COVID-19; evolving of triage, management protocol and maternal health in Islamic Republic of Iran

National Maternal Health program is based over multidisciplinary evidence-based infrastructure, which in 2017 was reported to be on track of sustainable development goals by World Health Organization. With epidemic distribution of COVID-19, maternal health program was among the first health programs for evidence-based protocol preparation in Islamic Republic of Iran at the national level. Usually in this national program, Obstetrical protocols updating takes place at most every 2-3 years but due to paucity of evidences at first and then rapid evolving conditions of the COVID-19, these changes are done nearly on  a monthly basis (in this regard triage system and multiple additional protocols were sent to the associated fields). On 1st of March, we designed the Triage system for COVID-19 in pregnancy. Since there were paucity of data and documentation in this regard, we used adult triage flow chart as the prototype and adapted it to pregnancy situation. Then based on the more evidences and more and more experiences, the triage system and flow chart were updated and now we had reached the 4th version now. Due to rapid release of new studies and evidences as well as national experiences and needs, protocols associated with management of pregnancy and COVID -19 are updating rapidly.