Pub Date : 2021-03-23DOI: 10.5005/JP-JOURNALS-10006-1817
J. Malhotra, G. Sahoo, R. Garg, P. Lal
{"title":"Are Virtual Conferences the Future of Learning in This COVID Era?","authors":"J. Malhotra, G. Sahoo, R. Garg, P. Lal","doi":"10.5005/JP-JOURNALS-10006-1817","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10006-1817","url":null,"abstract":"","PeriodicalId":53559,"journal":{"name":"Journal of SAFOG","volume":"7 1","pages":"269-270"},"PeriodicalIF":0.0,"publicationDate":"2021-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79477475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-03-23DOI: 10.5005/JP-JOURNALS-10006-1822
Sabnam S. Nambiar, S. Ajith, V. Reshmi
Ab s t r Ac t Aim: To study the outcome in COVID-19-positive pregnancies. Materials and methods: Data collected and analyzed retrospectively from COVID-19-positive pregnant women admitted to our hospital between April and September 2020. Results: 78.85% of women below 30 years of age, 60.57% multigravidae, 53.71% above 37 weeks of gestation. 76.85% no comorbidities, 73.42% no history of travel/contact with COVID-19 cases. 84.57% asymptomatic, two had a severe acute respiratory infection (SARI), requiring intensive care. 74.57% diagnosed using reverse transcriptase-polymerase chain reaction (RT-PCR). 91.42% turned negative within 6–10 days. The SARI patients required intensive care unit (ICU) care, one expired. 81.42% discharged between 8 days and 14 days of admission, returned for delivery at term. 83.42% required no medication. 96.28% had normal investigation reports. 83.14% of patients discharged, 16.57% required emergency obstetric intervention. Cesarean section rate 52.28%, the previous cesarean section most common indication (43.16%). Two babies were stillborn. 99.20%, Apgar > 7 at 5 minutes. Two required resuscitations. Nine required neonatal intensive care unit (NICU) admission. Two hundred and seven babies isolated from their mother, four turned positive. Forty-four were roomed in with mothers, 30 turned positive. One hundred and sixty-seven were breastfed, included 34 positive babies. Affected babies were asymptomatic. Conclusion: COVID-19 runs a milder course in pregnancy, possibly due to altered immune status. However, severe cases can deteriorate rapidly. There is evidence of community spread. COVID-19 seemed to increase cesarean rates. Neonatal transmission appeared higher following vaginal deliveries, rooming-in, and breastfeeding. Clinical significance: There is a dearth of adequate data to formulate guidelines about COVID-19-positive pregnancies despite numerous studies. We hope that our findings make a humble addition to ongoing research and provide further impetus to the global fight against this pandemic.
{"title":"Assessing Disease Outcome in COVID-19 Pregnancies in a Tertiary Referral Center in South India: A Single-center Retrospective Cohort Study","authors":"Sabnam S. Nambiar, S. Ajith, V. Reshmi","doi":"10.5005/JP-JOURNALS-10006-1822","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10006-1822","url":null,"abstract":"Ab s t r Ac t Aim: To study the outcome in COVID-19-positive pregnancies. Materials and methods: Data collected and analyzed retrospectively from COVID-19-positive pregnant women admitted to our hospital between April and September 2020. Results: 78.85% of women below 30 years of age, 60.57% multigravidae, 53.71% above 37 weeks of gestation. 76.85% no comorbidities, 73.42% no history of travel/contact with COVID-19 cases. 84.57% asymptomatic, two had a severe acute respiratory infection (SARI), requiring intensive care. 74.57% diagnosed using reverse transcriptase-polymerase chain reaction (RT-PCR). 91.42% turned negative within 6–10 days. The SARI patients required intensive care unit (ICU) care, one expired. 81.42% discharged between 8 days and 14 days of admission, returned for delivery at term. 83.42% required no medication. 96.28% had normal investigation reports. 83.14% of patients discharged, 16.57% required emergency obstetric intervention. Cesarean section rate 52.28%, the previous cesarean section most common indication (43.16%). Two babies were stillborn. 99.20%, Apgar > 7 at 5 minutes. Two required resuscitations. Nine required neonatal intensive care unit (NICU) admission. Two hundred and seven babies isolated from their mother, four turned positive. Forty-four were roomed in with mothers, 30 turned positive. One hundred and sixty-seven were breastfed, included 34 positive babies. Affected babies were asymptomatic. Conclusion: COVID-19 runs a milder course in pregnancy, possibly due to altered immune status. However, severe cases can deteriorate rapidly. There is evidence of community spread. COVID-19 seemed to increase cesarean rates. Neonatal transmission appeared higher following vaginal deliveries, rooming-in, and breastfeeding. Clinical significance: There is a dearth of adequate data to formulate guidelines about COVID-19-positive pregnancies despite numerous studies. We hope that our findings make a humble addition to ongoing research and provide further impetus to the global fight against this pandemic.","PeriodicalId":53559,"journal":{"name":"Journal of SAFOG","volume":"71 1","pages":"335-339"},"PeriodicalIF":0.0,"publicationDate":"2021-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84173499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-02-01DOI: 10.5005/JP-JOURNALS-10006-1857
A. Qureshi, Ufaque Muzaffar
Introduction: The first case of new pneumonia of unknown origin was found in Wuhan (China) on December 31, 2019. The causative virus was identified from throat swab samples in the Chinese Centre for Disease Control and Prevention (CCDC) on January 7, 2020, and it was named severe acute respiratory syndrome coronavirus (SARS‐CoV‐2). Subsequently, World Health Organization (WHO) renamed it COVID‐19. COVID-19 was a highly infectious newly discovered coronavirus, which led to a worldwide pandemic. It has shown an equal number of cases between men and women, but a lower mortality rate in women. Materials and methods: A retrospective observational study was conducted in the Department of Obstetrics and Gynaecology of GMC, Srinagar, comparing the total number of emergency admissions including obstetric emergencies, such as ectopic pregnancy, intrauterine device (IUD), severe anemia, eclampsia, abruption, obstructed labor, and postpartum hemorrhage (PPH) during a period of 6 months from March 2020 to August 2020 with that from March 2019 to August 2019. Results: A total of 13,784 patients were admitted over a period of 6 months from March 2020 to August 2020, and there was a significant decline in the admissions as compared to pre-COVID-19 period of March 2019 to August 2019 (p-value, 0.007). Conclusion: The COVID‐19 lockdown greatly reduced the rate of admission to gynecological and obstetric emergencies. This reduction allowed for more effective and efficient use of emergency services and will inspire policymakers to implement policies for efficient utilization of emergency services in the future.
{"title":"Impact of COVID-19 Lockdown on Admissions to a Tertiary Maternity Hospital in Srinagar","authors":"A. Qureshi, Ufaque Muzaffar","doi":"10.5005/JP-JOURNALS-10006-1857","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10006-1857","url":null,"abstract":"Introduction: The first case of new pneumonia of unknown origin was found in Wuhan (China) on December 31, 2019. The causative virus was identified from throat swab samples in the Chinese Centre for Disease Control and Prevention (CCDC) on January 7, 2020, and it was named severe acute respiratory syndrome coronavirus (SARS‐CoV‐2). Subsequently, World Health Organization (WHO) renamed it COVID‐19. COVID-19 was a highly infectious newly discovered coronavirus, which led to a worldwide pandemic. It has shown an equal number of cases between men and women, but a lower mortality rate in women. Materials and methods: A retrospective observational study was conducted in the Department of Obstetrics and Gynaecology of GMC, Srinagar, comparing the total number of emergency admissions including obstetric emergencies, such as ectopic pregnancy, intrauterine device (IUD), severe anemia, eclampsia, abruption, obstructed labor, and postpartum hemorrhage (PPH) during a period of 6 months from March 2020 to August 2020 with that from March 2019 to August 2019. Results: A total of 13,784 patients were admitted over a period of 6 months from March 2020 to August 2020, and there was a significant decline in the admissions as compared to pre-COVID-19 period of March 2019 to August 2019 (p-value, 0.007). Conclusion: The COVID‐19 lockdown greatly reduced the rate of admission to gynecological and obstetric emergencies. This reduction allowed for more effective and efficient use of emergency services and will inspire policymakers to implement policies for efficient utilization of emergency services in the future.","PeriodicalId":53559,"journal":{"name":"Journal of SAFOG","volume":"54 1","pages":"55-57"},"PeriodicalIF":0.0,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83323900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-02-01DOI: 10.5005/JP-JOURNALS-10006-1850A
M. P. Tadas, S. Prashanthi, M. Waikar
Aim and background:Coronavirus disease-2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), how it affects pregnancy very little is known. To identify maternal and neonatal risks associated with COVID-19 in pregnancy and to describe outcome a matched case–control study was done. Materials and methods: In this study, COVID-19 reverse transcription polymerase chain reaction (RT-PCR) positive women who delivered from May 1, 2020, to August 31, 2020, were included. Cases were classified according to their severity and investigations. Controls were selected from COVID-19 negative women in a 1:1 ratio who delivered in the study period. Data were collected, analyzed in terms of maternal and neonatal outcomes. Results: Of the total 181 COVID-19 cases delivered during the study period, there were 97.23% mild, 2.76% moderate, and 0.55% severe cases. A total of 178 (98.34%) were diagnosed in the third trimester. More COVID-19 cases were from urban areas. Mean gestational age in the mild category was 38.1 weeks and the moderate/severe category was 37.5 weeks. Around 154 (85.08%) were asymptomatic. Cases had more medical and pregnancy morbidity than controls, which was statistically significant. About 52.49% of cases and 33% of controls had cesarean. Length of hospital stay was more in cases. Mean birth weight was 2.7 ± 0.59 kg in cases and 2.5 ± 0.56 kg in control. There were 7 stillbirths in each group. A total of 14 in cases and 16 in controls were transferred to the newborn intensive care unit (NICU). Conclusion: The majority of COVID-19 infected women who are asymptomatic are in the mild category and there are no adverse maternal and neonatal outcomes due to the disease. The adversity of maternal and neonatal outcomes depends on the severity and severity of the disease is dependent on advanced maternal age and presence of comorbidities.
{"title":"Maternal and Neonatal Outcomes of Pregnant Women with COVID-19: A Case–Control Study at a Tertiary Care Center in India","authors":"M. P. Tadas, S. Prashanthi, M. Waikar","doi":"10.5005/JP-JOURNALS-10006-1850A","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10006-1850A","url":null,"abstract":"Aim and background:Coronavirus disease-2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), how it affects pregnancy very little is known. To identify maternal and neonatal risks associated with COVID-19 in pregnancy and to describe outcome a matched case–control study was done. Materials and methods: In this study, COVID-19 reverse transcription polymerase chain reaction (RT-PCR) positive women who delivered from May 1, 2020, to August 31, 2020, were included. Cases were classified according to their severity and investigations. Controls were selected from COVID-19 negative women in a 1:1 ratio who delivered in the study period. Data were collected, analyzed in terms of maternal and neonatal outcomes. Results: Of the total 181 COVID-19 cases delivered during the study period, there were 97.23% mild, 2.76% moderate, and 0.55% severe cases. A total of 178 (98.34%) were diagnosed in the third trimester. More COVID-19 cases were from urban areas. Mean gestational age in the mild category was 38.1 weeks and the moderate/severe category was 37.5 weeks. Around 154 (85.08%) were asymptomatic. Cases had more medical and pregnancy morbidity than controls, which was statistically significant. About 52.49% of cases and 33% of controls had cesarean. Length of hospital stay was more in cases. Mean birth weight was 2.7 ± 0.59 kg in cases and 2.5 ± 0.56 kg in control. There were 7 stillbirths in each group. A total of 14 in cases and 16 in controls were transferred to the newborn intensive care unit (NICU). Conclusion: The majority of COVID-19 infected women who are asymptomatic are in the mild category and there are no adverse maternal and neonatal outcomes due to the disease. The adversity of maternal and neonatal outcomes depends on the severity and severity of the disease is dependent on advanced maternal age and presence of comorbidities.","PeriodicalId":53559,"journal":{"name":"Journal of SAFOG","volume":"27 1","pages":"44-49"},"PeriodicalIF":0.0,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88550645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-02-01DOI: 10.5005/JP-JOURNALS-10006-1855
Manisha Gupta, Neelima Agarwal, A. Agrawal
Aim: The COVID-19 pandemic has influenced many aspects of a woman’s life. The aim of the present study was to explore whether hospital isolation and containment policies among women giving birth in COVID‐19 Level 3 facility enhanced psycho‐emotional distress in the immediate postpartum period. Methodology: The study was designed as an observational study. All women giving birth at Santosh Hospital, a Level 3 COVID facility in Ghaziabad, from June 2020 to October 2020, were studied. Data collection was done by a pretested structured questionnaire which was administered to the participants in isolation ward on the second postpartum day. The women were interrogated regarding the experiences of the COVID isolation ward with special reference to the problems faced during their stay there, the anxiety for the baby, loneliness, and other factors. The women were evaluated using Edinburgh Postnatal Depression Scale (EPDS). Result: The study group comprised 61 women who delivered in our hospital. The mean age of the subjects was 24.2 ± 1.2 years. In the study, majority of the patients were distressed with loneliness (54%) and anxiety for the baby (43%). As the policy of the institution was to hand over the newborn baby immediately to the attendants, the mother was bound to be distressed. Sleeplessness, loss of appetite, and boredom were other problems faced by the COVID-positive patients. The incidence of postnatal depression was 24.5% during COVID-19 pandemic in this institution. In the study, we found that patients with postnatal complications, patients who had symptoms of COVID, whose baby was handed over to the attendants, postpartum stay more than 7 days, and inability to connect to the family had a statistically significant correlation with those who had EPDS score >13. Conclusion: The COVID-19 pandemic has shown that perinatal mental health and well-being needs to be protected during this time.
{"title":"Impact of COVID-19 Institutional Isolation Measures on Postnatal Women in Level 3 COVID Facility in Northern India","authors":"Manisha Gupta, Neelima Agarwal, A. Agrawal","doi":"10.5005/JP-JOURNALS-10006-1855","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10006-1855","url":null,"abstract":"Aim: The COVID-19 pandemic has influenced many aspects of a woman’s life. The aim of the present study was to explore whether hospital isolation and containment policies among women giving birth in COVID‐19 Level 3 facility enhanced psycho‐emotional distress in the immediate postpartum period. Methodology: The study was designed as an observational study. All women giving birth at Santosh Hospital, a Level 3 COVID facility in Ghaziabad, from June 2020 to October 2020, were studied. Data collection was done by a pretested structured questionnaire which was administered to the participants in isolation ward on the second postpartum day. The women were interrogated regarding the experiences of the COVID isolation ward with special reference to the problems faced during their stay there, the anxiety for the baby, loneliness, and other factors. The women were evaluated using Edinburgh Postnatal Depression Scale (EPDS). Result: The study group comprised 61 women who delivered in our hospital. The mean age of the subjects was 24.2 ± 1.2 years. In the study, majority of the patients were distressed with loneliness (54%) and anxiety for the baby (43%). As the policy of the institution was to hand over the newborn baby immediately to the attendants, the mother was bound to be distressed. Sleeplessness, loss of appetite, and boredom were other problems faced by the COVID-positive patients. The incidence of postnatal depression was 24.5% during COVID-19 pandemic in this institution. In the study, we found that patients with postnatal complications, patients who had symptoms of COVID, whose baby was handed over to the attendants, postpartum stay more than 7 days, and inability to connect to the family had a statistically significant correlation with those who had EPDS score >13. Conclusion: The COVID-19 pandemic has shown that perinatal mental health and well-being needs to be protected during this time.","PeriodicalId":53559,"journal":{"name":"Journal of SAFOG","volume":"7 1","pages":"50-54"},"PeriodicalIF":0.0,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78849469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.5005/jp-journals-10006-1883
Sukhpreet Patel, Manali V Daga, P. Vora, M. Jassawalla
Aim: To present options for management of errors resulting from the cryopreservation of large volumes of semen samples and long freeze-to-thaw intervals. Background: The cryopreservation of gametes is on the rise owing to its established safety and efficiency. Case description: We present a challenging case at our center of a lost semen vial due to a broken cryocane and a systematic approach to locating it. Conclusion: Systematic troubleshooting can help locating misplaced gamete samples in high-volume centers. Clinical significance: New guidelines for containment systems is the need of the hour.
{"title":"Is it Time to Revisit Your Cryotanks amidst the COVID-19 Pandemic? An Embryologist's Perspective","authors":"Sukhpreet Patel, Manali V Daga, P. Vora, M. Jassawalla","doi":"10.5005/jp-journals-10006-1883","DOIUrl":"https://doi.org/10.5005/jp-journals-10006-1883","url":null,"abstract":"Aim: To present options for management of errors resulting from the cryopreservation of large volumes of semen samples and long freeze-to-thaw intervals. Background: The cryopreservation of gametes is on the rise owing to its established safety and efficiency. Case description: We present a challenging case at our center of a lost semen vial due to a broken cryocane and a systematic approach to locating it. Conclusion: Systematic troubleshooting can help locating misplaced gamete samples in high-volume centers. Clinical significance: New guidelines for containment systems is the need of the hour.","PeriodicalId":53559,"journal":{"name":"Journal of SAFOG","volume":"131 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88985060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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