MIL OSI Translation. Region: Russian Federation –
Photo by M. Mishin. Press Service of the Mayor and the Moscow Government
In hospitals, special short-term hospitals were opened for them, and obstetricians-gynecologists appeared in the structure of the telemedicine center.
Moscow has introduced new algorithms to monitor and treat pregnant women with COVID-19. They were developed by the city’s leading experts and approved by the members of the clinical committee. Department of Health… On the base telemedicine centeran obstetric remote consulting center began to operate. In two multidisciplinary hospitals with obstetric and gynecological services, short-term hospitals have been created.
“For expectant mothers, the detection of coronavirus infection is a great stress. Most of them do not require hospitalization, but even with a mild course of the disease, it is important to constantly monitor the dynamics of the condition and conduct routine examinations necessary for the duration of pregnancy. Pregnant women are often afraid to be examined in coronavirus hospitals. To provide expectant mothers with a high level of comfort and safety, leading Moscow doctors – obstetricians and gynecologists have developed new algorithms for managing pregnant women with COVID-19, ”she said.
Anastasia Rakova, Deputy Mayor of Moscow for Social Development.
Short-term hospitals were opened on the basis of two leading clinics with extensive experience in the treatment of coronavirus infection – Hospital No. 15 named after O.M. Filatov and City Clinical Hospital No. 52. They will only accept pregnant women.
“A wide range of examinations will allow us to identify possible risks and complications at an early stage, as well as to carry out the necessary planned examinations, including screening ultrasound,” said the deputy mayor.
Pregnant women with a mild course of COVID-19 will be able to undergo instrumental and laboratory tests: cardiotocography, Doppler imaging of the veins of the lower extremities and low-dose CT scan of the chest organs using X-ray protection or ultrasound of the lungs. The general list of mandatory examinations and examinations includes 14 items – if necessary, it will be expanded in each specific case. In the same departments, women will be able to receive treatment, including, if necessary, the most modern drugs based on monoclonal antibodies and anti-clotting immunoglobulin. Contact with patients from other departments will be excluded.
Based on the results of the examinations, doctors will decide on hospitalization of a pregnant woman in a hospital or observation under the supervision of specialists from an obstetric remote consultation center. Repeated examinations can be prescribed in a hospital or at home. The patients will be delivered to the examination by an ambulance team, and after the procedures, on the same day, they will be taken home by ambulance accompanied by doctors.
“Based on the telemedicine center, which has already established itself in the management of patients with COVID-19, we have created an obstetric unit. Its specialists will monitor the condition of the patients and, if necessary, organize an in-person visit to the hospital, ”added Anastasia Rakova.
The Obstetric Distance Consulting Center (ADCC) has become a structural subdivision of the telemedicine center. For more than a year, its employees have been advising tens of thousands of Muscovites who are being treated for COVID-19 at home. The same task will be performed by specialists of the ADKC – obstetricians-gynecologists of city obstetric hospitals. They will clarify the well-being of patients, monitor the dynamics of their health status, and make a decision on hospitalization, if necessary.
EDITOR’S NOTE: This article is a translation. Apologies should the grammar and or sentence structure not be perfect.