Am J Perinatol
DOI: 10.1055/s-0040-1713120
SMFM Fellows Research Series
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

A Survey of Labor and Delivery Practices in New York City during the COVID-19 Pandemic

1  Division of Maternal Fetal Medicine, Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, New York
,
Angela T. Bianco
1  Division of Maternal Fetal Medicine, Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, New York
,
Lynn L. Simpson
2  Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York
,
Peter S. Bernstein
3  Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology and Women's Health, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York
,
Ashley S. Roman
4  Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, New York University Langone Health, New York, New York
,
Dena Goffman
2  Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York
,
William E. Schweizer
4  Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, New York University Langone Health, New York, New York
,
Jessica Overbey
5  Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, New York
,
Joanne L. Stone
1  Division of Maternal Fetal Medicine, Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, New York
› Author Affiliations
Further Information

Publication History

15 May 2020

16 May 2020

Publication Date:
09 June 2020 (online)

Abstract

Recently, a novel coronavirus, precisely severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2), that causes the disease novel coronavirus disease 2019 (COVID-19) has been declared a worldwide pandemic. Over a million cases have been confirmed in the United States. As of May 5, 2020, New York State has had over 300,000 cases and 24,000 deaths with more than half of the cases and deaths occurring in New York City (NYC). Little is known, however, of how this virus impacts pregnancy. Given this lack of data and the risk for severe disease in this relatively immunocompromised population, further understanding of the obstetrical management of COVID-19, as well as hospital level preparation for its control, is crucial. Guidance has come from expert opinion, professional societies and public health agencies, but to date, there is no report on how obstetrical practices have adapted these recommendations to their local situations. We therefore developed an internet-based survey to elucidate the practices put into place to guide the care of obstetrical patients during the COVID-19 pandemic. We surveyed obstetrical leaders in four academic medical centers in NYC who were implementing and testing protocols at the height of the pandemic. We found that all sites made changes to their practices, and that there appeared to be agreement with screening and testing for COVID-19, as well as labor and delivery protocols, for SARS-CoV-2-positive patients. We found less consensus with respect to inpatient antepartum fetal surveillance. We hope that this experience is useful to other centers as they formulate their plans to face this pandemic.

Key Points

  • Practices changed to accommodate public health needs.

  • Most practices are screened for novel coronavirus disease 2019 (COVID-19) on admission.

  • Fetal testing in COVID-19 patients varied.