{"id":43200,"date":"2020-03-27T12:41:18","date_gmt":"2020-03-27T16:41:18","guid":{"rendered":"https:\/\/www.healthynewbornnetwork.org\/?post_type=resource&p=43200"},"modified":"2023-01-05T16:17:16","modified_gmt":"2023-01-05T21:17:16","slug":"initial-assessment-of-clients-presenting-for-intrapartum-care-summary-of-key-considerations-in-the-context-of-covid-19","status":"publish","type":"resource","link":"https:\/\/www.healthynewbornnetwork.org\/resource\/initial-assessment-of-clients-presenting-for-intrapartum-care-summary-of-key-considerations-in-the-context-of-covid-19\/","title":{"rendered":"Initial Assessment of Clients Presenting for Intrapartum Care: Summary of Key Considerations in the Context of COVID-19"},"content":{"rendered":"

This guidance was current as of March 23, 2020, but is subject to change at any time. Consult WHO<\/a> frequently for updated and additional guidance.<\/p>\n

See also Clinical management of severe acute respiratory infection (SARI) when COVID-19 disease is suspected, interim guidance March 13, 2020.<\/a><\/p>\n

Additional details on approach to routine rapid assessment can be found in Managing Complications in Pregnancy and Childbirth, 2nd edition<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"

This guidance was current as of March 23, 2020, but is subject to change at any time. Consult WHO frequently for updated and additional guidance. See also Clinical management of severe acute respiratory infection (SARI) when COVID-19 disease is suspected, interim guidance March 13, 2020. Additional details on approach to routine rapid assessment can be … Continued<\/a><\/p>\n","protected":false},"author":7211,"featured_media":43204,"comment_status":"open","ping_status":"closed","template":"","toolkit":[],"acf":[],"yoast_head":"\nHealthy Newborn Network<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/initial-assessment-of-clients-presenting-for-intrapartum-care-summary-of-key-considerations-in-the-context-of-covid-19\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Initial Assessment of Clients Presenting for Intrapartum Care: Summary of Key Considerations in the Context of COVID-19 - Healthy Newborn Network\" \/>\n<meta property=\"og:description\" content=\"This guidance was current as of March 23, 2020, but is subject to change at any time. 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Jhpiego draws on its technical expertise and extensive experience in the field- as well as the creativity and science of  The Johns Hopkins University- to prevent the needless deaths of women and their families. For more than 35 years, Jhpiego has empowered front-line health workers by designing and implementing effective, low-cost, hands-on solutions to strengthen the delivery of health care services for women and their families. With nearly 700 employees currently working in over 54 counties, Jhpiego puts evidence-based health innovations into everyday practice, breaking down barriers to high-quality health care for the world’s most vulnerable populations. Jhpiego's technical expertise lies in the areas of maternal and child health, family planning and reproductive health, cervical cancer prevention and treatment, and infectious disease.<\/p>","post_title":"Jhpiego","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"jhpiego","to_ping":"","pinged":"","post_modified":"2016-01-21 00:17:31","post_modified_gmt":"2016-01-21 00:17:31","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=partner&p=617","menu_order":0,"post_type":"partner","post_mime_type":"","comment_count":"0","filter":"raw"}],"other_organizations":"","issues":[{"ID":120,"post_author":"7211","post_date":"2015-10-21 15:18:23","post_date_gmt":"2015-10-21 15:18:23","post_content":"[vc_row full_width=\"stretch_row\" css=\".vc_custom_1453403441710{margin-top: -60px !important;padding-top: 30px !important;padding-bottom: 30px !important;background-color: #ffffff !important;}\"][vc_column width=\"1\/2\"][vc_column_text]\r\n<h2>Information on the number, timing, and causes of stillbirth and neonatal death, as well as the care received by each mother and baby, is crucial for planning and delivering high-quality health services.<\/h2>\r\nWhile data availability and quality have improved in recent years, there are still big gaps in indicators for newborn care. The Every Newborn Action Plan Measurement Improvement Roadmap details the challenges in measurement and provides a multi-year, multi-partner pathway to improving metrics, including testing and standardizing indicator definitions and developing new tools.[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\" el_class=\"issue-stats\"][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-red\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">71\r\n<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1513274052338{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percentage of newborn deaths that are preventable with access to quality health care\r\n<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-yellow\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">1<\/span>\/<span class=\"ticker\">3<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1517246179677{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">babies do not have a birth certificate by their first\u00a0birthday<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-blue\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">10<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1456360643415{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of priority Every Newborn indicators identified<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner content_placement=\"middle\"][vc_column_inner][vc_separator][vc_column_text]\r\n<h6 style=\"text-align: center;\"><em>All data on this page represents the most recent data available, unless otherwise noted. Please visit our\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\">Newborn Numbers<\/a>\u00a0page and download the Excel spreadsheet to explore the data further.<\/em><\/h6>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row][vc_column][vc_text_separator title=\"More information\"][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]See <a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\">Newborn Numbers<\/a> for more newborn health specific epidemiology including rates, trends, and causes of death.\r\n\r\nEpidemiology is the \u201cstudy of the distribution and determinants of health-related states or events (including disease), and the application of this study to the control of diseases and other health problems.\u201d Epidemiology examines how health conditions are distributed among a population and seeks to understand the risks or causes associated with those conditions.[\/vc_column_text][vc_column_text]The numbers of stillbirths and neonatal deaths, and the causes, are generated through modeled estimates using information from national civil registration databases, household surveys, surveillance systems, and special studies. High-quality, universal birth and death registration are required to provide nationally representative, timely data, and to signify a shift in social norms to value counting every newborn baby and stillbirth. Increasing global momentum to improve the data is important, and highlights the human face of those who are counted the least\u2014newborn babies and stillbirths.[\/vc_column_text][vc_text_separator title=\"Key resources\"][\/vc_column][\/vc_row][vc_row][vc_column width=\"1\/2\"][vc_column_text]\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Every-Newborn-Metrics-Cards_3.pdf\" target=\"_blank\" rel=\"noopener\">Every Newborn Metrics Report Cards<\/a><\/li>\r\n \t<li><a href=\"http:\/\/bmcpregnancychildbirth.biomedcentral.com\/articles\/supplements\/volume-15-supplement-2\" target=\"_blank\" rel=\"noopener\">Count every newborn, a measurement improvement roadmap for coverage data<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.thelancet.com\/series\/everynewborn\" target=\"_blank\" rel=\"noopener\">The Lancet Every Newborn Series (2014)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/every-newborn-action-plan\/\" target=\"_blank\" rel=\"noopener\">The Every Newborn Action Plan<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\"][vc_column_text]\r\n<ul>\r\n \t<li><a href=\"https:\/\/apps.who.int\/iris\/handle\/10665\/184225\" target=\"_blank\" rel=\"noopener\">The WHO Technical consultation on newborn health indicators<\/a><\/li>\r\n \t<li><a href=\"https:\/\/apps.who.int\/iris\/handle\/10665\/153544\" target=\"_blank\" rel=\"noopener\">Strategies toward ending preventable maternal mortality (EPMM)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthdatacollaborative.org\/fileadmin\/uploads\/hdc\/Documents\/the-roadmap-for-health-measurement-and-accountability.pdf\" target=\"_blank\" rel=\"noopener\">The Roadmap for Health Measurement and Accountability<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.who.int\/teams\/maternal-newborn-child-adolescent-health-and-ageing\/epidemiology-monitoring-and-evaluation\/maternal-health\" target=\"_blank\" rel=\"noopener\">WHO Maternal, Newborn, Child and Adolescent Health and Ageing (Maternal and newborn health monitoring)<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column][\/vc_row]","post_title":"Epidemiology","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"data-epidemiology","to_ping":"","pinged":"","post_modified":"2022-10-19 17:59:04","post_modified_gmt":"2022-10-19 21:59:04","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=120","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":49497,"post_author":"7211","post_date":"2021-08-04 20:35:27","post_date_gmt":"2021-08-05 00:35:27","post_content":"[vc_row full_width=\"stretch_row\" css=\".vc_custom_1453403441710{margin-top: -60px !important;padding-top: 30px !important;padding-bottom: 30px !important;background-color: #ffffff !important;}\"][vc_column][vc_column_text]\r\n<h2>COVID-19 disease<\/h2>\r\nAccording to the World Health Organization, the COVID-19 virus spreads primarily through droplets of saliva or discharge from the nose when an infected person coughs or sneezes. Current evidence indicates that COVID-19 does not appear to directly impact newborns. Few novel coronavirus infections have been reported in newborns, and these were almost uniformly asymptomatic. The few that had symptoms were reported to have mild illness.\r\n<h2><strong>There is no evidence of vertical mother-to-newborn transmission during pregnancy or via breastfeeding.<\/strong><\/h2>\r\n[\/vc_column_text][vc_column_text]\r\n<h2>Indirect adverse effects of COVID-19 on pregnancy and newborns<\/h2>\r\nWhereas the <strong>direct effects of COVID-19 on pregnancy and newborns are minimal, indirect adverse effects are becoming increasingly apparent<\/strong> and important areas of concern. These include potential disruptions of routine maternal and newborn health (MNH) care that is essential for the health and survival of mothers and newborns. Countries\u2019 responses to the pandemic \u2013 such as social distancing measures \u2013 can pose threats to continuing best practices by health care providers, as well as to home caregiver practices that are essential to newborn health and survival. Leading <strong>examples of these threats to best MNH practices<\/strong> include:\r\n<ul>\r\n \t<li>separation of mothers and newborns instead of promoting immediate skin-to-skin contact and rooming in, in facilities, and<\/li>\r\n \t<li>immediate and exclusive <a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/breastfeeding-and-feeding-of-small-and-sick-newborns\/\">breastfeeding<\/a>, and <a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/kangaroo-mother-care\/\">Kangaroo Mother Care (KMC)<\/a> for preterm and small babies.<\/li>\r\n<\/ul>\r\nThus, pandemic mitigation by social distancing should not result in unintended harm to mothers and their newborns.\r\n\r\nThere is also a risk to mothers and babies that pandemic responses limit needed psychosocial support to mothers during pregnancy, delivery, and in the postpartum period. Additionally, the economic toll of the pandemic response poses serious risks to many families \u2013 especially mothers and newborns \u2013 living in poverty or near-poverty. Policies and programs must recognize and take steps to prevent or ameliorate these important risks which may otherwise be overlooked. These can include food insecurity, loss of livelihoods, misinformation, and lockdown-induced social isolation and loss of vital community\/family support.\r\n\r\nThe World Health Organization (WHO) and partners continue to monitor the evidence and provide guidance accordingly.[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" css=\".vc_custom_1452696349804{margin-top: 30px !important;margin-bottom: 30px !important;background-color: #f6f6f4 !important;}\"][vc_column][vc_column_text]<strong>Key Resources:<\/strong>\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.who.int\/publications\/i\/item\/WHO-2019-nCoV-clinical-2021-2\">Living guidance for clinical management of COVID-19<\/a>\u00a0(WHO)<\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/questions-and-answers-covid-19-vaccines-and-pregnancy\/\">Questions and Answers: COVID-19 vaccines and pregnancy<\/a> (WHO)<\/li>\r\n \t<li><a href=\"https:\/\/www.unicef.org\/coronavirus\/navigating-pregnancy-during-coronavirus-disease-covid-19-pandemic\">Navigating pregnancy during the COVID-19 pandemic \u2013 How to best protect yourself and your baby<\/a> (UNICEF)<\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/event\/maintaining-essential-mnch-services-during-the-covid-19-pandemic-lessons-from-19-countries\/\" target=\"_blank\" rel=\"noopener\">Maintaining essential MNCH services during the COVID-19 pandemic: Lessons from 19 countries<\/a> (WHO)<\/li>\r\n \t<li><a href=\"https:\/\/www.who.int\/emergencies\/diseases\/novel-coronavirus-2019\/technical-guidance\">View WHO Technical and Country Guidance<\/a> (WHO)<\/li>\r\n \t<li><a href=\"https:\/\/www.who.int\/emergencies\/diseases\/novel-coronavirus-2019\/question-and-answers-hub\/q-a-detail\/q-a-on-covid-19-pregnancy-and-childbirth\">COVID-19, pregnancy & childbirth<\/a> (WHO)<\/li>\r\n \t<li><a href=\"https:\/\/www.thelancet.com\/action\/showPdf?pii=S1473-3099%2820%2930157-2\">Guideline for pregnant women with suspected SARS-CoV-2 infection<\/a> (Lancet)<\/li>\r\n \t<li><a href=\"https:\/\/www.thelancet.com\/coronavirus?dgcid=kr_pop-up_tlcoronavirus20\">Covid-19 Resource Center\u00a0<\/a>(Lancet)<\/li>\r\n \t<li><a href=\"https:\/\/www.who.int\/emergencies\/diseases\/novel-coronavirus-2019\/question-and-answers-hub\/q-a-detail\/q-a-on-covid-19-and-breastfeeding\">COVID-19 & breastfeeding<\/a> (WHO)<\/li>\r\n \t<li><a href=\"https:\/\/www.who.int\/news-room\/commentaries\/detail\/breastfeeding-and-covid-19\">Breastfeeding and COVID-19 Scientific Brief<\/a> (WHO)<\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/guidelines-for-continued-newborn-healthcare-during-the-covid-19-pandemic\/\">Guidelines for continued newborn healthcare during the COVID-19 pandemic: compiled programmatic information for implementers and project managers<\/a> (WHO)<\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/covid-19-technical-brief-for-antenatal-care-services\/\">COVID-19 Technical Brief for Antenatal Care Services<\/a> (UNFPA)<\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/covid-19-technical-brief-for-maternal-services\/\">COVID-19 Technical Brief for Maternal Service<\/a> (UNFPA)<\/li>\r\n \t<li><a href=\"https:\/\/www.advancingnutrition.org\/news-events\/2020\/04\/24\/infant-and-young-child-feeding-recommendations-when-covid-19-suspected-or\">Infant and Young Child Feeding Recommendations When COVID-19 is Suspected or Confirmed<\/a> (USAID, UNICEF & IFE)<\/li>\r\n \t<li><a href=\"https:\/\/resourcecentre.savethechildren.net\/library\/iycf-tools-context-covid-19\">Infant and Young Child Feeding Tools in the Context of COVID-19<\/a> (Save the Children)<\/li>\r\n \t<li>Additional resources are regularly updated on the <a href=\"https:\/\/www.who.int\/emergencies\/diseases\/novel-coronavirus-2019\">WHO website<\/a>.<\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column][\/vc_row]","post_title":"COVID-19","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"covid-19","to_ping":"","pinged":"","post_modified":"2022-09-30 17:57:07","post_modified_gmt":"2022-09-30 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