Published: 2020-10-27

Obstetric emergencies during the COVID-19 lockdown period: a case series

Ananya Vasudhar, Anita S., Gayatri L. Patil, Shridevi A. S., Tejaswi V. Pujar, Renuka .


Obstetric emergencies during COVID-19 pandemic pose an enormous challenge to the concerned obstetrician. Risk stratification during obstetric triage will guide in the initial assessment & planning of further management to reduce maternal and fetal morbidity and mortality rates. As the health system adapts to cope with this pandemic, special attention needs to be given to the several moral and ethical dilemmas that may occur during patient care.


COVID-19, Lockdown, Obstetric emergencies, Pandemic obstetrics

Full Text:



Campbell S, Lee C. Obstetric emergencies. In Obstetrics by Ten Teachers, S. Campbell and C. Lee, Eds. Arnold Publishers, 17th edition. 2000:303-17.

Avery M. Obstetric emergencies. Americ J Chine Medic. 2009;6(2): 42-6

Hospital-based triage of obstetric patients. Committee Opinion no. 667. American College of Obstetrics and Gynaecologists, Obstet Gynecol 2016;128:e16-9.

Siwatch S, Segal E, Goyal L. Hysterectomy- Indications and Associated Complications: An Indian Teaching Hospital Experience. Nepal J Obstet Gynaecol. 20-14;7(2):17-20.

WHO, UNICEF, UNFPA, World Bank (2012) Trends in maternal mortality: 1990 to 2010. Available at: /publications/monitoring/9789241503631/en/. Accessed on 20 May 2020.

The Royal College of Midwives, Royal College of Obstetrics and Gynaecology, Royal College of Paediatrics and Child Health, Royal College of Anaesthetists. Coronavirus COVID-19 Infection in Pregnancy; 2020;5.

Favre G, Pomar L, Qi X, Nielsen-Saines K, Musso D, Baud D. Guidelines for pregnant women with suspected SARS-CoV-2 infection. Lanc Infect Disea. 2020;20(6):652-3.

American College of Obstetricians and Gynaecologists. Novel Coronavirus 2019 (COVID-19) Practice Advisory. Available at: https://www Accessed on 05 April 2020.

Government of India, Ministry of Health & Family Welfare, Directorate General of Health Services (EMR Division). Revised Guidelines on Clinical Management of COVID-19. Available at: on 05 April 2020.

Centers for Disease Control and Prevention. Interim Considerations for Infection Prevention and Control of Coronavirus Disease 2019 (COVID-19) in Inpatient Obstetric Healthcare Settings. Available at: inpatient-obstetric-healthcare-guidance.html. Accessed on 05 April 2020.

Zhao X, Jiang Y, Zhao Y, Xi H, Liu C, Qu F, et al. Analysis of the susceptibility to COVID-19 in pregnancy and recommendations on potential drug screening. Europ J Clinic Microbiol Infecti Diseas. 2020;23:1.

Chawla S, Nakra M, Mohan S, Nambiar BC, Agarwal R, Marwaha A. Why do obstetric patients go to the ICU? A 3-year-study. Medic J Armed Forc Ind. 2013;69(2):134-7.

Guidance of management of pregnant women in COVID 19 Pandemic; Indian Council for Medical Research and National Institute for Research in Reproductive Health, Mumbai April 2020.

Abha S, Lily N, Obstetric emergencies: Role of Obstetric Drill for a better Maternal Outcome J Obstet Gynaecol India.2012;62(3):291-6.