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Pregnancy Protocol
Pregnancy Protocol
Pregnancy Protocol
Influenza Like Illness (ILI) & COVID-19 Screening Guidelines for PREGNANT patients
Incoming Phone Calls
Screen for Active POSITIVE for
Pregnancy pregnancy concern Candidate for Outpatient evaluation from
Symptoms/Concerns that requires PREGNANCY perspective?
evaluation
No Yes
Instruct patient to seek evaluation
Location: per site OB triage
NEGATIVE for Influenza Like Illness (ILI)
pregnancy concern guidelines / clinical considerations and/or COVID19 Screen:
Postpone if possible
Attempt to deliver in
* PPE Exception:
Negative Pressure LDR
Aerosol Generating Procedures
Airborne/Respirator, Contact/Eye Shield
Otherwise: Routine LDR
(PAPR/N95, eye shield, gown, gloves)
Trained observer for donning and doffing
Room: Negative pressure (if available)
Version 3/8/20 UW Medicine DRAFT
Inpatient Antepartum, Labor and Delivery Guidelines
2. Infants born to patients with confirmed COVID-19 should be considered PUIs (persons under investigation).
3. Location of infant care should be based on routine protocol with ID precautions as per unit protocol
4. At present time, UWMC-Montlake does not plan to automatically mandate separation of term, otherwise well
infants from COVID-19 postpartum patients. If a postpartum patient is too ill or requests to be separated per CDC
policy, we will accommodate the separation.
5. Postpartum patients will be encouraged to wear a facemask and practice hand hygiene before each feeding or
other close contact with infant(s). While not breastfeeding, infants should be kept ≥ 6 feet away within room per
CDC guidance. *Note, this requires that another non-infected caregiver helps care for the infant. We understand
and accept this may not be possible for every postpartum patient and infant pair.
6. Postpartum patients who are pumping will follow CDC guidelines on equipment use and feeding (washing hands
before use and cleaning equipment before and after use).
7. Infants will be tested for COVID-19 before discharge from the hospital
ASSESS
Illness Severity
Maternal co-Morbidities Influenza/RSV Testing
Influenza/RSV Testing
NO COVID-19 Testing
Negative Positive
Influenza/RSV Influenza/RSV
MOD/SEVERE SYMPTOMS
regardless of co-morbidities • Start Oseltamivir/Tamiflu
if influenza positive
COVID-19 Testing NO COVID-19 Testing • Discharge to home
Unless it will change (if meeting d/c goals)
management/placement
with strict precautions
• Initiate OB Sepsis Protocol • Provide Patient
• Alert Infection Prevention • Discharge to home (if Education for Home
• Concordant Influenza/RSV & meeting d/c goals) with strict Isolation Guidance
COVID-19 Testing precautions • Start Oseltamivir/Tamiflu
• Consider empiric Oseltamivir/Tamiflu • Provide Patient Education for • Discharge to home
• Maternal-Fetal Medicine Consult Home Isolation Guidance (if meeting d/c goals) • All pregnant patients discharged home
• Inpatient Care with strict precautions will receive a follow-up phone call
• Provide Patient from RN within 24 hours to review
Education for Home
results and assess patient symptoms
Isolation Guidance
Throughout Visit/Evaluation • If POSITIVE COVID-19 and remains
an appropriate candidate for home
Precautions: Droplet and Contact* management, pt will receive DAILY
call from RN for 7 days
Version 3/8/20