SARS-CoV-2 in pregnancy: maternal and perinatal outcome data of 34 pregnant women hospitalised between May and October 2020

AbstractObjectivesTo report clinical data on maternal outcome, mode of delivery and immediate neonatal outcome in women infected with COVID-19.MethodsRetrospective data collection.ResultsA total of 8.6% of the total population of hospitalised SARS-CoV-2 positive pregnant women were admitted to a critical care unit. The premature birth rate for births before 34+0 weeks of gestation among pregnant women who tested positive for SARS-CoV-2 was 7.1%. One newborn (3.6%) tested positive for SARS-CoV-2 two days after birth and showed symptoms.ConclusionsPregnant women with COVID-19 seem to be at higher risk of invasive ventilation, admission to a critical care unit and preterm birth, and should therefore be considered a high-risk-population.

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Comparison of progress of labour and maternofetal outcome among induced versus spontaneous labour in nulliparous women using modified WHO partograph

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20180049 ◽

2018 ◽

Vol 7 (2) ◽

pp. 415

Author(s):

Anamika Singh ◽

Smitha B. Rao ◽

Bhavana Sherigar ◽

Reena D’souza ◽

Soumya R. ◽

...

Keyword(s):

Caesarean Section ◽

Neonatal Outcome ◽

Mode Of Delivery ◽

Active Phase ◽

Outcome Data ◽

T Test ◽

Safe Procedure ◽

Nulliparous Women ◽

Spontaneous Labour ◽

The Mean

Background: Induced or spontaneous labour has implication on the eventual mode of delivery and neonatal outcome. The aim of study is to compare the progress and outcome of induced versus spontaneous labour among nulliparous women using the modified WHO partograph.Methods: Comparative study involving nulliparous women in active phase of labour with the cervix at least 4cm dilated. Those whose labours were induced were compared with those on spontaneous labour; both labouring women were monitored using modified WHO partograph. Outcome measures include the mean duration of labour, the eventual mode of delivery and the Maternofetal outcome. Data were managed using SPSS software. Chi-square t-test and student t-test were used in data analysis. Level of significance was placed at P<0.05.Results: 115 women were compared in each group. There was no difference in mean age group, gestational age at delivery, cervical dilatation on admission, and the level of head of fifth palpable on admission. More women had spontaneous vaginal delivery among those in spontaneous labour (72.1% versus 64.7%) P=0.0001. There were less caesarean section among those in spontaneous labour. The mean Apgar scores were significantly better among induced labour babies (P=0.0001).Conclusions: Induced labour may increase the chances of caesarean section, it does not adversely affect the neonatal outcome. Therefore, it is advised induced labour can be a safe procedure among nulliparous women if labour is partographically monitored.

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Study of mode of delivery and maternal morbidity in preterm and term COVID-19 positive pregnant women

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20214632 ◽

2021 ◽

Vol 10 (12) ◽

pp. 4383

Author(s):

Saksha Dholakiya ◽

Pooja S. Singh ◽

Jaishree Bamniya ◽

Haresh U. Doshi

Keyword(s):

Pregnant Women ◽

Mode Of Delivery ◽

Initial Assessment ◽

High Risk Population ◽

Cesarean Sections ◽

Rt Pcr ◽

Third Trimester ◽

The Third ◽

Obstetrics And Gynaecology ◽

Pcr Test

Background: Pregnant women are likely to represent a high-risk population during current coronavirus 2019 pandemic caused by severe acute respiratory syndrome coronavirus-2. The aim and objective of this study was to evaluate how COVID-19 pandemic has affected the mode of delivery and whether complications of the disease and mortality rate are higher in pregnant women than in non‐pregnant women.Methods: This ambispective observational study was conducted in department of obstetrics and gynaecology of our institute. Pregnant women diagnosed with positive for COVID-19 via the SARS-CoV-2 RT-PCR test in the third trimester and all neonates with complete COVID-19 testing and delivery data. This data was analysed.Results: Out of total 66 cases studied, 48 patients (72.7%) were asymptomatic, while 13 (19.7%) had mild respiratory or gastro intestinal symptoms on initial assessment at admission, including cough, sore throat, fever, weakness or diarrhoea. Cesarean sections were performed in 57.6% of cases. There were no cases of maternal or neonatal mortality.Conclusions: The study revealed that COVID-19 positive pregnant women are usually asymptomatic or mild-moderately symptomatic, similar to COVID-19 positive non-pregnant women. There was a noted rise in the rate of caesarean sections as a mode of delivery.

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Foetal and Neonatal Outcome in Pregnant Women with COVID-19

Journal of Nepal Paediatric Society ◽

10.3126/jnps.v40i3.29844 ◽

2020 ◽

Vol 40 (3) ◽

pp. 143-156

Author(s):

Rupesh Shrestha ◽

Srijana Basnet ◽

Laxman Shrestha

Keyword(s):

Cesarean Section ◽

Pregnant Women ◽

Neonatal Outcome ◽

Mode Of Delivery ◽

Conclusive Evidence ◽

Adverse Outcomes ◽

Delivery Mode ◽

Still Births ◽

Gestational Age At Delivery ◽

Foetal Outcome

Introduction: The pandemic caused by coronavirus disease 2019 has adversely affected the health of all individuals including pregnant women. The susceptibility of pregnant women and their foetuses to severe acute respiratory syndrome coronavirus 2 infection is not clearly known. The objective of this review is to summarise the available evidence on foetal and neonatal outcomes of pregnant women with confirmed coronavirus disease 2019. Methods: The review was conduced by searching the PubMed and MedRxiv databases for studies reporting outcome of pregnancy with confirmed coronavirus disease from December 2019 to April 2020 using combination of terms "pregnancy", "coronavirus disease 2019", "foetal outcome" and "neonatal outcome". Only peer reviewed articles reporting outcome of pregnancy with confirmed coronavirus disease 2019 were included in the review irrespective of language. Ongoing pregnancies, induced abortion, and pregnancies without outcome were excluded from analysis. Variables extracted and analysed included gestational age at delivery, mode of delivery, foetal and neonatal outcome. Results: In total, 21 studies consisting 230 pregnant women including three twin pregnancies were enrolled in the study. Fever and cough were the most common symptoms reported in pregnant women. One hundred and sixty-two (70.4%) pregnant women underwent cesarean section and there were 68 (29.6%) preterm deliveries. Eight babies tested positive out of 161 newborns that were tested for coronavirus infection. Among adverse outcomes reported, there were two miscarriages, two still births and only one neonatal death. Conclusions: Outcome of pregnancy with coronavirus disease 2019 in late trimester appears to be favourable. Occurrence of preterm delivery and cesarean section appear higher among infected pregnant women in comparison to general population. There was no conclusive evidence of vertical transmission.

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Beginning Restorative Activities Very Early: Implementation of an Early Mobility Initiative in a Pediatric Onco-Critical Care Unit

Frontiers in Oncology ◽

10.3389/fonc.2021.645716 ◽

2021 ◽

Vol 11 ◽

Author(s):

Saad Ghafoor ◽

Kimberly Fan ◽

Sarah Williams ◽

Amanda Brown ◽

Sarah Bowman ◽

...

Keyword(s):

Critical Care ◽

Intensive Care ◽

Critical Care Unit ◽

Early Mobilization ◽

Rehabilitation Services ◽

Quality Improvement Initiative ◽

High Risk Population ◽

Functional Impairments ◽

Early Mobility ◽

Unplanned Extubations

IntroductionChildren with underlying oncologic and hematologic diseases who require critical care services have unique risk factors for developing functional impairments from pediatric post-intensive care syndrome (PICS-p). Early mobilization and rehabilitation programs offer a promising approach for mitigating the effects of PICS-p in oncology patients but have not yet been studied in this high-risk population.MethodsWe describe the development and feasibility of implementing an early mobility quality improvement initiative in a dedicated pediatric onco-critical care unit. Our primary outcomes include the percentage of patients with consults for rehabilitation services within 72 h of admission, the percentage of patients who are mobilized within 72 h of admission, and the percentage of patients with a positive delirium screen after 48 h of admission.ResultsBetween January 2019 and June 2020, we significantly increased the proportion of patients with consults ordered for rehabilitation services within 72 h of admission from 25 to 56% (p<0.001), increased the percentage of patients who were mobilized within 72 h of admission to the intensive care unit from 21 to 30% (p=0.02), and observed a decrease in patients with positive delirium screens from 43 to 37% (p=0.46). The early mobility initiative was not associated with an increase in unplanned extubations, unintentional removal of central venous catheters, or injury to patient or staff.ConclusionsOur experience supports the safety and feasibility of early mobility initiatives in pediatric onco-critical care. Additional evaluation is needed to determine the effects of early mobilization on patient outcomes.

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Twin pregnancy: Neonatal outcome of second twins depending on presentation and mode of delivery

Geburtshilfe und Frauenheilkunde ◽

10.1055/s-2006-952734 ◽

2006 ◽

Vol 66 (S 01) ◽

Author(s):

D Schlembach ◽

V Bjelic-Radisic ◽

G Pristauz-Telsnigg ◽

J Haas ◽

A Guliani ◽

...

Keyword(s):

Twin Pregnancy ◽

Neonatal Outcome ◽

Mode Of Delivery

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Response Time in the Transport of Critically Ill Pediatric Patients to a Tertiary Critical Care Unit

10.1542/peds.140.1_meetingabstract.144 ◽

2017 ◽

Author(s):

Sindy Villacres ◽

Chhavi Katyal

Keyword(s):

Critical Care ◽

Response Time ◽

Critically Ill ◽

Critical Care Unit ◽

Pediatric Patients

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Case Report: When all claims that it is necrotizing fasciitis but Point of care ultrasound (POCUS) proves the opposite!

POCUS Journal ◽

10.24908/pocus.v3i1.13310 ◽

2018 ◽

Vol 3 (1) ◽

pp. 13-14

Author(s):

Hadiel Kaiyasah, MD, MRCS (Glasgow), ABHS-GS ◽

Maryam Al Ali, MBBS

Keyword(s):

Emergency Department ◽

Critical Care ◽

Case Report ◽

Soft Tissue ◽

Necrotizing Fasciitis ◽

Soft Tissue Infection ◽

Critical Care Unit ◽

Point Of Care ◽

Point Of Care Ultrasound ◽

Soft Tissue Infections

Soft tissue ultrasound (ST-USS) has been shown to be of utmost importance in assessing patients with soft tissue infections in the emergency department or critical care unit. It aids in guiding the management of soft tissue infection based on the sonographic findings.

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