Maternal and perinatal outcomes in high compared to low risk pregnancies complicated by severe acute respiratory syndrome coronavirus 2 infection (phase 2): the World Association of Perinatal Medicine working group on coronavirus disease 2019

AbstractFetal surgery involves a large number of heterogeneous interventions that vary from simple and settled procedures to very sophisticated or still-in-development approaches. The overarching goal of fetal interventions is clear: to improve the health of children by intervening before birth to correct or treat prenatally diagnosed abnormalities. This article provides an overview of fetal interventions, ethical approaches in fetal surgery, and benefits obtained from antenatal surgeries.

Download Full-text

Clinical management of coronavirus disease 2019 (COVID-19) in pregnancy: recommendations of WAPM-World Association of Perinatal Medicine

Journal of Perinatal Medicine ◽

10.1515/jpm-2020-0265 ◽

2020 ◽

Vol 48 (9) ◽

pp. 857-866

Author(s):

Oluş Api ◽

Cihat Sen ◽

Marzena Debska ◽

Gabriele Saccone ◽

Francesco D’Antonio ◽

...

Keyword(s):

Clinical Management ◽

Clinical Care ◽

Review Literature ◽

Perinatal Medicine ◽

World Association ◽

The World ◽

New Evidence ◽

Quality Evidence ◽

In Pregnancy

AbstractThese guidelines follow the mission of the World Association of Perinatal Medicine, which brings together groups and individuals throughout the world with the goal of improving outcomes of maternal, fetal and neonatal (perinatal) patients. Guidelines for auditing, evaluation, and clinical care in perinatal medicine enable physicians diagnose, treat and follow-up of COVID-19-exposed pregnant women. These guidelines are based on quality evidence in the peer review literature as well as the experience of perinatal expert throughout the world. Physicians are advised to apply these guidelines to the local realities which they face. We plan to update these guidelines as new evidence become available.

Download Full-text

On the cutting edge: key findings on maternal and neonatal outcomes in women with COVID-19 in a study by the World Association of Perinatal Medicine

Sechenov Medical Journal ◽

10.47093/2218-7332.2021.12.2.5-11 ◽

2021 ◽

Vol 12 (2) ◽

pp. 5-11

Author(s):

D. Di Mascio ◽

F. D'Antonio ◽

G. Rizzo

Keyword(s):

Adverse Events ◽

Pregnant Women ◽

Virus Disease ◽

Invasive Mechanical Ventilation ◽

First Trimester ◽

Fetal Outcome ◽

Perinatal Medicine ◽

World Association ◽

The World ◽

In Pregnancy

The World Association of Perinatal Medicine (WAPM) study on the COrona VIrus Disease 2019 (COVID-19) was an international, retrospective cohort study that included pregnant women tested positive with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection between February and April 2020. The study involved 73 centers from 22 countries. The WAPM study included 388 singletons, viable pregnancies, positive to SARS-CoV-2 at real-time reverse-transcriptase-polymerase-chain-reaction nasal and pharyngeal swab. The majority of the included women were symptomatic. The occurrence of maternal adverse events was significantly higher in symptomatic, compared with asymptomatic pregnant women. Women carrying high-risk pregnancies (either preexisting chronic medical conditions in pregnancy or obstetrical disorders occurring in pregnancy) were at a higher risk of hospital admission, presence of severe respiratory symptoms, admission to the intensive care unit, and invasive mechanical ventilation. As per maternal outcomes, the occurrence of fetal and neonatal adverse events was significantly higher in symptomatic, compared with asymptomatic pregnant women. The incidence of a composite adverse fetal outcome was significantly higher when the infection occurred in the first trimester, and in fetuses with lower birthweight.

Download Full-text

WAPM-World Association of Perinatal Medicine practice guidelines: fetal central nervous system examination

Journal of Perinatal Medicine ◽

10.1515/jpm-2021-0183 ◽

2021 ◽

Vol 0 (0) ◽

Author(s):

Valentina De Robertis ◽

Cihat Sen ◽

Ilan Timor-Tritsch ◽

Rabih Chaoui ◽

Paolo Volpe ◽

...

Keyword(s):

Central Nervous System ◽

Nervous System ◽

Practice Guidelines ◽

Standard Of Care ◽

Ultrasound Scan ◽

Perinatal Medicine ◽

Legal Standard ◽

World Association ◽

The World ◽

Ultrasound Assessment

Abstract These practice guidelines follow the mission of the World Association of Perinatal Medicine in collaboration with the Perinatal Medicine Foundation, bringing together groups and individuals throughout the world, with the goal of improving the ultrasound assessment of the fetal Central Nervous System (CNS) anatomy. In fact, this document provides further guidance for healthcare practitioners for the evaluation of the fetal CNS during the mid-trimester ultrasound scan with the aim to increase the ability in evaluating normal fetal anatomy. Therefore, it is not intended to establish a legal standard of care. This document is based on consensus among perinatal experts throughout the world, and serves as a guideline for use in clinical practice.

Download Full-text

WAPM-World Association of Perinatal Medicine practice guidelines: fetal central nervous system examination

Perinatal Journal ◽

10.2399/prn.21.0292003 ◽

2021 ◽

Vol 29 ◽

Author(s):

Valentina De Robertis ◽

Cihat Şen ◽

Ilan Timor-Tritsch ◽

Rabih Chaoui ◽

Paolo Volpe ◽

...

Keyword(s):

Central Nervous System ◽

Nervous System ◽

Practice Guidelines ◽

Standard Of Care ◽

Ultrasound Scan ◽

Perinatal Medicine ◽

Legal Standard ◽

World Association ◽

The World ◽

Ultrasound Assessment

These practice guidelines follow the mission of the World Association of Perinatal Medicine (WAPM) in collaboration with the Perinatal Medicine Foundation, bringing together groups and individuals throughout the world, with the goal of improving the ultrasound assessment of the fetal central nervous system (CNS) anatomy. In fact, this document provides further guidance for healthcare practitioners for the evaluation of the fetal CNS during the mid-trimester ultrasound scan with the aim to increase the ability in evaluating normal fetal anatomy. Therefore, it is not intended to establish a legal standard of care. This document is based on consensus among perinatal experts throughout the world, and serves as a guideline for use in clinical practice.

Download Full-text

Maternal and perinatal outcomes in women with advanced maternal age affected by SARS-CoV-2 infection (Phase-2): The WAPM (World Association of Perinatal Medicine) Working Group on COVID-19

Perinatal Journal ◽

10.2399/prn.21.0291011 ◽

2021 ◽

Vol 29 (1) ◽

pp. 71-78 ◽

Cited By ~ 1

Author(s):

Francesco D'Antonio ◽

◽

Cihat Şen ◽

Daniel Di Mascio ◽

Alberto Galindo ◽

...

Keyword(s):

Maternal Age ◽

Respiratory Symptoms ◽

Perinatal Outcomes ◽

Advanced Maternal Age ◽

Maternal Outcome ◽

Perinatal Medicine ◽

Mortality And Morbidity ◽

World Association ◽

Polymerase Chain

Objective To elucidate the role of advanced maternal age (AMA) in determining the outcome of pregnancies complicated by SARS-CoV-2 infection. Methods Multinational cohort study included women with laboratory-confirmed SARS-CoV-2 infection from 76 centers in 27 different countries in Europe, United States, South America, Asia and Australia from 04 April 2020 till 28 October 2020. The primary outcome was a composite measure of maternal mortality and morbidity including admission to intensive care unit (ICU), use of mechanical ventilation (defined as intubation, need for continuous positive airway pressure, extra-corporeal membrane oxygenation), severe respiratory symptoms (including dyspnea and shortness of breath) or death. Results Eight hundred and eighty seven pregnant women were included in the study who were positive SARS-CoV-2 results by RT-PCR (reverse transcriptase-polymerase chain reaction) on their nasal and pharyngeal swab specimens (352 with and 652 with no AMA). The risk of composite adverse maternal outcome was higher in AMA group compared to that of under 35 years of age group, with an OR of 1.99 (95% CI 1.4–2.9; p=0.002). Likewise, women >35 years were also at higher risk of hospital admission (OR: 1.88, 95% CI 1.4–2.5; p<0.001), presence of severe respiratory symptoms (OR: 1.53, 95% CI 1.0–2.3; p=0.04) and/or admission to ICU (OR: 2.00, 95% CI 1.1–3.7; p=0.003); however, no difference was observed in terms of perinatal outcome risk. Conclusion Advanced maternal age is an independent risk factor for adverse maternal outcome in pregnancies complicated by SARS-CoV-2 infection. Accurate risk stratification of women presenting with suspected SARS-CoV-2 infection in pregnancy is warranted in order to identify a subset of women who may benefit from a personalized management, including elective hospitalization and/or prolonged surveillance in order to improve maternal outcome.

Download Full-text

8th Congress of the World Association for Infant Mental Health, July 16-20, 2002, Amsterdam, Netherlands

PsycEXTRA Dataset ◽

10.1037/e579092013-001 ◽

2002 ◽

Cited By ~ 1

Keyword(s):

Mental Health ◽

Infant Mental Health ◽

World Association ◽

The World

Download Full-text

12th Congress of the World Association for Infant Mental Health, June 29-July 3, 2010, Leipzig, Germany: Infancy in Times of Transition

PsycEXTRA Dataset ◽

10.1037/e579162013-001 ◽

2010 ◽

Keyword(s):

Mental Health ◽

Infant Mental Health ◽

World Association ◽

The World

Download Full-text

The relevance of dietetic approach of Ayurveda from the perspective of COVID-19 pandemic

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v11ispl1.3077 ◽

2020 ◽

Vol 11 (SPL1) ◽

pp. 748-752

Author(s):

Swapnali Khabade ◽

Bharat Rathi ◽

Renu Rathi

Keyword(s):

Severe Acute Respiratory Syndrome ◽

Healthy Person ◽

World Health ◽

Physical And Mental Health ◽

Leading Role ◽

Global Pandemic ◽

The People ◽

The World ◽

Health Organization ◽

The Individual

A novel, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), causes severe acute respiratory syndrome and spread globally from Wuhan, China. In March 2020 the World Health Organization declared the SARS-Cov-2 virus as a COVID- 19, a global pandemic. This pandemic happened to be followed by some restrictions, and specially lockdown playing the leading role for the people to get disassociated with their personal and social schedules. And now the food is the most necessary thing to take care of. It seems the new challenge for the individual is self-isolation to maintain themselves on the health basis and fight against the pandemic situation by boosting their immunity. Food organised by proper diet may maintain the physical and mental health of the individual. Ayurveda aims to promote and preserve the health, strength and the longevity of the healthy person and to cure the disease by properly channelling with and without Ahara. In Ayurveda, diet (Ahara) is considered as one of the critical pillars of life, and Langhana plays an important role too. This article will review the relevance of dietetic approach described in Ayurveda with and without food (Asthavidhi visheshaytana & Lanhgan) during COVID-19 like a pandemic.

Download Full-text