Abstract
Standardise a delivery care protocol as a tool in pregnant women with suspected or confirmed SARS-CoV2. The steps of care for patients with COVID-19 in the delivery room were structured by extrapolating the electronic information obtained from the main databases such as: PubMed, MEDLINE, Cochrane, SCIENCE, on relevant information in case reports, randomised studies and systematic reviews. for the management of these patients. The recommendations and suggestions of the different studies were taken into account, taking into account the guidelines that govern our country and the institution itself. In Mexico and Latin America, universal screening in the delivery room is not possible and before this, the SARS-CoV mnemonic was established in the obstetric patient care: S Suspicious (all patients were considered suspicious) A Avoid (avoid contact with surgical mask and face shield in all patients and health personnel) R Respiratory (respiratory triage) S Saturation (oxygen saturation) C Critical patient (clinical, biochemical and imaging criteria) O Obstetric (obstetric condition) V Viability (fetal viability) In the General Hospital of Mexico during April-May 2020, 161 patients were hospitalised, 149 as SARS-CoV2 suspects and 12 patients confirmed by rt-PCR, maternal age 27 +- 7.5 years, gestational age 39.2 +- 2.2 weeks. 83/149 (55.7%) Caesarean section, 66/149 (44.3%) vaginal delivery, so far without maternal or neonatal mortality. With the implementation of the protocol, there is no SARS-CoV2 infection in health personnel. There are limited data on the impact of the current outbreak of COVID-19 in pregnant women, the important thing is to establish management guidelines according to the tools that each care centre has to reduce maternal-fetal morbidity and mortality as well as protect staff from health to work in it. We intend this protocol to be a useful tool for other obstetric care hospitals, we recommend that delivery care be by obstetric indication and not by the positive SARS-CoV2 test.
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