Coronavirus Illness 2019 (COVID-19)


Step 1. Decide being pregnant standing

Step one in offering maternal and new child providers throughout the COVID-19 pandemic is to find out being pregnant standing. As soon as a lady discovers she is pregnant, she’s going to both contact a Neighborhood Well being Employee (CHW) to supply an antenatal care (ANC) evaluation or go to a well being heart facility straight to substantiate her being pregnant and obtain ANC. Alternatively, pregnancies locally could also be found by routine being pregnant surveillance. On this occasion, amenities will present being pregnant and COVID-19 assessments utilizing the surveillance course of and instruments described in Slide 2. Notice that each the lady and CHW needs to be sporting face masks when in the identical room. Within the well being facility, the ready space needs to be a well-ventilated room (or an outdoor house) through which different outpatients/households are socially distancing and sporting masks.

On the first level of contact between a pregnant girl and a CHW/healthcare supplier, the lady might be enrolled within the being pregnant register cohort and native space monitoring system which helps CHWs comply with the lady all through her being pregnant and decide her estimated supply date. Throughout being pregnant evaluation, ladies needs to be evaluated for potential SARS-CoV-2 an infection, the virus that causes COVID-19, by contemplating the presence of suggestive signs, contact with relations or different individuals with identified or presumed COVID-19, and the extent of COVID-19 unfold throughout the group. CHWs needs to be conscious that pregnant ladies with COVID-19 could have gentle signs (equivalent to fatigue and headache). Moreover, different critical well being circumstances (e.g., malaria, dengue, preeclampsia, gestational diabetes) have comparable signs to COVID-19, and thus CHWs should be vigilant in assessing these potentialities. If a CHW suspects a pregnant girl has COVID-19 both attributable to signs of COVID-19, potential latest contact with relations or different individuals with identified or presumed COVID-19, or each, the pregnant girl needs to be referred for testing.

Factors of contact between ladies and well being suppliers at which COVID-19 could also be detected and steps for referral embody:

Girls with out COVID-19 signs:

  • If a lady doesn’t have signs of COVID-19, then she needs to be referred to a well being facility for a routine ANC go to.

Girls with COVID-19 signs:

  • If a CHW discovers throughout preliminary evaluation {that a} girl has signs suggestive of COVID-19 or latest shut contact with somebody with COVID-19, the CHW ought to refer the lady to a COVID-19 testing and therapy heart instantly. Girls ought to obtain info on house isolation whereas ready for the check outcomes, and if check is constructive, she ought to comply with the United Nations Inhabitants Fund (UNFPA) quarantine tipspdf icon. All ladies who check constructive for COVID-19 ought to have contact tracing follow-up locally.
  • If a lady displays signs of COVID-19 throughout a well being facility evaluation, she needs to be referred to a therapy heart for a COVID-19 check as promptly as doable, after conducting assessments for different circumstances which might current with comparable signs.
  • If at any level throughout the preliminary ANC or being pregnant standing evaluation a lady displays extreme signs according to COVID-19 (particularly, bother respiratory; persistent ache or strain within the chest; new confusion; lack of ability to wake or keep awake; bluish lips or face; fever > 38.6 °C; or extreme cough, nausea, vomiting, or diarrhea), she ought to instantly be referred to the COVID-19 therapy heart for therapy.

Notice: Please see additional element on CDC-recommended triage course of for COVID-19 sufferers right here.

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