Recommendations for antepartum, intrapartum and postpartum care for patients during the COVID-19 pandemic.
: August 11, 2021
Care during COVID-19 pandemic
- Pregnant women and individuals who are not working in essential services or health care should socially isolate like all members of the community.
- Women and individuals who are in essential services including healthcare workers can continue to work if asymptomatic and not a recent COVID-19 contact. They should use PPE precautions as appropriate for their work environment.
- Any pregnant woman or pregnant individual who develops an influenza-like illness should be evaluated, by phone consult if needed, to determine the severity of their symptoms and if hospitalization is appropriate.
- If an individual develops symptoms consistent with COVID-19, they should be tested in accordance with the current testing criteria.
- If an individual develops COVID-19 at any time in pregnancy, they need evaluation and enhanced fetal surveillance (see SOGC guidelines).
For people with COVID-19 in pregnancy, serial growth ultrasounds starting after 24 weeks and outside of the infectious window, should be arranged every four weeks. A hospital birth and continuous monitoring in labour is recommended. The placenta should be sent to pathology for evaluation and current guidelines recommend testing the neonate within one hour of delivery.
The Reproductive Infectious Diseases Service at BC Women’s Hospital is available for phone consultation for health care providers of pregnant women with documented or suspected COVID-19 in pregnancy (604-875-2161).
The Society of Obstetricians and Gynecologists of Canada (SOGC) also has information about COVID-19 in pregnancy
on their website.
Cultural Humility, Cultural Safety and Trauma-Informed Care help to create an equitable and respectful health care environment and these approaches are key to improving health services for Indigenous people.
Perinatal Health, Cultural Safety in COVID-19 provides guidance on
- Why Cultural Safety, Cultural Humility and Trauma-Informed Care are important during COVID-19
- Providing Culturally Safe care during COVID-19
- Special considerations for serving rural and remote communities
- Family planning
- Prenatal care
- Labour and delivery
- Postpartum care