The designated hospitals in the local jurisdiction should be responsible for providing medical services to feverish pregnant women during the epidemic period.Such hospitals should observe the following principles for relevant treatment:

(1) lt is recommended that hospitals should set up independent rescue rooms in the emergency department and a fever clinic in the medical institutions, and hospitals with adequate resources should reconfigure the negative pressure wards and negative pressure intensive care units tailored to the treatment of pregnant women. They should ensure a smooth referral flow for the emergency visits of feverish pregnant women among the medical institutions in the jurisdiction. Medical institutions should also screen all pregnant women visiting the hospital for COVlD-19 to prevent clustered infections.

(2) For pregnant women with mild and ordinary COVlD-19, they should receive treatment and delivery at a designated hospital with obstetric service qualifications;for severe or critical cases, they should be transferred to a designated hospital with an intensive care unit and with obstetric service qualifications; feverish pregnant women in need of emergency care should be admitted for management on a timely basis.

(3) lf there are no adequate resources such as the negative-pressure operation rooms and delivery rooms,the obstetric institutions are not recommended to admit pregnant women with COVlD-19. lf the screening result is positive, the patients should be referred out in a timely manner. Multi-disciplinary consultation and coordination should be initiated promptly.

(4) For confirmed cases of COVlD-19, multi-disciplinary cooperative management should be initiated for the pregnant women. The obstetrics department is responsible for the decision-making and assessment related to the maternal and infant/fetal safety, while the hospital’s infectious department is responsible for the treatment of COVlD-19.