key: cord-0790104-3g7oersj
authors: Tassis, Beatrice; Lunghi, Giovanna; Frattaruolo, Maria P.; Ruggiero, Marta; Somigliana, Edgardo; Ferrazzi, Enrico
title: Effectiveness of a COVID‐19 screening questionnaire for pregnant women at admission to an obstetric unit in Milan
date: 2020-05-23
journal: Int J Gynaecol Obstet
DOI: 10.1002/ijgo.13191
sha: 116ed2245e44682a9ca7babda61b0114caa33637
doc_id: 790104
cord_uid: 3g7oersj

Screening for SARS‐Cov‐2 at hospital admission using a specific questionnaire is less effective than nasopharyngeal swab but more sustainable, hence it can be considered in contexts with low incidence of the virus.

In conclusion, a policy of systematic screening with a specific questionnaire is a manageable, inexpensive, and effective tool in obstetric care, at least in areas where the incidence of SARS-Cov-2 infection is not devastating. However, it is not infallible. If swabs can be processed within a matter of hours, a universal swab policy is preferred.

EF and BT designed the study. GL, MPF and MR collected the data. ES wrote the first draft. All the authors revised the manuscript. Figure 1 . The patient experienced rapid aggravation of the disease.

Emergency cesarean delivery was performed at the bedside, but the neonate died within two hours of birth (Fig. 2 ).

Although the patient had no history of chronic disease, the severity of COVID-19 increased rapidly-from dyspnea to acute respiratory distress syndrome and septic shock within 12 hours.

The patient's condition worsened, with persistent decreases in white blood cell and lymphocyte counts. Inflammation indicators of C-reactive protein, procalcitonin, and interleukin 6 all increased significantly, whereas peripheral oxygen saturation level decreased progressively. Given these circumstances, white blood cell and lymphocyte counts of COVID-19 patients should be monitored

Universal screening for SARS-CoV-2 in women admitted for delivery

Critical care utilization for the COVID-19 outbreak in Lombardy

ISUOG Interim Guidance on 2019 novel coronavirus infection during pregnancy and puerperium: information for healthcare professionals

The authors have no conflicts of interest.