Department of Obstetrics and Gynecology, Baylor College of Medicine, and Texas Children's Hospital Pavilion for Women, Houston, Texas.
Obstet Gynecol. 2020 Jul;136(1):29-32. doi: 10.1097/AOG.0000000000003923.
Coronavirus disease 2019 (COVID-19) has been declared a public health emergency for the entire United States. Providing access to prenatal health care while limiting exposure of both obstetric health care professionals and patients to COVID-19 is challenging. Although reductions in the frequency of prenatal visits and implementation of telehealth interventions provide some options, there still remains a need for patient-health care professional visits. A drive-through prenatal care model was developed in which pregnant women would remain in their automobiles while being assessed by the health care professional, thus reducing potential patient, health care professional, and staff exposure to COVID-19. Drive-through prenatal visits would include key elements that some institutions cannot perform by telehealth encounters, such as blood pressure measurements for evaluation for hypertensive disorders of pregnancy, fetal heart rate assessment, and selected ultrasound-based measurements or observations, as well as face-to-face patient-health care professional interaction, thereby reducing patient anxiety resulting from the reduction in the number of planned clinic visits with an obstetric health care professional as well as fear of virus exposure in the clinic setting. We describe the rapid development of a drive-through prenatal care model that is projected to reduce the number of in-person clinic visits by 33% per patient compared with the traditional prenatal care paradigm, using equipment and supplies that most obstetric clinics in the United States can access.
2019 年冠状病毒病（COVID-19）已被宣布为全美国的公共卫生紧急事件。在限制产科医护人员和患者接触 COVID-19 的同时，提供产前保健服务具有挑战性。尽管减少产前检查的频率和实施远程医疗干预提供了一些选择，但仍需要医患面对面的就诊。我们开发了一种驱车就诊的产前护理模式，孕妇可以在车内接受医护人员的评估，从而降低患者、医护人员和工作人员接触 COVID-19 的潜在风险。驱车就诊包括一些机构无法通过远程医疗来完成的关键要素，如评估妊娠高血压疾病的血压测量、胎心评估以及部分基于超声的测量或观察，以及医患之间的面对面互动，从而减少因计划就诊次数减少而导致的患者焦虑，以及对在诊所环境中接触病毒的恐惧。我们描述了一种驱车就诊产前护理模式的快速发展，与传统的产前护理模式相比，预计每位患者的面对面就诊次数将减少 33%，该模式使用的设备和用品是美国大多数产科诊所都能获得的。
