COVID-19 frequently asked inpatient questions: Difference between revisions

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====I have heard that some hospitals are testing all women for COVID-19 who arrive at the hospital for labor—even women without any symptoms. Will I be tested?====
====I have heard that some hospitals are testing all women for COVID-19 who arrive at the hospital for labor—even women without any symptoms. Will I be tested?====
====If I contract COVID-19, will I still be able to breastfeed?====
====If I contract COVID-19, will I still be able to breastfeed?====
In the limited studies available, COVID-19 has not been found in breast milk. However, your baby could get the virus from contact with you or other caregivers. The CDC recommends breastfeeding or feeding expressed breast milk to your baby while taking precautions to avoid spreading the virus to your baby. Breast milk protects babies from getting sick and is the best source of nutrition for most babies. Breastfeeding helps strengthen your baby’s immune system because breast milk contains antibodies and other important components.
If you are sick or experiencing symptoms, you should take all possible precautions to protect your baby, including washing your hands before and wearing a facemask when you touch your baby. You may breastfeed directly at the breast or express breast milk for a healthy caregiver to feed to your baby.
====How many people can be present in the room during my birth?====
====How many people can be present in the room during my birth?====
The CDC has advised hospitals to limit the number of people allowed in hospitals, including visitors and non-essential staff to reduce exposure of patients and health care workers, to COVID-19. During labor, hospitals have generally made exceptions to allow a support person as long as they are not experiencing symptoms associated with COVID-19.  
The CDC has advised hospitals to limit the number of people allowed in hospitals, including visitors and non-essential staff to reduce exposure of patients and health care workers, to COVID-19. During labor, hospitals have generally made exceptions to allow a support person as long as they are not experiencing symptoms associated with COVID-19.  
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Talk to your facility or health care provider about the policies where you are going to deliver your baby and if the facility is allowing any exceptions on a case-by-case basis. Decide in advance who your primary support person would be and identify a secondary person who can be available if your primary support person is experiencing symptoms of COVID-19. You can also make plans with your provider about connecting with additional support people through platforms such as FaceTime, Google Hangouts, or Zoom.
Talk to your facility or health care provider about the policies where you are going to deliver your baby and if the facility is allowing any exceptions on a case-by-case basis. Decide in advance who your primary support person would be and identify a secondary person who can be available if your primary support person is experiencing symptoms of COVID-19. You can also make plans with your provider about connecting with additional support people through platforms such as FaceTime, Google Hangouts, or Zoom.


====If I have COVID-19 at the time of my birth, will my baby be able to stay with me?====
Hospitals are taking precautions when caring for people who have tested positive or are suspected of having COVID-19 at the time of their birth to prevent spreading the infection to the baby. The choice of whether to have your baby in your hospital room with you should be made by you and your health care team. Your providers will talk with you about a plan to protect your baby from getting COVID-19 that may include hand washing, wearing a mask, and physically distancing yourself from your baby. You have a right to actively participate in the conversation with your health care provider in your preferred language and ultimately decide how to care for your baby.
Hospitals are taking precautions when caring for people who have tested positive or are suspected of having COVID-19 at the time of their birth to prevent spreading the infection to the baby. The choice of whether to have your baby in your hospital room with you should be made by you and your health care team. Your providers will talk with you about a plan to protect your baby from getting COVID-19 that may include hand washing, wearing a mask, and physically distancing yourself from your baby. You have a right to actively participate in the conversation with your health care provider in your preferred language and ultimately decide how to care for your baby.


====Can COVID-19 be transmitted via breastmilk?====
====Can COVID-19 be transmitted via breastmilk?====
The limited studies on breastfeeding women with COVID-19 have not found the virus in breast milk. The main concern is the parent or caregiver infecting the baby through respiratory droplets. Precautions should be taken to keep your baby healthy, including washing hands before touching and feeding your baby and wearing a face mask if you are experiencing symptoms or confirmed positive with COVID-19.
====If I am separated from my baby after birth due to COVID-19, can I breastfeed?====
If you are temporarily separated from your baby after birth because you are sick with COVID-19 and you intend to breastfeed, you should request lactation support from your hospital and an electric breast pump to help you establish and maintain your milk supply. Expressed breast milk should be fed to your baby by a healthy caregiver. Breast milk protects babies from getting sick and helps strengthen your baby’s immune system.


==Pediatrics Related Questions==
==Pediatrics Related Questions==

Revision as of 16:26, 11 June 2020

Frequently Asked Inpatient Questions Microchapter

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COVID-19 Main Page

Treatment Based Questions

Complications Based Questions

Co-Morbidity Based Questions

Hospital Discharge Related Questions

Re-Infection Related Questions

Pregnancy Related Questions

Pediatrics Related Questions

Visitors Related Questions

General In-Patient Questions

Management of Dead Bodies from COVID-19

General Health Care Practitioner (HCP) Questions

To go back to the COVID-19 project, click here.

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Gurmandeep Singh Sandhu,M.B.B.S.[2] Aisha Adigun, B.Sc., M.D.[3]Harmeet Kharoud M.D.[4]Rinky Agnes Botleroo, M.B.B.S.Nuha Al-Howthi, MD[5]Ifrah Fatima, M.B.B.S[6]}

Treatment Based Questions

I read about the retraction of the two articles that halted the use of hydroxychloroquine in COVID-19 patients, can I currently receive this medication if infected?

Does every patient with a positive COVID-19 test need to be admitted to the hospital?

What are the chances of recovery in a hospital admitted COVID-19 patient?

Are antibiotics effective in preventing or treating COVID-19?

What anti-viral medications are available to treat COVID-19?

Should I stop my ACE Inhibitors and ARBs while on admission for COVID-19?

Complications Based Questions

What population is most at risk for severe disease from COVID-19?

What risk factors result in severe complications from COVID-19?

Will I be placed on a ventilator?

What systems other than the Respiratory system can be involved?

Does prolonged ventilation in hospitalized patients worsen the outcome of COVID-19?

Co-Morbidity Based Questions

Patients with Hypertension

Should I stop my ACE Inhibitors and ARBs while on admission for COVID-19?

Patients with Asthma

If I experience an Asthma exacerbation, should that exacerbation be treated any differently to reduce the risk of COVID-19?

Are any changes recommended to my treatment plan if a paitent with asthma has COVID 19?

Patients currently Undergoing Hemodialysis

Can I continue receiving Hemodialysis in a hospital where other COVID-19 patients are treated?

Cancer Patients

Can/Should Cancer surgery be delayed? What about radiation therapy?

Should treatment that suppresses my immune system be stopped or delayed?

Are the support groups or activites still available in the hospital?

Should I be taking an antiviral medication such as Tami flu for protection?

Hospital Discharge Related Questions

I no longer have symptoms but my tests still came back positive for COVID-19, can I be discharged?

If after discharge I show new symptoms of COVID-19, should I be isolated and tested again?

If after discharge, a close contact test positive, should I self-isolate again?

After I have been discharged, should I continue to wear a face mask?

After discharge, how soon can I get back to my job?

After discharge can I use public places and transportation?

What can I expect after I leave the hospital?

Re-Infection Related Questions

Do I become immune after I have recovered from COVID-19?

Is re-infection worse than the initial infection?

Will a re-infected person show the same symptoms as the initial infection?

Are clinically recovered persons infectious to others if they test persistently or recurrently positive for SARS-COV-2 RNA?

Pregnancy Related Questions

If I deliver in the hospital will that increase my chances or my baby's chances of contracting COVID-19?

Should intrapartum fever be considered as a possible sign of COVID-19 infection?

I am currently pregnant and hospitalized due to COVID-19, is my unborn child infected?

What is the guidance available for labor and delivery Health Care Personnel with potential exposure in a healthcare setting to patients with COVID-19 infection?

Are Pregnant healthcare personnel at increased risk for adverse outcomes if they care for patients with COVID-19 infection?

Can I proceed with a scheduled cesarean delivery if hospitalized with COVID-19?

Are glucocorticoids contraindicated in pregnant patients with COVID-19?

Are pregnant women more susceptible to infection or at increased risk for severe illness, morbidity, or mortality with COVID-19?

I have heard that some hospitals are testing all women for COVID-19 who arrive at the hospital for labor—even women without any symptoms. Will I be tested?

If I contract COVID-19, will I still be able to breastfeed?

In the limited studies available, COVID-19 has not been found in breast milk. However, your baby could get the virus from contact with you or other caregivers. The CDC recommends breastfeeding or feeding expressed breast milk to your baby while taking precautions to avoid spreading the virus to your baby. Breast milk protects babies from getting sick and is the best source of nutrition for most babies. Breastfeeding helps strengthen your baby’s immune system because breast milk contains antibodies and other important components.

If you are sick or experiencing symptoms, you should take all possible precautions to protect your baby, including washing your hands before and wearing a facemask when you touch your baby. You may breastfeed directly at the breast or express breast milk for a healthy caregiver to feed to your baby.

How many people can be present in the room during my birth?

The CDC has advised hospitals to limit the number of people allowed in hospitals, including visitors and non-essential staff to reduce exposure of patients and health care workers, to COVID-19. During labor, hospitals have generally made exceptions to allow a support person as long as they are not experiencing symptoms associated with COVID-19.

Talk to your facility or health care provider about the policies where you are going to deliver your baby and if the facility is allowing any exceptions on a case-by-case basis. Decide in advance who your primary support person would be and identify a secondary person who can be available if your primary support person is experiencing symptoms of COVID-19. You can also make plans with your provider about connecting with additional support people through platforms such as FaceTime, Google Hangouts, or Zoom.

If I have COVID-19 at the time of my birth, will my baby be able to stay with me?

Hospitals are taking precautions when caring for people who have tested positive or are suspected of having COVID-19 at the time of their birth to prevent spreading the infection to the baby. The choice of whether to have your baby in your hospital room with you should be made by you and your health care team. Your providers will talk with you about a plan to protect your baby from getting COVID-19 that may include hand washing, wearing a mask, and physically distancing yourself from your baby. You have a right to actively participate in the conversation with your health care provider in your preferred language and ultimately decide how to care for your baby.

Can COVID-19 be transmitted via breastmilk?

The limited studies on breastfeeding women with COVID-19 have not found the virus in breast milk. The main concern is the parent or caregiver infecting the baby through respiratory droplets. Precautions should be taken to keep your baby healthy, including washing hands before touching and feeding your baby and wearing a face mask if you are experiencing symptoms or confirmed positive with COVID-19.

If I am separated from my baby after birth due to COVID-19, can I breastfeed?

If you are temporarily separated from your baby after birth because you are sick with COVID-19 and you intend to breastfeed, you should request lactation support from your hospital and an electric breast pump to help you establish and maintain your milk supply. Expressed breast milk should be fed to your baby by a healthy caregiver. Breast milk protects babies from getting sick and helps strengthen your baby’s immune system.

Pediatrics Related Questions

My child has congenital heart disease, is he at increased risk of COVID-19?

Are children with underlying conditions at increased risk of hospitalization?

I am currently hospitalized due to COVID-19, can I breastfeed my infant child?

What is KAWASAKI disease? What is the association with COVID-19?

What is a multisystem inflammatory syndrome? What is the association with COVID-19?

Should routinely recommended Hepatitis A and B vaccines continue to be administered to the children?

Should vaccinations for HBV exposed infants be continued during the COVID 19 pandemic?

Visitors Related Questions

Can I have visitors while I’m in the hospital?

Is there anything I can to do to help others who have COVID-19?

I would like to accompany my family member or friend for their procedure or appointments I am concerned they will need my support to cope or understand the information being shared with them by the healthcare team

General In-Patient Questions

Does being hospitalized with other COVID-19 patients worsen my outcome?

What are the diet recommendations if I get hospitalized?

What can I expect while I’m in the hospital?

When can I leave the hospital?

Is blood been tested for COVID-19 before blood transfusion?

Do wastewater & sewage workers need additional protection when handling untreated waste from hospitals with COVID-19 patients?

Management of Dead Bodies from COVID-19?

Do any special procedures exist for the management of bodies of persons who died from COVID-19?

Health Care Practitioner (HCP) questions

I have underlying health conditions, are there work restrictions in place for me?

Is post-exposure prophylaxis currently available, and when can it be used?

Can routine vaccinations still be administered to patients?

Should I use face mask/respirator while taking care of pregnant patients with known/suspected COVID-19 infection?

I am a Health Care Practitioner living with someone who is at a higher risk of severe illness from COVID-19 infection. What precautions should I take?

I am pregnant and a health care worker. Can I work with patients who are potentially infected with COVID-19?

Whom should healthcare providers notify if they suspect a patient has COVID-19?

Sources