WISHING YOU ALL A HAPPY UTKAL DIWAS  DUBAI RETURNED 29 YEAR OLD BHADRAKH MAN TESTS POSITIVE TO COVID-19  HE BECAME THE FOURTH COVID PATIENT IN ODISHA  IAS ASSOCIATION OF ODISHA SUPPORTS DEFERMENT OF 50 PERCENT SALARY   ODISHA GOVERNMENT ADOPTS AUSTERITY MEASURES   NOVEL CORONA VIRUS LOCK DOWN IMPACTS STATE ECONOMY   CHIEF MINISTER MINISTERS MLAS AND CHAIRPERSONS WILL FACE 70 PERCENT DEFERMENT OF SALARY   ALL INDIA SERVICE OFFICERS WILL HAVE 50 PERCENT DEFERMENT OF SALARY   

COVID-19 And Pregnancy


By Dr.JP
 Pani:

Pregnancy is the time when a mother practices a lot of caution and care for the little one nesting inside her. It is also the time when the immunity is compromised. Hence, it is said that pregnant women stand to be more at risk of falling sick to chronic infections and illnesses.

While the world is in a state of panic due to the Novel Corona Virus (COVID-19) outbreak, it is natural for pregnant women to fear for their health.

Two cases of possible vertical transmission (transmission from mother to baby during pregnancy or during childbirth) have been reported. In both cases it remains unclear whether transmission was prior or soon after berth. Expert opinion is that the fetus is unlikely to be exposed during pregnancy. Transmission is therefore most likely to be as neonate. There is no evidence concerning transmission through genital fluid.

The large majority of women will experience mild or moderate cold/flu like symptoms. More severe symptoms such as pneumonia and marked hypoxia are widely described with COVID-19 in older people, the immune-suppressed and those with long term conditions such as diabetes, cancer and chronic lung disease. These symptoms could occur in pregnant women so could be identified and treated promptly.
 


Advice for Pregnant Women.


Pregnant women should do the same things as general public to avoid infection.

In order to cover cough, using elbow is a good technique, avoid people who are sick, maintain social distancing and clean hands often using soap and water or alcohol based hand sanitizer.

If you are well at the moment and have no complications in any past pregnancies then follow a few steps during this crisis period.

If you have a routine scan or visit due in the coming days please contact your doctor for advice and to fix a date. You will have to visit the hospital but the date and time may vary according to patient load and availability of the doctor. Your doctor may ask you to delay the visit or reschedule.

So it’s always better to contact your doctor and take a re-appointment before visiting the hospital. If you have an urgent problem related to your pregnancy but not related to Coronavirus, get in touch with your doctor immediately. If you have symptoms of Coronavirus, contact your doctor and they will arrange the right place and time to come for your visits.

You should not attend a routine clinic. You should keep minimum number of people with you and avoid bringing children with you to the hospital. There may be a need to reduce the number of antenatal visits you have which will be communicated with you. Do not reduce your number of visits without asking first with your doctor.
 


Advice For Pregnant Women who detected To Be COVID-19 Positive.


Women should be advised to attend via private transport where possible or call an ambulance but you should inform both the ambulance service and your hospital beforehand about your positive status, even prior to entering the hospital.
 


Breastfeeding and Post Partum Care in Time Of COVID-19.


Person-to-person spread is thought to occur mainly via respiratory droplets produced when an infected person coughs or sneezes, similar to how influenza (flu) and other respiratory pathogens spread. Transmission through breastfeeding has still not been confirmed. The centre of disease control has given an interim guidelines regarding breastfeeding for those mothers who are COVID-19 positive or PUI (person under investigations).

To reduce the risk of  transmission of the virus that causes COVID-19 from the mother to the newborn, facilities should consider temporarily separating (e.g., separate rooms) the mother who has confirmed COVID-19 or is a PUI from her baby until the mother’s transmission-based precautions are discontinued.

The newborn should be at least 6 feet away from the ill mother and whenever possible use physical barrier like curtains between the mother and newborn.

If no other healthy adult is present in the room to care for the newborn, a mother who has confirmed COVID-19 or is a PUI should put on a facemask and practice hand hygiene before each feeding or other close contact with her newborn.
The facemask should remain in place during contact with the newborn. These practices should continue while the mother is on transmission-based precautions in a healthcare facility. During temporary separation, mothers who intend to breastfeed should be encouraged to express their breast milk to establish and maintain milk supply. If possible, a dedicated breast pump should be used. Prior to expressing breast milk, mothers should practice hand hygiene. 
After each pumping session, all parts that come into contact with breast milk should be thoroughly washed and the entire pump should be appropriately disinfected per the manufacturer’s instructions. This expressed breast milk should be fed to the newborn by a healthy caregiver. Again if no healthy adult available and mother have to breastfeed her child then she should put on a facemask and practice hand hygiene before each feeding.
 

If You Are Planning For Pregnancy.

 
If you don’t have COVID-19, there is no medical reason to change your plans about trying to conceive but access to medical care over the next few months may be harder to come by (and pregnant women need medical care!), so if you're flexible on conception timing, you may want to consider waiting. If you have been advised for assisted reproductive technology (ART) like intrauterine insemination (IUI) or in-vitro fertilization (IVF) its better to delay after speaking to your fertility specialist.

If you meet the diagnostic criteria
for COVID-19, it’s recommended that you avoid getting pregnant and wait until the illness subsides before pursuing ART.

Dr J P Pani
Senior Consultant  in Obs &Gyn
Advanced Gynec Laparoscopic Surgeon and Infertility specialist
Apollo Hospital Bhubaneswar 
Mob:8599009063
 


eXTReMe Tracker
Powered by Catalyst IT Solutions Pvt. Ltd.