These infection prevention and control considerations are for healthcare facilities providing obstetric care for pregnant patients with suspected1 or confirmed coronavirus disease (COVID-19) in inpatient obstetric healthcare settings including obstetrical triage, labor and delivery, recovery and inpatient postpartum settings.
This information is intended to aid hospitals and clinicians in applying broader CDC interim guidance on infection prevention and control for COVID-19.
Since maternity and newborn care units vary in physical configuration, each facility should consider their appropriate space and staffing needs to prevent transmission of the virus that causes COVID-19. These considerations include appropriate isolation of pregnant patients who have suspected1 or confirmed COVID-19; basic and refresher training for all healthcare personnel on those units to include correct adherence to infection control practices and personal protective equipment (PPE) use and handling; and sufficient and appropriate PPE supplies positioned at all points of care.
These considerations are based upon the limited evidence available to date about transmission of the virus that causes COVID-19. The approaches outlined below are intentionally cautious until additional data become available to refine recommendations for prevention of person-to-person transmission in inpatient obstetric care settings.
Although the overall risks are low, pregnant and recently pregnant people are at an increased risk for severe illness from COVID-19 —including illness that results in ICU admission, mechanical ventilation, and death—compared with non-pregnant people. Additionally, pregnant people with COVID-19 are at increased risk of preterm birth and stillbirth and might be at increased risk for other pregnancy complications.