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Obstetric services in the UK during the COVID-19 pandemic: A national survey

O’Carroll, James Edward; Zucco, Liana; Warwick, Eleanor; Arbane, Gill; Moonesinghe, Ramani; El-Boghdadly, Kariem; Guo, N; ... ObsQoR Collaborators; + view all (2022) Obstetric services in the UK during the COVID-19 pandemic: A national survey. Anaesthesia Critical Care & Pain Medicine , 41 (5) , Article 101137. 10.1016/j.accpm.2022.101137. Green open access

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Abstract

Background: The management of obstetric patients with coronavirus disease 2019 (COVID-19) due to human-to-human transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) requires unique considerations. Many aspects of labour and delivery practice required adaptation in response to the global pandemic and were supported by guidelines from the Royal College of Obstetrics and Gynaecologists. The adoption and adherence to these guidelines is unknown. / Methods: Participating centres in “Quality of Recovery in Obstetric Anaesthesia study - a multicentre study” (ObsQoR) completed an electronic survey based on the provision of services and care related to COVID-19 in October 2021. The survey was designed against the Royal College of Obstetricians and Gynaecologists COVID-19 guidelines. / Results: One hundred and five of the 107 participating centres completed the survey (98% response rate representing 54% of all UK obstetric units). The median [IQR] annual number of deliveries among the included sites was 4389 [3000-5325]. Ninety-nine of the 103 (94.3%) sites had guidelines for the management of peripartum women with COVID-19. Sixty-one of 105 (58.1%) had specific guidance for venous thromboembolism (VTE) prophylaxis. Thirty-seven of 104 (35.6%) centres restricted parturient birthing plans if a positive diagnosis of COVID-19 was made. A COVID-19 vaccination referral pathway encouraging full vaccination for all pregnant women was present in 63/103 centres (61.2%). / Conclusion: We found variability in care delivered and adherence to guidelines related to COVID-19. The clinical implications for this related to quality of peripartum care is unclear, however there remains scope to improve pathways for immunisation, birth plans and VTE prophylaxis.

Type: Article
Title: Obstetric services in the UK during the COVID-19 pandemic: A national survey
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.accpm.2022.101137
Publisher version: https://doi.org/10.1016/j.accpm.2022.101137
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: COVID-19, Obstetric guidelines, Survey, Quality of recovery, Vaccination, Personal Protective Equipment
UCL classification: UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci > Department of Targeted Intervention
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci
URI: https://discovery.ucl.ac.uk/id/eprint/10153466
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