Volume 149, Issue 3 p. 377-378
SPECIAL COMMUNICATION

COVID-19 Obstetrics Task Force, Lombardy, Italy: Executive management summary and short report of outcome

Enrico M. Ferrazzi

Corresponding Author

Enrico M. Ferrazzi

Unit of Obstetrics, Department of Mother Neonate and Child, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Mangiagalli Centre, Milan, Italy

Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy

Correspondence

Enrico M. Ferrazzi, IRCCS Foundation Ca’ Granda Ospedale Maggiore Policlinico, Mangiagalli Centre, Milano, Italy, EU.

Email: [email protected]

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Luigi Frigerio

Luigi Frigerio

Department of Obstetrics and Gynecology, Papa Giovanni XXIII Hospital Bergamo, Bergamo, Italy

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Irene Cetin

Irene Cetin

Department of Women, Mothers and Neonates, Buzzi Children's Hospital - ASST Fatebenefratelli-Sacco Milan, Milan, Italy

Department of Clinical and Biological Sciences, University of Milan, Milan, Italy

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Patrizia Vergani

Patrizia Vergani

Department of Maternal Fetal Medicine, Fondazione MBBM, San Gerardo Hospital, University of Milano Bicocca, Monza, Italy

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Arsenio Spinillo

Arsenio Spinillo

Department of Obstetrics and Gynecology, IRCCS Foundation Policlinico San Matteo, University of Pavia, Pavia, Italy

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Federico Prefumo

Federico Prefumo

Department of Obstetrics and Gynecology, Ospedali Riuniti Bresca and University of Brescia, Brescia, Italy

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Edda Pellegrini

Edda Pellegrini

Obstetric Task Force Coordinator, Direzione Generale Sanità, Regione Lombardia, Italy

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Gianluigi Gargantini

Gianluigi Gargantini

Obstetric Task Force Coordinator, Direzione Generale Sanità, Regione Lombardia, Italy

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First published: 08 April 2020
Citations: 53

Abstract

From February 24, 2020, a COVID-19 obstetric task force was structured to deliver management recommendations for obstetric care. From March 1, 2020, six COVID-19 hubs and their spokes were designated. An interim analysis of cases occurring in or transferred to these hubs was performed on March 20, 2020 and recommendations were released on March 24, 2020. The vision of this strict organization was to centralize patients in high-risk maternity centers in order to concentrate human resources and personal protective equipment (PPE), dedicate protected areas of these major hospitals, and centralize clinical multidisciplinary experience with this disease. All maternity hospitals were informed to provide a protected labor and delivery room for nontransferable patients in advanced labor. A pre-triage based on temperature and 14 other items was developed in order to screen suspected patients in all hospitals to be tested with nasopharyngeal swabs. Obstetric outpatient facilities were instructed to maintain scheduled pregnancy screening as per Italian guidelines, and to provide pre-triage screening and surgical masks for personnel and patients for pre-triage-negative patients. Forty-two cases were recorded in the first 20 days of hub and spoke organization. The clinical presentation was interstitial pneumonia in 20 women. Of these, seven required respiratory support and eventually recovered. Two premature labors occurred.

CONFLICTS OF INTEREST

The authors have no conflicts of interest.