Experience of managing covid-19 suspected case in labour in a green zone district tertiary care hospital

Abstract

Coronavirus disease 2019 (COVID-19) is a novel type of highly contiguous pneumonia caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).Pregnant ladies are vulnerable to the virus infection due to alteration in anatomic and immune system. The chance of infection would apparently rise due to antenatal visits but inadequate medical care facilities during pregnancy can be harmful for both maternal and perinatal outcome. The Government of India has divided the districts of various states into Red, Orange and Green zones. Most of the hospitals from Red and Orange zones have made it mandatory COVID -19 testing for all antenatal patients near term making it easier to isolate and manage patients accordingly. The green zone hospital presently not doing COVID testing for all peripartum patients. Thus, proper maternal health care management at tertiary level is required with minimum exposure and risk in suspected cases especially in green zone hospitals. Here, we present our experience as a team at our Obstetrics and Gynaecology department of pregnant women with upper respiratory tract infection/suspected case of COVID-19 infection during hospitalization in our rural setup and further we will discuss patient triage based on risk level, antenatal care planning and handling emergencies during COVID- 19 lockdown.