Pregnancy and Childbirth in Women with Confirmed COVID-19

Introduction: A new viral infection, dubbed “COVID-19” in the spring of 2020, became pandemic. Data on the impact of Covid-19 on pregnant women and childbirth are scarce and contradictory. Purpose: to study the peculiarities of the course and outcome of labor in women with positive results from COVID-19. Materials and Methods: An analysis of 222 birth histories of women with laboratory-confirmed COVID-19 PCR directed to delivery to the specialized obstetric department of the Fergana city medical association for October-December 2020 is presented. Results: A mild form of infection was in 70,2%, moderate - in 21.2%, severe - in 8.1%, and critical - in 0.5%. The frequency and nature of the upper and lower respiratory tract lesions, SPO2 parameters and lung damage, as well as the age of pregnant women, parity, the presence of somatic and obstetric pathology are presented. The frequency of delivery by weight section was 25.2%, preterm birth - 9.5%. Conclusions: In most pregnant women the severe form of COVID-19 is characterized by bilateral pneumonia with ARS and anemia in 100% of cases, the frequency of miscarriage in them is high and reaches 37%. The condition of pregnant women with COVID-19 aggravated the development of severe preeclampsia, premature placental abruption, and multiple pregnancy

Download Full-text

Part 1: COVID-19 and knowledge for midwifery practice—impact and care of pregnant women

British Journal of Midwifery ◽

10.12968/bjom.2021.29.4.224 ◽

2021 ◽

Vol 29 (4) ◽

pp. 224-231

Author(s):

Janet Green ◽

Linda Jones ◽

Julia Petty ◽

Patricia Bromley ◽

Cathrine Fowler ◽

...

Keyword(s):

Pregnant Women ◽

Transition To Parenthood ◽

Newborn Care ◽

Mental Wellbeing ◽

Human Populations ◽

Global Public Health ◽

Maternal Risk ◽

Pregnancy And Childbirth ◽

Special Groups ◽

The Impact

The emergence of viral diseases, such as COVID-19, represents a global public health threat, particularly the high-impact animal viruses that have switched hosts and are able to be transmitted within human populations. Pandemics threaten the general population; however, there are special groups, such as pregnant women and their babies, which may be at a higher risk of, or more severely affected by infection. Pregnancy is considered a unique immunological condition; therefore, current challenges include decisions on preventing and treating infections during pregnancy and the possible implications for the fetus and newborn infant. This integrative review, the first of a two-part series, analyses selected literature on COVID-19 within maternal and newborn care, drawing on key themes relating to the impact on the pregnant woman. The themes discussed are: the nature of the immune system in pregnant and newly birthed mothers, maternal risk, mode and timing of birth, care during pregnancy and childbirth, and the transition to parenthood including the implications for practice for maternal mental wellbeing.

Download Full-text

Prevention of the fetoplacental complex disorders in women at risk and the risk of preterm birth (Literature review)

Reproductive health of woman ◽

10.30841/2708-8731.2.2021.232522 ◽

2021 ◽

Vol 2 ◽

pp. 32-36

Author(s):

O.V. Laba

Keyword(s):

Preterm Birth ◽

Pregnant Women ◽

Placental Abruption ◽

Reproductive Potential ◽

Fetal Distress ◽

Smoking During Pregnancy ◽

Complex Disorders ◽

Placental Dysfunction ◽

Fetoplacental Complex ◽

The Impact

The obstetrician-gynaecologist practitioners consider a woman’s health from her reproductive potential support standpoint, and the problem of miscarriage is considered as one of the most important health problems in the world. The difficulty in solving the premature birth problem is the presence of many factors and preconditions that determine the risks of miscarriage. The article provides an overview of current international guidelines for assessing the root causes and preconditions for preterm birth. The problem of preterm birth risks is discussed, taking into account both the socio-economic living conditions of pregnant women and the factors that accompany the formation of the pathogenesis of preterm birth (placental dysfunction). There were examination and evaluation of the clinical significance of the factors that can lead to dysfunction of the fetoplacental complex (partial placental abruption, low placentation, placental dysfunction, premature placental maturation, placental malnutrition/hypertrophy, polyhydramnios/dehydration, placental abruption syndrome and growth retardation syndrome, fetal-placental blood flow, acute/chronic fetal distress). It was noted that hemodynamic disorders in the placenta depend on both the nature and duration of adverse factors. Those factors are pregnancy in unfavourable terms for the birth of children (up to 18 and after 40 years), high frequency of extragenital pathology, complicated reproductive history, genital infectious diseases (chlamydial infections, trichomoniasis, urogenital mycoplasmosis), smoking during pregnancy, the impact of environmental and economical character.Attention is paid to the hemodynamic disorders assessment (vascularization of the lower uterus) in pregnant women and determination of their role in the fetoplacental dysfunction development. The role of the hemodynamic disorders in the placenta is considered as the morphological and biochemical adaptive reactions abnormality.

Download Full-text

Impact of ectogenesis on the medicalisation of pregnancy and childbirth

Journal of Medical Ethics ◽

10.1136/medethics-2019-106004 ◽

2020 ◽

pp. medethics-2019-106004 ◽

Cited By ~ 1

Author(s):

Victoria Adkins

Keyword(s):

Pregnant Women ◽

Human Body ◽

Pregnancy And Childbirth ◽

Parent Relationship ◽

The Impact ◽

The Relationship ◽

The Way

The medicalisation of pregnancy and childbirth has been encouraged by the continuing growth of technology that can be applied to the reproductive journey. Technology now has the potential to fully separate reproduction from the human body with the prospect of ectogenesis—the gestation of a fetus outside of the human body. This paper considers the issues that have been caused by the general medicalisation of pregnancy and childbirth and the impact that ectogenesis may have on these existing issues. The medicalisation of pregnancy and childbirth is criticised for its impact on the relationship between doctors and pregnant women and the way in which doctors treat fetuses. It is argued that ectogenesis may cause more imbalance in the doctor and intended parent relationship and may result in an increased lack of clarity regarding a doctor’s duty to the fetus. This paper finds that extensive guidance and revised legislation will be necessary to minimise the impact of ectogenesis on the existing issues caused by the medicalisation of reproduction.

Download Full-text

Knowledge About Nutritional Intake In Pregnant Women With Anemia

JURNAL PENDIDIKAN KEPERAWATAN INDONESIA ◽

10.17509/jpki.v5i2.18706 ◽

2019 ◽

Vol 5 (2) ◽

Author(s):

Saepul Saepul ◽

Yanti Hermayanti ◽

Hesti Platini

Keyword(s):

Pregnant Women ◽

Health Workers ◽

Sampling Technique ◽

Total Sample ◽

Nutritional Intake ◽

Pregnancy And Childbirth ◽

Good Nutrition ◽

Quantitative Descriptive ◽

Tea Drinking ◽

The Impact

Anemia or a lack of blood cells during pregnancy and childbirth is very dangerous. It may cause pregnant women to be at risk for bleeding during childbirth and hinder infant growth and development. This study aims to determine the knowledge of pregnant women with anemia about nutrition during pregnancy. The research design used in this study was quantitative descriptive, with 137 pregnant women with anemia as the population and a total sample of 58 respondents taken with random sampling technique. The variable in this study is the knowledge of pregnant women with anemia about nutritional intake. This study shows that the majority of the pregnant women had poor knowledge (84.48%) of nutritional intake, and only a small number had good knowledge (15.52%). With almost all pregnant women with anemia in the study having a lack of knowledge about nutritional intake, there is a concern that the baby will be negatively affected. The implication of the results highlights the important role of health workers to provide information about good nutrition during pregnancy, particularly the impact of tea-drinking habit.

Download Full-text

FEATURES OF THE COURSE OF PREGNANCY / CHILDBIRTH / POSTPARTUM PERIOD IN WOMEN WITH POSITIVE RESULTS FOR COVID-19

Reproductive Medicine ◽

10.37800/rm2021-1-1 ◽

2021 ◽

pp. 10-14

Author(s):

S.Sh. Isenova ◽

G. Zh. Bodykov ◽

A.S. Shukirbaeva ◽

M.O. Kubesova ◽

M.U. Davranova ◽

...

Keyword(s):

Cardiac Surgery ◽

Pregnant Women ◽

Postpartum Period ◽

Clinical Symptoms ◽

Diagnostic Methods ◽

Doppler Studies ◽

X Ray ◽

Archival Material ◽

Pregnancy And Childbirth ◽

Positive Results

A retrospective analysis was carried out according to the archival material of the center of perinatology and pediatric cardiac surgery in Almaty for 2020. The analysis was carried out in pregnant women with COVID-19, a total of 150 stories were examined. The features of the course of pregnancy and childbirth were assessed by studying the data of laboratory diagnostic methods of research, clinical symptoms, X-ray, ultrasound, Doppler studies. The study highlights the features of pregnancy, childbirth and the postpartum period in women infected with COVID-19.

Download Full-text

Epidemiological Characterization of the Infection by Treponema Pallidum in Pregnant Women in Beira City, Sofala, Mozambique

Annals of Immunology & Immunotherapy ◽

10.23880/aii-16000123 ◽

2020 ◽

Vol 2 (2) ◽

Author(s):

Nchowela Guido

Keyword(s):

Pregnant Women ◽

Congenital Syphilis ◽

Health Centre ◽

Treponema Pallidum ◽

Timely Manner ◽

Pregnancy And Childbirth ◽

Epidemiological Characterization ◽

Active Syphilis ◽

Structured Questionnaire

Introduction: Syphilis is one of several diseases that can be transmitted during pregnancy and childbirth, which can lead to complications during pregnancy and in the newborn. This is especially so when the pregnant woman is not diagnosed or treated properly and in a timely manner. Methodology: Data from 262 pregnant women prospectively included, aged 18-41years, attended at the Ponta Gêa Health Centre for antenatal clinics has been analyzed from January to September of 2016. In the prospective study, a rapid treponemal and a non-treponemal test were performed. A structured questionnaire was used to collect socio demographic and clinical variables, which was developed from the literature review. Results: The prevalence of active syphilis was 11.8%; the majority of reactive pregnant women were aged 18-25years (55.4%), (61.3%) of pregnant women were treated with doses below those recommended; only a small number of the partners were treated successfully. The highest seroprevalence of syphilis was found in housewives (77%), in those who attended primary education (71.6%) in those who had a monthly income of 1000- 3000 MZN (70.3%), in those with two or more pregnancies (55.7%) and living with someone has husband and wife (63.5%). The syphilis/HIV co-infection rate was high. Conclusion: According to the results obtained in this study, urgent measures are needed to assess the problems encountered and to improve the screening approach, treatment and monitoring of syphilis during pregnancy in order to prevent the cases of congenital syphilis.

Download Full-text

The Effect of Internal Corporate Social Responsibility on Job Satisfaction: An Empirical Study on Jordanian Pharmaceutical Companies

Journal of Business & Management (COES&RJ-JBM) ◽

10.25255/2306.8043.2020.8.2.112.138 ◽

2020 ◽

Vol 8 (2) ◽

pp. 112

Author(s):

Sura Altheeb ◽

Kholoud Sudqi Al-Louzi

Keyword(s):

Job Satisfaction ◽

Corporate Social Responsibility ◽

Social Responsibility ◽

Quantitative Research ◽

Skills Development ◽

Future Research ◽

Pharmaceutical Companies ◽

Corporate Social ◽

The Impact ◽

Positive Results

The current research investigates the impact of internal corporate social responsibility on job satisfaction in Jordanian pharmaceutical companies. Quantitative research design and regression analysis were applied on a total of 302 valid returns that were obtained in a questionnaire based survey from 14 pharmaceutical companies among employees, supervisors and managers. The results showed that internal corporate social responsibility was significantly related to job satisfaction and three of its dimensions, namely working conditions, work life balance and empowerment contributed significantly to job satisfaction, whereas employment stability and skills development had no contribution. This study implies that Jordanian pharmaceutical companies have to try their best to promote and facilitate internal corporate social responsibility among their employees in an effort to improve their job satisfaction, which will eventually yield positive results for the company as a whole. In light of these results, the research presented many recommendations for future research; the most important ones were the application of this study in other sectors, cultures, and countries, and using of multi method for collecting data.

Download Full-text