Evidence map›Paper›PMID 35148698›Full record

ArticleBMC pregnancy and childbirth2022

Adapting obstetric and neonatal services during the COVID-19 pandemic: a scoping review.

Shira Gold, Lauren Clarfield, Jennie Johnstone, Yenge Diambomba, Prakesh S Shah, Wendy Whittle, Nimrah Abbasi, Cristian Arzola, Rizwana Ashraf, Anne Biringer and 20 more

Abstract readScoping Review
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC pregnancy and childbirth, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Managing Labour in Women with COVID-19.Journal of clinical medicine · 2023
    Review
  6. Review
  7. Preeclampsia and Severe Maternal Morbidity During the COVID-19 Pandemic: A Population-Based Cohort Study in Ontario, Canada.Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

30 authors.

Shira GoldDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, 700 University Avenue, Room 3-908, Toronto, ON, M5G 1X5, Canada.
Lauren ClarfieldFaculty of Medicine, University of Toronto, Toronto, ON, Canada.
Jennie JohnstoneDepartment of Laboratory Medicine and Pathobiology, Mount Sinai Hospital, Toronto, ON, Canada.
Yenge DiambombaDepartment of Paediatrics, Mount Sinai Hospital, Toronto, ON, Canada.
Prakesh S ShahDepartment of Paediatrics, Mount Sinai Hospital, Toronto, ON, Canada.
Wendy WhittleDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, 700 University Avenue, Room 3-908, Toronto, ON, M5G 1X5, Canada.
Nimrah AbbasiDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, 700 University Avenue, Room 3-908, Toronto, ON, M5G 1X5, Canada.
Cristian ArzolaFaculty of Medicine, University of Toronto, Toronto, ON, Canada.
Rizwana AshrafDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, 700 University Avenue, Room 3-908, Toronto, ON, M5G 1X5, Canada.
Anne BiringerDepartment of Family Medicine, Mount Sinai Hospital, Toronto, ON, Canada.
David ChitayatDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, 700 University Avenue, Room 3-908, Toronto, ON, M5G 1X5, Canada.
Marie CzikkDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, 700 University Avenue, Room 3-908, Toronto, ON, M5G 1X5, Canada.
Milena ForteDepartment of Family Medicine, Mount Sinai Hospital, Toronto, ON, Canada.
Tracy FranklinDepartment of Family and Community Medicine, Mount Sinai Hospital, Toronto, ON, Canada.
Michelle JacobsonDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, 700 University Avenue, Room 3-908, Toronto, ON, M5G 1X5, Canada.
Johannes KeunenDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, 700 University Avenue, Room 3-908, Toronto, ON, M5G 1X5, Canada.
John KingdomDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, 700 University Avenue, Room 3-908, Toronto, ON, M5G 1X5, Canada.
Stephen LapinskyFaculty of Medicine, University of Toronto, Toronto, ON, Canada.
Joanne MacKenzieDepartment of Nursing, Mount Sinai Hospital, Toronto, ON, Canada.
Cynthia MaxwellDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, 700 University Avenue, Room 3-908, Toronto, ON, M5G 1X5, Canada.
Mary PreismanDepartment of Psychiatry, Mount Sinai Hospital, Toronto, ON, Canada.
Greg RyanDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, 700 University Avenue, Room 3-908, Toronto, ON, M5G 1X5, Canada.
Amanda SelkDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, 700 University Avenue, Room 3-908, Toronto, ON, M5G 1X5, Canada.
Mathew SermerDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, 700 University Avenue, Room 3-908, Toronto, ON, M5G 1X5, Canada.
Candice SilversidesDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, 700 University Avenue, Room 3-908, Toronto, ON, M5G 1X5, Canada.
John SnelgroveDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, 700 University Avenue, Room 3-908, Toronto, ON, M5G 1X5, Canada.
Nancy WattsDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, 700 University Avenue, Room 3-908, Toronto, ON, M5G 1X5, Canada.
Beverly YoungDepartment of Psychiatry, Mount Sinai Hospital, Toronto, ON, Canada.
Charmaine De CastroLibrary and Information Services, Mount Sinai Hospital, Toronto, ON, Canada.
Rohan D'SouzaDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, 700 University Avenue, Room 3-908, Toronto, ON, M5G 1X5, Canada. rohan@mcmaster.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe provision of care to pregnant persons and neonates must continue through pandemics. To maintain quality of care, while minimizing physical contact during the Severe Acute Respiratory Syndrome-related Coronavirus-2 (SARS-CoV2) pandemic, hospitals and international organizations issued recommendations on maternity and neonatal care delivery and restructuring of clinical and academic services. Early in the pandemic, recommendations relied on expert opinion, and offered a one-size-fits-all set of guidelines. Our aim was to examine these recommendations and provide the rationale and context to guide clinicians, administrators, educators, and researchers, on how to adapt maternity and neonatal services during the pandemic, regardless of jurisdiction.

methodOur initial database search used Medical subject headings and free-text search terms related to coronavirus infections, pregnancy and neonatology, and summarized relevant recommendations from international society guidelines. Subsequent targeted searches to December 30, 2020, included relevant publications in general medical and obstetric journals, and updated society recommendations.

resultsWe identified 846 titles and abstracts, of which 105 English-language publications fulfilled eligibility criteria and were included in our study. A multidisciplinary team representing clinicians from various disciplines, academics, administrators and training program directors critically appraised the literature to collate recommendations by multiple jurisdictions, including a quaternary care Canadian hospital, to provide context and rationale for viable options.

interpretationThere are different schools of thought regarding effective practices in obstetric and neonatal services. Our critical review presents the rationale to effectively modify services, based on the phase of the pandemic, the prevalence of infection in the population, and resource availability.

Indexed as

Perinatal CarePractice Guidelines as TopicAcademic Medical CentersCanadaCommunicable Disease ControlCOVID-19Delivery of Health CareFemaleHumansInfantInfant, NewbornInpatientsMaternal-Child Health ServicesOrganizational PolicyOutpatientsPregnancyAlgorithmsAmbulatory careAnaesthesiaClinical protocolsCoronavirusCOVID-19Health planning guidelinesHospital planningHospital restructuringMaternityMedical educationMedical staffNeonatologyObstetricalObstetricsPandemicsPatient care planningPerinatal carePerinatologyPersonnel managementPostnatal carePregnancyQuality improvementResidency trainingSARS-CoV-2Severe acute respiratory syndrome-related coronavirus 2Simulation trainingUltrasonography

Identifiers

PMID35148698
PMCPMC8840792

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.