COVID-19 Practice and Policy Survey

DEADLINE APRIL 11, 2020

In an effort to share as much information as possible, SMFM is collecting information about how institutions and practices are handling obstetric patients in light of COVID-19.

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* 1. Name

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* 2. Workplace Location

Institution Name

City

State

Zip Code

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* 3. Practice Type

Academic

Community - teaching

Community - non-teaching

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* 4. How many COVID+ pregnant patients have you had at your institution?

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* 5. How many COVID+ pregnant patients on average do you see a week?

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* 6. Is your institution currently performing Universal COVID-19 Testing in women who are admitted to L&D or your Obstetric Inpatient services?

Yes

Currently considering universal testing, but not decided yet

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* 7. Are you testing women prior to planned admission or upon arrival to L&D?

Prior to admission

Upon arrival

Currently considering whether to test women prior to planned admission or upon arrival, but not decided yet

Not testing

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* 8. If you are performing universal testing, what platform are you using?

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* 9. Are you performing testing for outpatient services for pregnant women?

Yes

Currently considering universal testing, but not decided yet

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* 10. If yes, what are the testing location parameters (e.g. do pregnant patients need to be tested at the hospital or in a location other than their PCP's office?

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* 11. Does your unit have a "surge plan" in place? (A surge is defined as an anticipated increase in maternal and neonatal patient volume due to mass casualty events, including increased transfer of high-acuity patients.)

Yes

Working on it, but not yet in place

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* 12. Are you using GYN or other staff to cover labor and delivery?

Yes

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* 13. If yes, please check all that apply:

Gynecology

REI

GYN-Oncology

Family Medicine

Midwives

Other Physicians

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* 14. If "other", what other staff is covering labor and delivery?

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* 15. Do you have a protocol in place for pregnant healthcare workers?

Yes

Considering a policy for pregnant healthcare workers

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* 16. If yes, what does your protocol for pregnant healthcare workers entail?

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* 17. What type of personal protective equipment (PPE) is available to you? Check all that apply

Surgical masks

N95s

Face Shields

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* 18. My institution is using the following during deliveries (Please check all that apply):

N95 masks for vaginal delivery for PUI or Covid +

N95 masks for vaginal delivery for all patients

N95 masks for cesarean for PUI or Covid +

N95 masks for cesarean delivery for all patients

Question Title

* 1. Name

Question Title

* 2. Workplace Location

Question Title

* 3. Practice Type

Question Title

* 4. How many COVID+ pregnant patients have you had at your institution?

Question Title

* 5. How many COVID+ pregnant patients on average do you see a week?

Question Title

* 6. Is your institution currently performing Universal COVID-19 Testing in women who are admitted to L&D or your Obstetric Inpatient services?

Question Title

* 7. Are you testing women prior to planned admission or upon arrival to L&D?

Question Title

* 8. If you are performing universal testing, what platform are you using?

Question Title

* 9. Are you performing testing for outpatient services for pregnant women?

Question Title

* 10. If yes, what are the testing location parameters (e.g. do pregnant patients need to be tested at the hospital or in a location other than their PCP's office?

Question Title

* 11. Does your unit have a "surge plan" in place? (A surge is defined as an anticipated increase in maternal and neonatal patient volume due to mass casualty events, including increased transfer of high-acuity patients.)

Question Title

* 12. Are you using GYN or other staff to cover labor and delivery?

Question Title

* 13. If yes, please check all that apply:

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* 14. If "other", what other staff is covering labor and delivery?

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* 15. Do you have a protocol in place for pregnant healthcare workers?

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* 16. If yes, what does your protocol for pregnant healthcare workers entail?

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* 17. What type of personal protective equipment (PPE) is available to you? Check all that apply

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* 18. My institution is using the following during deliveries (Please check all that apply):

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* 19. Is there anything else you would like to add?