Asherman's Care in a Covid-19 Pandemic

STUDY OBJECTIVE: We aimed to evaluate patient's satisfaction with Asherman's care in women who were referred to our center for a second opinion for Asherman's Syndrome (AS) in the Covid-19 pandemic. DESIGN: Observational cohort study. SETTING: University affiliated teaching hospital and tertiary referral center for Asherman's syndrome in The Netherlands from March 2020 to March 2021. PATIENTS OR PARTICIPANTS: Women with AS, eligible for treatment were included. INTERVENTIONS: The first consult and pre-operative screening took place with a phone interview. The diagnosis, treatment and follow-up protocol were explained. Women were triaged on basis of their symptoms and infection exposure status and whether or not a face-to-face visit with the anesthesiologist was required. If eligible for treatment, they were given the opportunity to schedule a see and treat procedure with propofol sedation. All women who decide to proceed with surgery were treated with the standard AS protocol with special Covid-19 precaution measurements. At the recovery unit, women were asked to fill in a questionnaire. MEASUREMENTS AND MAIN RESULTS: 137 women were operated in 32 sessions between March 2020 and March 2021. Patients were matched with a cohort prior to the Covid-19 pandemic. Baseline characteristics were reported. Patients rated their satisfaction with hearing the explanation about the disease and upcoming treatment by the practitioner over the phone, the assisting on-site nurse's capability, quality of care of the treatment, convenience, and overall understanding and explanation by the practitioner post operatively. Women with AS who were treated in our center during the Covid-pandemic were equally satisfied with the information at first visit, explanation, treatment and follow-up as women in their matched cohort prior to the pandemic. CONCLUSION: Patients with AS who were referred to our center, were offered COVID-19 adjusted protocol to inform, diagnose, treat and follow-up on their condition. Women were equally satisfied with the care provided.