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RSACP wishes to inform that it shall be discontinuing the dispatch of print copy of JOACP to it's Life members. The print copy of JOACP will be posted only to those life members who send us a written confirmation for continuation of print copy.
Kindly email your affirmation for print copies to dranjugrewal@gmail.com preferably by 30th June 2019.

 
 
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Management of pregnant laboring women during COVID-19 pandemic


1 Department of Anesthesia and Intensive Care, PGIMER, Chandigarh, India
2 Department of Anesthesiology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India
3 Obstetric Critical Care Unit, Century Hospital; Department of Anesthesiology and Surgical ICU, AIG Hospitals, Gachibowli, Hyderabad, Telangana, India
4 Gitanjali Medical College and Hospital, Udaipur, Rajasthan, India
5 Department of Obstetrics and Gynecology, PGIMER, Chandigarh, India
6 Department of Anesthesiology, Pain medicine and Critical Care, All India Institute of Medica Sciences; Chairperson Clinical Managerial Group, AIIMS COVID Centre, New Delhi, India

Correspondence Address:
Kajal Jain,
Department of Anesthesia and Intensive Care, PGIMER, Chandigarh
India
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/joacp.JOACP_258_20

Since its first outbreak in December 2019 in Wuhan, China, coronavirus disease 2019 (COVID-19) has become a global public health threat. In the midst of this rapidly evolving pandemic condition, the unique needs of pregnant women should be kept in mind while making treatment policies and preparing response plans. Management of COVID-19 parturients requires a multidisciplinary approach consisting of a team of anesthesiologists, obstetricians, neonatologists, nursing staff, critical care experts, infectious disease, and infection control experts. Labor rooms as well as operating rooms should be in a separate wing isolated from the main wing of the hospital. In the operating room, dedicated equipment and drugs for both neuraxial labor analgesia and cesarean delivery, as well as personal protective equipment, should be readily available. The entire staff must be specifically trained in the procedures of donning, doffing, and in the standard latest guidelines for disposal of biomedical waste of such areas. All protocols for the management of both COVID-19 suspects as well as confirmed patients should be in place. Further, simulation-based rehearsal of the procedures commonly carried out in the labor room and the operation theaters should be ensured.


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