ACOG - Outpatient Assessment and Management for Pregnant ...
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Description

ACOG - Outpatient Assessment and Management for Pregnant Women With

Suspected or Confirmed Novel Coronavirus (COVID-19)

Low Risk

 • Refer patient for symptomatic care at home including hydration and rest

 • Monitor for development of any symptoms above and re-start algorithm if new symptoms present

 • Routine obstetric precautions

Elevated Risk

 • Recommend she immediately seek care in an emergency department or equivalent unit that treats pregnant women.  -  

 • When possible, send patient to a setting where she can be isolated.

 • Notifying the facility that you are referring a PUI is recommended to minimize the chance of spreading infection to other patients and/or healthcare workers at the facility

 • Adhere to local infection control practices including personal protective equipment

Moderate Risk

 • See patient as soon as possible in an ambulatory setting with resources to determine severity of illness.

 • When possible, send patient to a setting where she can be isolated. Clinical assessment for respiratory compromise includes physical examination and tests such as pulse oximetry, chest X-ray, or ABG as clinically indicated.

 • Pregnant women (with abdominal shielding) should not be excluded from chest CT if clinically recommended.



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Contributed by

Dr. Gerald Diaz
@GeraldMD
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG:  https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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