Abstract：
BACKGROUND: The provision of care to pregnant persons and neonates must continue through pandemics. To maintain quality of care, while minimizing physical contact during the Severe Acute Respiratory Syndrome-related Coronavirus-2 (SARS-CoV2) pandemic, hospitals and international organizations issued recommendations on maternity and neonatal care delivery and restructuring of clinical and academic services. Early in the pandemic, recommendations relied on expert opinion, and offered a one-size-fits-all set of guidelines. Our aim was to examine these recommendations and provide the rationale and context to guide clinicians, administrators, educators, and researchers, on how to adapt maternity and neonatal services during the pandemic, regardless of jurisdiction.
METHODS: Our initial database search used Medical subject headings and free-text search terms related to coronavirus infections, pregnancy and neonatology, and summarized relevant recommendations from international society guidelines. Subsequent targeted searches to December 30, 2020, included relevant publications in general medical and obstetric journals, and updated society recommendations.
RESULTS: We identified 846 titles and abstracts, of which 105 English-language publications fulfilled eligibility criteria and were included in our study. A multidisciplinary team representing clinicians from various disciplines, academics, administrators and training program directors critically appraised the literature to collate recommendations by multiple jurisdictions, including a quaternary care Canadian hospital, to provide context and rationale for viable options.
CONCLUSIONS: There are different schools of thought regarding effective practices in obstetric and neonatal services. Our critical review presents the rationale to effectively modify services, based on the phase of the pandemic, the prevalence of infection in the population, and resource availability.
METHODS: Our initial database search used Medical subject headings and free-text search terms related to coronavirus infections, pregnancy and neonatology, and summarized relevant recommendations from international society guidelines. Subsequent targeted searches to December 30, 2020, included relevant publications in general medical and obstetric journals, and updated society recommendations.
RESULTS: We identified 846 titles and abstracts, of which 105 English-language publications fulfilled eligibility criteria and were included in our study. A multidisciplinary team representing clinicians from various disciplines, academics, administrators and training program directors critically appraised the literature to collate recommendations by multiple jurisdictions, including a quaternary care Canadian hospital, to provide context and rationale for viable options.
CONCLUSIONS: There are different schools of thought regarding effective practices in obstetric and neonatal services. Our critical review presents the rationale to effectively modify services, based on the phase of the pandemic, the prevalence of infection in the population, and resource availability.
摘要：
背景：对孕妇和新生儿的护理必须通过大流行继续进行。为了保持护理质量，在严重急性呼吸系统综合症相关冠状病毒-2（SARS-CoV2）大流行期间尽量减少身体接触，医院和国际组织发布了关于产妇和新生儿护理分娩以及临床和学术服务重组的建议。在大流行的早期，建议依赖于专家意见，并提供了一套一刀切的指导方针。我们的目的是研究这些建议，并提供指导临床医生的理由和背景，管理员,教育工作者,和研究人员，关于如何在大流行期间适应产妇和新生儿服务，不管管辖权。
方法：我们最初的数据库搜索使用了与冠状病毒感染相关的医学主题标题和自由文本搜索词，妊娠和新生儿学，并总结了国际社会准则的相关建议。随后的针对性搜索至2020年12月30日，包括一般医学和产科期刊上的相关出版物，和更新的社会建议。
结果：我们确定了846个标题和摘要，其中105份英文出版物符合资格标准并被纳入我们的研究.一个多学科团队代表来自不同学科的临床医生，学者,管理人员和培训计划主管批判性地评估了文献，以整理多个司法管辖区的建议，包括一家加拿大四级医院，为可行的选择提供背景和理由。
结论：关于产科和新生儿服务的有效做法有不同的思想流派。我们的严格审查提出了有效修改服务的理由，根据大流行的阶段，人群中的感染率，和资源可用性。
方法：我们最初的数据库搜索使用了与冠状病毒感染相关的医学主题标题和自由文本搜索词，妊娠和新生儿学，并总结了国际社会准则的相关建议。随后的针对性搜索至2020年12月30日，包括一般医学和产科期刊上的相关出版物，和更新的社会建议。
结果：我们确定了846个标题和摘要，其中105份英文出版物符合资格标准并被纳入我们的研究.一个多学科团队代表来自不同学科的临床医生，学者,管理人员和培训计划主管批判性地评估了文献，以整理多个司法管辖区的建议，包括一家加拿大四级医院，为可行的选择提供背景和理由。
结论：关于产科和新生儿服务的有效做法有不同的思想流派。我们的严格审查提出了有效修改服务的理由，根据大流行的阶段，人群中的感染率，和资源可用性。
