Universal Screening For Sars-cov-2 In Women Admitted For Delivery

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Salient features:

This article focusses on:

  • Results among 215 obstetrical patients presenting for delivery
  • Guidelines to be followed

Detailed summary:

Results among 215 obstetrical patients presenting for delivery 

  • Screening was done for COVID-19 symptoms before admission to the hospital
  • Four women had fever or other symptoms of Covid-19 on admission, and all 4 women tested positive for SARS-CoV-2.
  • Nasopharyngeal swabs were obtained from 210 of the 211 women who did not have symptoms of Covid-19.
  • Out of these, 29 were tested positive for SARS-CoV-2.
  • Thus, 29 of the 33 patients who were positive for SARS-CoV-2 at admission had no symptoms of Covid-19 at presentation.
  • 3 Asymptomatic women who were tested positive for SARS-CoV-2, developed fever before postpartum discharge.
  • One patient with a swab that was negative for SARS-CoV-2 on admission became symptomatic postpartum and SARS-CoV-2 testing was repeated 3 days after the initial test was positive.
  • Most of the patients who were positive for SARS-CoV-2 at delivery were asymptomatic and more than one of eight asymptomatic patients who were admitted to the labor and delivery unit were positive for SARS-CoV-2.

Guidelines to be followed

  • Before admission to the hospital, women are screened for symptoms of COVID-19.
  • Universal testing with nasopharyngeal swabs and a quantitative polymerase-chain-reaction test should be performed to detect SARS-CoV-2 infection in women who are admitted for delivery.
  • In case of positive case, the hospital should determine isolation practices andbed assignments, inform neonatal care, and guide the use of personal protective equipment.
  • Access should be provided clinical data to provides an opportunity to protect mothers, babies, and health care teams during these challenging times.

Reference Link: https://www.nejm.org/doi/full/10.1056/NEJMc2009316

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