Table 4.

COVID-19 in pregnancy management after admission checklist

Orders □Contact and droplet isolation (airborne isolation if patient requires high-flow NC or nebulizers) □Vital signs: if stable, obtain every 4 hours at minimum; if unstable, consider continuous monitoring □Fetal monitoring: at least once daily for NST as appropriate □Admission laboratory tests: CBC, BMP, LFTs, magnesium, phosphorous, PT, PTT, fibrinogen, D-dimer, and CRP □Daily laboratory tests: CBC, BMP, LFTs, magnesium, and phosphorus □Every other day laboratory tests: CRP, LDH, and D-dimer □Anticoagulation and sequential compression devices

Supportive care □Supplemental oxygen to maintain a saturation of ≥95% □Antipyretics □ Avoid fluid overload ○ If the patient requires continuous infusion, try to keep it <75 cc/h. ○ If septic or hemodynamically unstable, give fluids per protocol.

Medical management Consider initiating if the patient has 1 of the following: □Requires supplemental oxygen □Has significant labored breathing □Has severe comorbidities Given rapidly changing guidelines, consideration should be based on institutional guidelines and consultation with infectious disease specialists.

Order set and supportive care medical checklist.

BMP, basic metabolic panel; CBC, complete blood cell count; COVID-19, coronavirus disease 2019; CRP, C-reactive protein; LDH, lactate dehydrogenase; LFT, liver function test; NC, nasal cannula; NST, nonstress test; PT, prothrombin time; PTT, partial thromboplastin time.

Vega. Inpatient management of COVID-19 in pregnancy. AJOG MFM 2020.