Obstetrics and Gynecology International

Research Article

Obstetrics and Gynecology Emergency Department Activity during Lockdown in a Teaching Hospital, Hub Center, for COVID-19

Table 1

Subdivision of gynecologic and obstetric complaints into triage color codes.


^Symptoms	^Yellow	^Green	^White	^{Exceptions (associated symptoms)}

^{Gynecologic complaints}
^{Abdominal pain}	^{Acute (unbearable pain that wakes the patient from sleep; the woman is completely focusing on it)}	^{Moderate (difficult to bear, not allowing normal daily activities)}	^{Mild (bearable, not interfering with normal daily activities)}	^{If abdominal pain is associated with any of the following symptoms, yellow code is automatically assigned:}
				^{- Perspiration}
				^{- Nipple discharge}
				^{- Faintness}
				^{- Abdominal tenderness}
				^{- Vomit}
				^{- Fever}
^{Mammary issues}		^{- Pain}	^{Without symptoms or mild pain}	^{If mammary issues are associated with any of the following symptoms, green code is automatically assigned:}
		^{- Flushing}		^{- Fever}
		^{- Bleeding nipple}		^{- Reported hematuria}
		^{- Nipple discharge}
^{Urinary symptoms/ distal genital tract pain}		^{Severe (not allowing normal daily activities)}	^{Moderate or mild (not interfering with normal daily activities)}
^{Post-op fever}	^{Fever >= 38°}	^{Fever < 38°}
^{Vaginal bleeding}	^{Severe (more than one drenched pad per hour, clothes wet through)}		^{Mild (full pad) or only spotting}	^{If vaginal bleeding is associated with any of the following symptoms, green code is automatically assigned:}
				^{- Abdominal pain}
				^{- Fever}
				^{- Foul smell}
				^{- Faintness}
				^{- Pallor}
^{Obstetric complaints}
^Symptoms	^Red	^Yellow	^Green	^White	^{Exceptions (symptoms associated)}
^{Other complaints}		^{Syncope (even past)}	^Diarrhea	^{- Earache}	^{If other complaints are associated with any of the following symptoms, green code is automatically assigned:}
				^{- Toothache}	^{- Acute pain}
				^{- Pharyngodynia}	^{- Fever}
				^{- Cough}
				^{- Constipation}
				^{- Nosebleed}
				^{- Hemorrhoids}
				^{- Weakness}
				^{- State of anxiety}
^Headache	^{Acute (unbearable)}		^{Moderate (difficult to bear, not allowing normal daily activities)}	^{Mild (bearable, not interfering with normal daily activities)}	^{If headache is associated with any of the following symptoms, yellow code is automatically assigned:}
					^{- Pallor}
					^{- Faintness}
					^{- Visual disturbance}
					^{- Vomit}
					^{- Fever}
					^{- BP >140/90 mmHg}
^{Uterine contractions}	^{Regular rate: 2–4 in 10 minutes with irrepressible need to push, stage 2 of labor}	^{Regular rate: 2–4 in 10 minutes with no reported need to push, active phase of stage 1 of labor}	^{Regular rate: <=1 in 10 minutes, prodromal stage}	^{Irregular, sporadic, mild contractions (pre- labor)}
^Convulsions	^{Convulsions (even past, recent, or brief)}
^{Mammary issues}			^{- Pain}
			^{- Redness}
			^{- Bleeding}
^{Abdominal-pelvic pain}	^{Acute (unbearable pain that wakes the patient from sleep; the woman is completely focusing on it)}	^{Moderate (difficult to bear, not allowing normal daily activities)}	^{Mild (bearable, not interfering with normal daily activities)}		^{If abdominal-pelvic pain is associated with any of the following symptoms, yellow code is automatically assigned:}
					^{- Perspiration}
					^{- Pallor}
					^{- Faintness}
					^{- Abdominal Guarding}
					^{- Vomit}
					^{- Fever}
^{Lumbosacral pain}	^{Acute (unbearable pain that wakes}^{the patient from sleep; the woman is completely focusing on it)}		^{Moderate (difficult to bear, not allowing normal daily activities)}	^{Mild (bearable, not interfering with normal daily activities)}	^{If lumbosacral pain is associated with any of the following symptoms, yellow code is automatically assigned:}
					^{- Walking or standing difficulty}
					^{- Vomit}
					^{- Fever}
					^{- Perspiration}
					^{- Pallor}
					^{- Bleeding}
^{Urinary/vaginal pain/burning}			^{Severe (not allowing normal daily activities)}	^{Moderate or mild (not interfering with normal daily activities)}	^{If urinary/vaginal pain/burning is associated with any of the following symptoms, green code is automatically assigned:}
					^{- Fever}
					^{- Reported hematuria}
^Fever		^{Fever >= 38°}	^{Fever < 38°}
^{Allergic phenomena}	^{- Severe allergic phenomena}	^{- Dyspnea}	^{Urticaria-like}
	^{- Allergic shock}	^{- Glottic edema}
^Hypertension	^Cyanosis	^{Severe hypertension (>=160/110)}	^{Hypertension >=140/90–<160/110 with no associated symptoms}	^{Hypertension <140/90 with no associated symptoms}	^{If hypertension is associated with mild headache, green code is assigned}
					^{If hypertension is associated with any of the following symptoms, yellow code is automatically assigned:}
					^{- Persisting headache}
					^{- Persistent epigastric pain}
					^{- Visual disturbances}
					^{- Dyspnea}
					^{- Reduction of fetal movements above 23 weeks GA}
^{No visualisation/perception of FHR <23}^weeks	^{Severe bleeding}	^{- Pelvic pain/contractions}	^{With no associated symptoms}
		^{- Moderate bleeding}
^{No visualisation/perception of FHR >= 23 weeks}	^{- Bleeding}	^{With no associated symptoms}
	^{- Contractions}
	^{- Acute abdominal/pelvic pain}
	^{- Uterine tetany}
^{No perception/reduction of fetal movements}		^{>= 23 weeks of GA}		^{< 23 weeks of GA}
^{Nausea and vomit}		^{- Nausea and/or vomit >= 24 weeks GA}	^{-Nausea and/or vomit with no associated symptoms}
		^{- Insulin-dependent diabetes}	^{- Nausea and/or vomit < 24 weeks GA}
		^{- BP>140/90}
		^{- Headache}
^{Oligohydramnios}		^{Oligohydramnios >=23 weeks}		^{Oligohydramnios < 23 weeks}
^{Bleeding < 23 weeks GA}	^{Severe (more than one drenched pad per hour, clothes wet through with associated symptoms)}		^{- Moderate (period- like amount or with clots)}		F09F ^{If bleeding < 23 weeks is associated with any of the following symptoms, yellow code is automatically assigned:}
			^{- Mild, spotting with no associated symptoms}		^{- Moderate pelvic pain}
			^{- Recent bleeding}		^{- Moderate lumbar pain}
					^{- Dizziness}
					^{- Nausea}
					^{If it is associated with mild pelvic pain, green code is automatically assigned}
^{Puerperal bleeding}		^{Severe (more than one drenched pad per hour, clothes wet through)}		^{Moderate (period-like amount or with clots)}	^{If puerperal bleeding is associated with any of the following symptoms, green code is automatically assigned:}
					^{- Abdominal/pelvic pain}
					^{- Fever}
					^{- Foul Smell}
					^{- Dizziness}
					^{- Pallor}
^{Bleeding >= 23 weeks GA}	^{- Severe (more than one drenched pad per hour, clothes wet through)}		^{- Mild, spotting with no associated symptoms}		^{(i) If bleeding >= 23 weeks GA is associated with any of the following symptoms, yellow code is automatically assigned:}
	^{- Moderate (period-like amount or with clots)}		^{- Past recent bleeding}		^{- Pallor}
					^{- Dizziness}
					^{- Cold sweat}
					^{- Abdominal/pelvic pain}
					^{- Lumbosacral pain}
					^{- Uterine tetany}
					^{- Mild, long-lasting contractions}
^{Vaginal discharge (not bleeding)}		^{Fluid discharge}		^{- Leukorrhea}	^{(i) If vaginal discharge is associated with foul smell, green code is automatically assigned}
				^{- Mucus plug discharge (“show”)}	^{(ii) If it is associated with fever, yellow code is automatically assigned}
^{Itching during pregnancy}			^Generalized	^Localized	^{(i) If itching during pregnancy is associated with mild headache, green code is automatically assigned}
					^{(ii) If it is associated with the following, yellow code is automatically assigned:}
					^{- Persistent headache}
					^{- Nausea}
					^{- Vomit}
					^{- Persistent epigastric pain}
					^{- Visual disturbances}
					^{- Dyspnea}
					^{- BP > 140/90 mmHg}
					^{- Reduction in fetal movements >=23 weeks GA}
^{Fetal growth restriction/arrest}			^{Fetal growth restriction/arrest >= 23 weeks GA}	^{Fetal growth restriction/arrest < 23 weeks GA}
^{Cutaneous rash}	^{With glottic edema}	^Dyspnea	^Itching	^{Cutaneous rash}
^Shock	^{State of shock}
^Trauma	^{- Unintentional abdominal trauma}	^{- Acute pain}
	^{- Unintentional trauma (not abdominal)}	^{- Bleeding}
	^{- Beatings}	^{- Abdominal pain}
	^{- Fall}	^{- Amniotic fluid leakage}
		^{- Uterine contractions}