Impact of labor and delivery unit policy modifications on maternal and neonatal outcomes during the COVID-19 pandemic
| Autor: | Mariam Naqvi, Naomi Greene, Melissa S. Wong, John A. Ozimek, Sarah J. Kilpatrick |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Safety Management medicine.medical_specialty Pregnancy High-Risk California Unit (housing) Pregnancy Pandemic medicine Chi-square test Humans Personal protective equipment labor management Infection Control Obstetrics business.industry Vaginal delivery SARS-CoV-2 Delivery Rooms Original Research: Obstetrics Infant Newborn Pregnancy Outcome COVID-19 Retrospective cohort study General Medicine Delivery Obstetric Triage Organizational Innovation Organizational Policy Gestation Female business |
| Zdroj: | American Journal of Obstetrics & Gynecology Mfm American Journal of Obstetrics & Gynecology MFM |
| ISSN: | 2589-9333 |
| Popis: | Background: In response to the COVID-19 pandemic, hospitals nationwide have implemented modifications to labor and delivery unit practices designed to protect delivering patients and healthcare providers from infection with SARS-CoV-2. Beginning March 2020, our hospital instituted labor and delivery unit modifications targeting visitor policy, use of personal protective equipment, designation of rooms for triage and delivery of persons suspected or infected with COVID-19, delivery management and newborn care. Little is known about the ramifications of these modifications in terms of maternal and neonatal outcomes. Objective: The objective of this study was to determine whether labor and delivery unit policy modifications we made during the COVID-19 pandemic were associated with differences in outcomes for mothers and newborns. Study Design: We conducted a retrospective cohort study of all deliveries occurring in our hospital between January 1, 2020 and April 30, 2020. Patients who delivered in January and February 2020 before labor and delivery unit modifications were instituted were designated as the pre-implementation group, and those who delivered in March and April 2020 were designated as the post-implementation group. Maternal and neonatal outcomes between the pre-and post-implementation groups were compared. Differences between the two groups were then compared to the same time period in 2019 and 2018 to assess whether any apparent differences were unique to the pandemic year. We hypothesized that maternal and newborn lengths of stay would be shorter in the post-implementation group. Statistical analysis methods included Student's T-tests and Wilcoxon tests for continuous variables and chi square or Fisher's exact tests for categorical variables. Results: Postpartum length of stay was significantly shorter after implementation of labor unit changes related to COVID-19. A postpartum stay of 1 night following vaginal delivery occurred in 48.5% of patients in the post-implementation group compared to 24.9% of the pre-implementation group (p |
| Databáze: | OpenAIRE |
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