key: cord-0889220-ytw82yyp
authors: Sahin, Dilek; Erol, Seyit Ahmet; Tanacan, Atakan; Ozcan, Namik; Keskin, H.Levent; Moraloglu tekin, Ozlem
title: An effective protective equipment to use in the vaginal delivery of the pregnant women with suspected/diagnosed COVID-19: Delivery Table Shield
date: 2020-06-15
journal: Am J Obstet Gynecol
DOI: 10.1016/j.ajog.2020.06.021
sha: 8380cdf0baf815436b159ce1cf6f69a5027ddef8
doc_id: 889220
cord_uid: ytw82yyp

nan

COVID-19 may be rapidly transmitted by particularly infected respiratory droplets 1 . Thus, healthcare professionals should be attentive to use protective equipment during the management of suspected or diagnosed cases. In this article, we describe the usage of a novel delivery table shield in the second stage of labor.

We have designed the delivery table shield by ourselves, subsequently we had its plastic component produced by communicating with a manufacturer. We use its upper nylon component for only a single time in each patient. The mentioned shield poses no barrier for respiration of the mother and provides eye contact between the patient and the physician thanks to its exclusive design. A 180 micron nylon clotting was used for covering and polypropylene random copolymer pipes were used for the table legs.

The photographs which were taken in our simulation center show the application of delivery table shield (Image 1). we approach all deliveries as if they are COVID-19 positive? 13.5% of asymptomatic pregnant women who applied for delivery were found to be positive for COVID-19 in a study 4 . Similarly, another recent study has reported 13.3% COVID-19 positivity in asymptomatic pregnant women 5 . However, there is currently no available data on the number and rate of the asymptomatic COVID-19 positive pregnant women in our country. Therefore, we conclude that use of delivery table shield and other personal protective equipments would be more reasonable only in the suspected or definitely diagnosed cases. We also consider that this shield we have developed can be used against all infectious agents that carry risk for transmission of respiratory-borne infections as well as COVID-19 infection.

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We would thank to Turk Tractor and Agricultural Machinery Corporation as a domestic company for their precious support in the production of the delivery table shields we have designed in the context of our Project. Furthermore, many thanks to our delivery room nurses Sehri Ozdemir and Filiz Caggan for their effort in the health-care of pregnant women during their labors and deliveries.

Delivery table shield exactly suits the delivery table due to its unique design effectively protects the health-care staff from infected respiratory droplets during the pushing and second stage of labor. The opening in the posterior side of the delivery table shield provides comfortable respiration fort he mother during the labor.