The clinical implications of COVID-19 on infected persons range from mild self-limited respiratory tract infection to more severe pneumonia, multi organ failure and death [1]. However, the full effect of this infection on pregnancy is still unknown, specifically its prevalence, morbidity, vertical and horizontal transmission and subsequently how to manage infected pregnant patients in labor, delivery and postpartum management [2,3]. Obstetrical services struggled in the early phase of the pandemic to design the best protocols for the care of these
patients [5].
The Rafik Hariri University Hospital (RHUH) was designated as the first line COVID-19 hospital in Lebanon. Soon following the onset of the outbreak, and with lack of any international guidelines, the department of Obstetrics and Gynecology at RHUH developed its own algorithm for the management of pregnant women in labor with either confirmed or suspected COVID-19 infection (Figure 1).  We report the first three pregnant patients with suspected COVID-19 managed at RHUH.


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