Management of COVID-19 Infected Patients in Pregnancy and Puerperium

COVID-19 is a pandemic affecting every group of people. Pregnancy itself is a partially immune compromised state, so chance of aggravation of symptom supposed to be more in pregnancy. Prevention is the best way to get away from this disease. Good hygiene, supportive care and possible mechanical ventilation for severe case are required. There is no proven role of antibiotic, antiretroviral and steroids. There is no proven vertical transmission. Baby has to be kept in isolation and breast milk can be expressed and given to newborn. Keywords: COVID-19, pandemic, pregnancy.

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Acquired thrombotic thrombocytopenic purpura in pregnancy: The role of placental and breast-milk mediated transfer of ADAMTS13-autoantibodies

Thrombosis Research ◽

10.1016/j.thromres.2017.06.005 ◽

2017 ◽

Vol 156 ◽

pp. 80-81 ◽

Cited By ~ 1

Author(s):

Amihai Rottenstreich ◽

Yosef Kalish ◽

Ariella Tvito ◽

Hagit Hauschner ◽

Ariela Arad

Keyword(s):

Breast Milk ◽

Thrombotic Thrombocytopenic Purpura ◽

Thrombocytopenic Purpura ◽

In Pregnancy

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Transmission of COVID-19 through breastfeeding

10.31219/osf.io/8e92y ◽

2020 ◽

Author(s):

Cynthia Carrasco ◽

Ana Beatriz Pizarro ◽

Gabriela Urrea ◽

Nicolás Meza ◽

Catalina Verdejo ◽

...

Keyword(s):

Systematic Review ◽

Breast Milk ◽

Vertical Transmission ◽

Direct Evidence ◽

Meta Analysis ◽

Risk Of Bias ◽

Data Sources ◽

Randomised Trials ◽

Web Based

ObjectiveThis living systematic review aims to evaluate the vertical transmission of SARS-CoV-2 through breast milk and breastfeeding in patients with COVID-19 providing a timely, rigorous and continuously updated summary of the evidence available on .Data sources We will conduct searches in the L·OVE (Living OVerview of Evidence) platform for COVID-19, a system that maps PICO questions to a repository maintained through regular searches in electronic databases, preprint servers, trial registries and other resources relevant to COVID-19. No date or language restrictions will be applied. In response to the COVID-19 emergency, L·OVE was adapted to expand the range of evidence it covers and customised to group all COVID-19 evidence in one place. The search will cover the period until the day before submission to a journal.Eligibility criteria for selecting studies and methodsWe adapted an already published common protocol for multiple parallel systematic reviews to the specificities of this question. We will include primary studies evaluating the role of breast milk and breastfeeding transmission. Randomised trials evaluating breast milk and breastfeeding in infections caused by other coronaviruses, such as MERS-CoV and SARS-CoV, and non-randomised studies in COVID-19 will be searched in case we find no direct evidence from randomised trials, or if the direct evidence provides low- or very low-certainty for critical outcomes.Two reviewers will independently screen each study for eligibility, extract data, and assess the risk of bias. We will pool the results using meta-analysis and will apply the GRADE system to assess the certainty of the evidence for each outcome. A living, web-based version of this review will be openly available during the COVID-19 pandemic. We will resubmit it every time the conclusions change or whenever there are substantial updates.

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The perceived role of clinicians in pregnancy prevention among young Black women

Sexual & Reproductive Healthcare ◽

10.1016/j.srhc.2016.01.003 ◽

2016 ◽

Vol 8 ◽

pp. 19-24 ◽

Cited By ~ 2

Author(s):

Meredith G. Manze ◽

Lois McCloskey ◽

Barbara G. Bokhour ◽

Michael K. Paasche-Orlow ◽

Victoria A. Parker

Keyword(s):

Black Women ◽

Pregnancy Prevention ◽

Young Black Women ◽

In Pregnancy

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COVID-19 and breastfeeding: can SARS-CoV-2 be spread through lactation?

Discoveries ◽

10.15190/d.2021.11 ◽

2021 ◽

Vol 9 (2) ◽

pp. e132

Author(s):

Radu Marian Florea ◽

◽

Camelia Madalina Sultana ◽

◽

Keyword(s):

Breast Milk ◽

Vertical Transmission ◽

Case Series ◽

Hubei Province ◽

Viral Rna ◽

Limited Information ◽

Maternal Milk ◽

Viral Shedding ◽

Milk Samples ◽

In Pregnancy

SARS-CoV-2 is a new betacoronavirus that was first reported in the Hubei province, China, in December 2019. The virus is likely transmitted through air droplets. However, there are reported cases where SARS-CoV-2-RNA was found in other samples, such as blood or stool. Nonetheless, there is limited information concerning the presence of viral RNA in pregnancy-related samples, specifically breast milk. However unlikely, there is still uncertainty regarding the possibility of vertical transmission from mother to infant through breastfeeding. This review aims to synthetize the literature written so far on this topic. Despite not being extensively researched, vertical transmission through breast milk seems unlikely. Case series showed that milk samples from mothers with COVID-19 were almost entirely negative. So far, there have been only 9 recorded cases of viral shedding in milk samples, uncertain however of the viability of the particles. Furthermore, WHO and UNICEF strongly encourage commencing breastfeeding after parturition, underlining the benefits of lactation. Moreover, some studies have proven the existence of IgG and IgA anti-SARS-CoV-2-antibodies in the maternal milk that could possibly play an important part in the neonate’s protection against the virus. Vertical transmission through lactation seems unlikely, most studies pointing towards the safety of breastfeeding. However, further larger-scale studies need to be performed in order to clarify a yet uncertain matter.

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