Building an obstetric intensive care unit during the COVID-19 pandemic at a tertiary hospital and selected maternal-fetal and delivery considerations. Academic Article uri icon

Overview

abstract

  • During the novel Coronavirus Disease 2019 pandemic, New York City became an international epicenter for this highly infectious respiratory virus. In anticipation of the unfortunate reality of community spread and high disease burden, the Anesthesia and Obstetrics and Gynecology departments at NewYork-Presbyterian / Columbia University Irving Medical Center, an academic hospital system in Manhattan, created an Obstetric Intensive Care Unit on Labor and Delivery to defray volume from the hospital's preexisting intensive care units. Its purpose was threefold: (1) to accommodate the anticipated influx of critically ill pregnant and postpartum patients due to novel coronavirus, (2) to care for critically ill obstetric patients who would previously have been transferred to a non-obstetric intensive care unit, and (3) to continue caring for our usual census of pregnant and postpartum patients, who are novel Coronavirus negative and require a higher level of care. In this chapter, we share key operational details for the conversion of a non-intensive care space into an obstetric intensive care unit, with an emphasis on the infrastructure, personnel and workflow, as well as the goals for maternal and fetal monitoring.

publication date

  • July 24, 2020

Research

keywords

  • Critical Care
  • Delivery Rooms
  • Intensive Care Units
  • Obstetrics
  • Pregnancy Complications

Identity

PubMed Central ID

  • PMC7378468

Scopus Document Identifier

  • 85089826073

Digital Object Identifier (DOI)

  • 10.1016/j.ajogmf.2020.100134

PubMed ID

  • 32859406

Additional Document Info

volume

  • 44

issue

  • 7