{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T09:03:00Z","timestamp":1773046980760,"version":"3.50.1"},"reference-count":24,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,9,10]],"date-time":"2020-09-10T00:00:00Z","timestamp":1599696000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To provide a descriptive account of the challenges and administrative preparedness for establishing and sustaining safe obstetric services during the COVID\u201019 pandemic at Topiwala National Medical College &amp; BYL Nair Charitable Hospital (NH), Mumbai, India.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The management of pregnant women with COVID\u201019 was implemented as per international (WHO, RCOG, ACOG) and national (Indian Council of Medical Research) recommendations and guidelines at an academic, tertiary care, COVID\u201019 hospital in India.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Using a multidisciplinary approach and active engagement of a multispecialty team, obstetric services were provided to over 400 women with laboratory\u2010confirmed COVID\u201019. A sustainable model is established for providing services to pregnant women with COVID\u201019 in Mumbai Metropolitan Region, India.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>With limited resources, it is possible to set up dedicated maternity services, aligned to international guidelines, for safe pregnancy outcomes in COVID\u201019 settings. This COVID\u201019 hospital addressed the challenges and implemented several known and novel methods to establish and sustain obstetric services for women with COVID\u201019. The model established in the present study can be replicated in other low\u2010 and middle\u2010income countries.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.13338","type":"journal-article","created":{"date-parts":[[2020,8,5]],"date-time":"2020-08-05T22:51:46Z","timestamp":1596667906000},"page":"188-196","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":33,"title":["Preparedness, administrative challenges for establishing obstetric services, and experience of delivering over 400 women at a tertiary care COVID\u201019 hospital in India"],"prefix":"10.1002","volume":"151","author":[{"given":"Niraj N.","family":"Mahajan","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Topiwala National Medical College &amp; BYL Nair Charitable Hospital Mumbai Maharashtra India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rahi","family":"Pednekar","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Topiwala National Medical College &amp; BYL Nair Charitable Hospital Mumbai Maharashtra India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarika R.","family":"Patil","sequence":"additional","affiliation":[{"name":"Nodal Officer for COVID\u201019 Topiwala National Medical College &amp; BYL Nair Charitable Hospital Mumbai Maharashtra India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alka A.","family":"Subramanyam","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Topiwala National Medical College &amp; BYL Nair Charitable Hospital Mumbai Maharashtra India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Surbhi","family":"Rathi","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Topiwala National Medical College &amp; BYL Nair Charitable Hospital Mumbai Maharashtra India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sushma","family":"Malik","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Topiwala National Medical College &amp; BYL Nair Charitable Hospital Mumbai Maharashtra India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shailesh C.","family":"Mohite","sequence":"additional","affiliation":[{"name":"Medical Superintendent Topiwala National Medical College &amp; BYL Nair Charitable Hospital Mumbai Maharashtra India"},{"name":"Department of FMT Topiwala National Medical College &amp; BYL Nair Charitable Hospital Mumbai Maharashtra India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ganesh","family":"Shinde","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Topiwala National Medical College &amp; BYL Nair Charitable Hospital Mumbai Maharashtra India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohan","family":"Joshi","sequence":"additional","affiliation":[{"name":"Topiwala National Medical College &amp; BYL Nair Charitable Hospital Mumbai Maharashtra India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Padmaja","family":"Kumbhar","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Topiwala National Medical College &amp; BYL Nair Charitable Hospital Mumbai Maharashtra India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arundhati","family":"Tilve","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Topiwala National Medical College &amp; BYL Nair Charitable Hospital Mumbai Maharashtra India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pradip D.","family":"Lokhande","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Topiwala National Medical College &amp; BYL Nair Charitable Hospital Mumbai Maharashtra India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shayla A.","family":"Srivastava","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Topiwala National Medical College &amp; BYL Nair Charitable Hospital Mumbai Maharashtra India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,9,10]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"World Health Organization.Novel coronavirus \u2013 China. 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