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Question 10: How to conduct risk assessment for pregnant women with fever?
For pregnant women with fever, they should be evaluated and managed according to the severity of their conditions.
(1) For patients with obstetric conditions that require timely termination of pregnancy, the attending doctor should enquire in detail about their epidemiological history, retain throat swabs and perform lung CT examination, then report the cases to the Obstetric Safety Management Office *, and initiate a multidisciplinary consultation. Then the patients can be transferred to the negative pressure isolation delivery area in the infectious department or the operating room for management. At the same time, the doctor should follow up the test results to determine the subsequent treatment. Pharyngeal swab sampling needs to be performed in the delivery area or operating room with adequate protection.
(2) lf the patient has a simple fever and there is no obstetric emergency, she should be transferred to the medical department for COVlD-19 screening and a lung CT test. lf the result is positive, she should be admitted to the negative pressure isolation ward of the infectious department for treatment.
(3) After excluding COVlD-19 for the pregnant women with obstetric indications, they should be admitted to the obstetrics single rooms or close observation units for potential emergency rescue.
(Note: * The Obstetric Safety Management Office is an emergency care coordination mechanism established by medical institutions in accordance with the National“ Mothers and Infants’ Safety Action Plan” . The deputy director of the hospital in charge of the maternal and infant safety is specifically responsible for coordinating and establishing the treatment, consultation, referral and other mechanisms for the critical care cases among the pregnant women and newborns.)