelgrove, Nancy Watts, Beverly Young, Charmaine De Castro, Rohan D’Souza |
| Source: |
BMC Pregnancy and Childbirth, Vol 22, Iss 1, Pp 1-16 (2022) |
| Publisher Information: |
BMC, 2022. |
| Publication Year: |
2022 |
| Collection: |
LCC:Gynecology and obstetrics |
| Subject Terms: |
COVID-19, Pandemics, Coronavirus, Severe acute respiratory syndrome-related coronavirus 2, SARS-CoV-2, Pregnancy, Gynecology and obstetrics, RG1-991 |
| More Details: |
Abstract Background The provision of care to pregnant persons and neonates must continue through pandemics. To maintain quality of care, while minimizing physical contact during the Severe Acute Respiratory Syndrome-related Coronavirus-2 (SARS-CoV2) pandemic, hospitals and international organizations issued recommendations on maternity and neonatal care delivery and restructuring of clinical and academic services. Early in the pandemic, recommendations relied on expert opinion, and offered a one-size-fits-all set of guidelines. Our aim was to examine these recommendations and provide the rationale and context to guide clinicians, administrators, educators, and researchers, on how to adapt maternity and neonatal services during the pandemic, regardless of jurisdiction. Method Our initial database search used Medical subject headings and free-text search terms related to coronavirus infections, pregnancy and neonatology, and summarized relevant recommendations from international society guidelines. Subsequent targeted searches to December 30, 2020, included relevant publications in general medical and obstetric journals, and updated society recommendations. Results We identified 846 titles and abstracts, of which 105 English-language publications fulfilled eligibility criteria and were included in our study. A multidisciplinary team representing clinicians from various disciplines, academics, administrators and training program directors critically appraised the literature to collate recommendations by multiple jurisdictions, including a quaternary care Canadian hospital, to provide context and rationale for viable options. Interpretation There are different schools of thought regarding effective practices in obstetric and neonatal services. Our critical review presents the rationale to effectively modify services, based on the phase of the pandemic, the prevalence of infection in the population, and resource availability. |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
1471-2393 |
| Relation: |
https://doaj.org/toc/1471-2393 |
| DOI: |
10.1186/s12884-022-04409-4 |
| Access URL: |
https://doaj.org/article/5ef5bb0083464a5fb2a52d038becfee4 |
| Accession Number: |
edsdoj.5ef5bb0083464a5fb2a52d038becfee4 |
| Database: |
Directory of Open Access Journals |
