Applies to broader infection prevention
Isolation of pregnant patients with<unk><unk>  and PUIs
Pre-hospital (for confirmed<unk><unk>  or PUI):
Notify OB unit prior to arrival
EMS: driver should contact receiving unit to follow local protocols
Hospitalization: usual hospital protocols for isolation
Infants born to mothers with<unk>  should be considered PUI
Prevention of mother-to-child transmission (PMTCT): may temporarily separate mother from baby until mother’s transmission based isolation precautions are discontinued (due to respiratory secretions)
No data on vertical transmission
Thought to spread mostly by close contact with respiratory droplet
Very limited data on routes of transmission other than contact with respiratory droplet - however small cohorts tested didn’t demonstrate transmission via these others routes (note amniotic fluid and other sources were not tested)
Discontinuation of isolation made on local ID guidance and case-by-case
Discontinuation criteria same as for other<unk><unk> 
Resolution of fever without anti-pyretic, resolution of symptoms, and negative<unk><unk>  testing
Face mask, hand hygiene before each feeding
Dedicated breast pump if nursing
Entire pump should be entirely disinfected per manufacturer recommendations between each feed
Notify OB unit prior to arrival
EMS: driver should contact receiving unit to follow local protocols
Hospitalization: usual hospital protocols for isolation
Prevention of mother-to-child transmission (PMTCT): may temporarily separate mother from baby until mother’s transmission based isolation precautions are discontinued (due to respiratory secretions)
No data on vertical transmission
Thought to spread mostly by close contact with respiratory droplet
Very limited data on routes of transmission other than contact with respiratory droplet - however small cohorts tested didn’t demonstrate transmission via these others routes (note amniotic fluid and other sources were not tested)
Discontinuation of isolation made on local ID guidance and case-by-case
Discontinuation criteria same as for other<unk><unk> 
Resolution of fever without anti-pyretic, resolution of symptoms, and negative<unk><unk>  testing
Face mask, hand hygiene before each feeding
Dedicated breast pump if nursing
Entire pump should be entirely disinfected per manufacturer recommendations between each feed
No data on vertical transmission
Thought to spread mostly by close contact with respiratory droplet
Very limited data on routes of transmission other than contact with respiratory droplet - however small cohorts tested didn’t demonstrate transmission via these others routes (note amniotic fluid and other sources were not tested)
Discontinuation of isolation made on local ID guidance and case-by-case
Discontinuation criteria same as for other<unk><unk> 
Resolution of fever without anti-pyretic, resolution of symptoms, and negative<unk><unk>  testing
Face mask, hand hygiene before each feeding
Dedicated breast pump if nursing
Entire pump should be entirely disinfected per manufacturer recommendations between each feed
Thought to spread mostly by close contact with respiratory droplet
Resolution of fever without anti-pyretic, resolution of symptoms, and negative<unk><unk>  testing
Dedicated breast pump if nursing
Entire pump should be entirely disinfected per manufacturer recommendations between each feed
Are pregnant women at increased risk of adverse<unk>  outcomes?
No data exists on this (regarding<unk>  loss, misscarriage, etc)
High fevers in early<unk>  previously demonstrated (in SARS and MERS) to increase risk of birth defects. May be possible here. But no data.
Lactation
No evidence of virus found in breastmilk. (but no good data on this). Most transmission noted to be due to close respiratory droplet contact during feeding
Should pregnant patients not be out and about in the community?
Prenatal care still encouraged
Usual precautions encouraged (as with general population)
No data exists on this (regarding<unk>  loss, misscarriage, etc)
High fevers in early<unk>  previously demonstrated (in SARS and MERS) to increase risk of birth defects. May be possible here. But no data.
No evidence of virus found in breastmilk. (but no good data on this). Most transmission noted to be due to close respiratory droplet contact during feeding
Prenatal care still encouraged
Usual precautions encouraged (as with general population)
COVID-19 in pregnancy
HIV neurologic complications
HIV pulmonary complications
AIDS fever of unknown origin
Influenza
Pediatric fever of uncertain source
Hepatitis B
Hepatitis C