Determinants of correct knowledge of coronavirus infection and COVID-19 disease pandemic among pregnant women in South-West Nigeria

: The novel coronavirus infection (COVID‐19) is a global public health emergency.Since its outbreak in Wuhan, China in December 2019, the infection has spread at an alarming rate across the globe and humans have been locked down to their countries, cities and homes. As of now, the virus has affected over 20million people globally and has inflicted over 7 lac deaths. Nevertheless, the recovery rate is improving with each passing day and over 14 million people have recuperated so far. The statistics indicate that nobody is immune to the disease as the virus continues to spread among all age groups; newborns to the elders, and all compartmentsincluding pregnant women. However, pregnant women may be more susceptible to this infection as they are, in general, highly vulnerable to respiratory infections. There is no evidence for vertical transmission of the COVID-19 virus among pregnant women, but an increased prevalence of preterm deliveries. Besides this, the COVID-19 may alter immune response at the maternal-fetal interface and affect the well-being of mothers as well as infants. Unfortunately, there is limited evidence available in the open literature regarding coronavirus infection during pregnancy and it now appears that certain pregnant women have infected during the present 2019-nCoV pandemic. In this short communication, we study the impact of the COVID-19 infection on vertical transmission and fetal outcome among pregnant women.

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Dietary Calcium Intake and Associated Factors Among Pregnant Women in Loma District, South West Ethiopia, 2020

10.21203/rs.3.rs-169289/v1 ◽

2021 ◽

Author(s):

Adisu Hailu Tofu ◽

Yibeltal Kassa ◽

Damene Darota Amamo

Keyword(s):

Pregnant Women ◽

Calcium Intake ◽

Urban Areas ◽

Associated Factors ◽

Statistical Significance ◽

Dietary Calcium ◽

Dietary Calcium Intake ◽

Nutritional Counseling ◽

South West ◽

South West Ethiopia

Abstract Background: Low dietary calcium intakes could cause harmful effects to the pregnant woman by influencing pregnancy outcome. Adequate intake of dietary calcium during pregnancy reduces the risk of complications and aids in improved birth outcome. Many researchers focus on urban areas to address the issue and our study was focused on rural community. Hence the study is aimed at assessing dietary calcium intake in rural communities.Objective: To assess the dietary calcium intakes and associated factors among pregnant women in Loma, south west Ethiopia from May to July, 2019Methods: -A community based cross-sectional study was conducted in Loma district, Dawuro zone, southwest Ethiopia. Data were collected from 398 pregnant women after random selection from nine kebeles. Simple random sampling technique was employed to select study subjects. Socio-economic and demographic, and health related data was collected using structured, interviewer administered, and pre tested questionnaire. The 24 hr dietary recall was used for three different days with seven days interval as per the recommendation. When dietary data is collected, often it was converted into nutrients, especially the calcium intake by using Ethiopian food composition table. Collected data was checked for completeness, and entered in to Epi Data version 3.02 for data clearance and exported to SPSS version 20 for analysis. AOR with 95% C.I results of multivariate logistic regression was used to assess the statistical significance of associations between independent and dependent variables. The level of statistical significance was declared at p <0.05.Result: The median calcium intake was 543mg per day. From 398 participants, 265(66.6%) were at risk of inadequate intake of calcium. Greater than half 249 (62.6%) respondents had practiced avoiding calcium rich food during their pregnancy. The finding of this study identified that nutritional counseling have strong statistical association with dietary calcium intake of mothers during pregnancy. The chance of dietary calcium intakes during pregnancy who were received nutritional counseling 2.4 times higher than those who were not received nutritional counseling (AOR=2.432 95% CI: 1.072-5.517).Conclusion and recommendation: From the present study, it can be concluded that, majority of pregnant mothers 265(66.6%) had a poor dietary calcium intakes during their pregnancy. It is recommended that consumption of enough calcium and dairy products should be included and emphasized in the nutrition education component of maternal health programs.

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POSSIBLE HEALTH CONSEQUENCES FOR NEWBORNS FROM MOTHERS WHO SUFFERED COVID-19 DURING PREGNANCY

Acta medica Eurasica ◽

10.47026/2413-4864-2021-3-35-47 ◽

2021 ◽

pp. 35-47

Author(s):

Tamara G. Denisova ◽

Adelina I. Sergeeva ◽

Alexandra S. Grigorieva ◽

Enje E. Rechapova ◽

Ivan I. Sergeev ◽

...

Keyword(s):

Pregnant Women ◽

Negative Impact ◽

Close Contact ◽

Relevant Literature ◽

Clinical Manifestations ◽

Future Generation ◽

World Health ◽

Practical Significance ◽

Increased Risk ◽

Coronavirus Infection

According to the WHO statement dated March 11, 2020, the coronavirus infection SARS-CoV-2 has reached the scale of a pandemic and is currently a world health problem. A special group of the population that requires increased attention is pregnant women due to the fact that pneumonia occupies the third place in the structure of indirect causes of maternal mortality. Pregnant women whose immune system has changed appeared to be at an increased risk of infection. Pregnancy is a risk factor for the development of a more severe course of acute respiratory viral diseases and influenza. To date, the issue of intrauterine transmission of coronavirus disease remains completely unexplored, which causes fear among pregnant women for the future generation. Addition of a new coronavirus infection SARS-CoV-2 has a negative impact on pregnancy, childbirth and the postpartum period, the health of newborns, especially in patients with a burdened obstetric history. Pregnancy itself and childbirth do not affect the course of COVID-19, but the infection addition can complicate the course of gestation, causing respiratory distress syndrome, premature birth and spontaneous miscarriages, congenital pneumonia and antenatal death of newborns born from covid-positive mothers. The literature published from December 1, 2019 to July 30, 2021 was searched in several databases, including PubMed, Web of Science, Google Scholar and the WHO COVID-19 database, of which 52 articles were selected for detailed consideration. The relevant literature was searched to understand the issues of infection transmission to newborns from infected mothers and the clinical manifestations of the disease in the former. As a result, it was found that newborns can become infected with SARS-Cov-2 in close contact with infected patients or asymptomatic virus carriers. However, based on the data of modern literature, it is impossible to unequivocally answer the questions posed, more facts are needed to solve the problem. The practical significance of the work is that the results of the study should be used for further studying the consequences of COVID-19 for the health of newborn children.

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Asymptomatic coronavirus infection among pregnant women: a necessity for universal screening of COVID-19 in pregnant women admitted to labor

The Journal of Maternal-Fetal & Neonatal Medicine ◽

10.1080/14767058.2020.1832073 ◽

2020 ◽

pp. 1-2

Author(s):

Salut Muhidin ◽

Maryam Vizheh ◽

Zahra Behboodi Moghadam

Keyword(s):

Pregnant Women ◽

Universal Screening ◽

Coronavirus Infection

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Pregnancy Induced Hypertension and Associated Factors among Pregnant Women Receiving Antenatal Care Service at Jimma Town Public Health Facilities, South West Ethiopia

Journal of Gynecology and Womens Health ◽

10.19080/jgwh.2018.10.555792 ◽

2018 ◽

Vol 10 (4) ◽

Author(s):

Tesfaye Abera Gudeta

Keyword(s):

Public Health ◽

Antenatal Care ◽

Pregnant Women ◽

Associated Factors ◽

Care Service ◽

Pregnancy Induced Hypertension ◽

South West ◽

Induced Hypertension ◽

South West Ethiopia ◽

Jimma Town

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Risk factors and features of COVID-19 course in pregnant women: a comparative analysis of epidemic outbreaks in 2020 and 2021

GYNECOLOGY ◽

10.26442/20795696.2021.5.201107 ◽

2021 ◽

Vol 23 (5) ◽

pp. 421-427

Author(s):

Tatiana E. Belokrinitskaya ◽

Nataly I. Frolova ◽

Kristina A. Kolmakova ◽

Evgeniya A. Shametova

Keyword(s):

Risk Factors ◽

Computed Tomography ◽

Iron Deficiency ◽

Pregnant Women ◽

Ethnic Group ◽

Sore Throat ◽

Iron Deficiency Anemia ◽

Deficiency Anemia ◽

Runny Nose ◽

Coronavirus Infection

Aim. To compare risk factors, features of COVID-19 course and outcomes in pregnant women during epidemic increase in incidence in 2020 and 2021. Materials and methods. The study included 163 pregnant women with laboratory-confirmed SARS-CoV-2 infection within May December 2020 (1st2nd waves of the epidemic) and 158 pregnant women who had new coronavirus infection within May August 2021 (3rd wave of the epidemic). Patients in all groups were comparable in age (1835 years), social status, parity, body mass index, and had no known risk factors for COVID-19. Results. Iron deficiency anemia, smoking, belonging to the Buryat ethnic group were recognized as persistent risk factors for COVID-19 in pregnant women. Over the 1st year of the pandemic, in pregnant women, the following clinical manifestations of novel coronavirus infection were commonly seen: anosmia (87.7%), somnolence (68.7%), shortness of breath even with a mild lung damage (68.1%). In the 3rd wave of the 2nd year of the pandemic, the leading signs and symptoms were cough (70.3% vs 38.7%, p0.001), runny nose (46.2% vs 3.7%, p0001), sore throat (367% vs 37%, p0.001); an increase in body temperature above 38C (19.6% vs 7,4%, p=0.006), pneumonia detected by computed tomography (61.4% vs 21.4%; p0.001). There was a significant increase in the incidence of severe lung lesions (with computed tomography 34: 17.7% vs 4.9%; p0.001) and admissions to intensive care units (11.4% vs 6.4%; p= 0041). There was a need for invasive mechanical ventilation (1.89% vs 0%; p=0.118). There was 1 death (0.63% vs 0%; p= 0.492), which was associated with the fulminant course of COVID-19. Conclusion. Persistent COVID-19 confounders in pregnant women who have no known risk factors in the third trimester of gestation are iron deficiency anemia, smoking, and belonging to the Buryat ethnic group. The clinical course of SARS-CoV-2 infection has changed and became more unfavorable: symptoms of acute respiratory disease (cough, runny nose, sore throat) began to prevail, the rate and severity of pneumonia and rate of mortality increased.

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NEW CORONOVIRUS INFECTION: CLINICAL AND PATHOGENETIC ASPECTS OF COVID-19 IN PREGNANT WOMEN

"Medical & pharmaceutical journal "Pulse" ◽

10.26787/nydha-2686-6838-2021-23-8-57-62 ◽

2021 ◽

pp. 57-62

Author(s):

Allakhyarov D.Z. ◽

Petrov Yu.A. ◽

Chernavsky V.V.

Keyword(s):

Pregnant Women ◽

The Body ◽

World Health ◽

Upper Respiratory Tract ◽

Global Pandemic ◽

High Prevalence ◽

Coronavirus Infection ◽

The Moment ◽

Health Organization ◽

The Impact

This article presents reviews of literature sources on the clinical and pathogenetic aspects of the course of a new coronovirus infection in pregnant women, in order to analyze the features of the course of COVID-19 in pregnant women and to assess the impact of infection on the body of a woman and a fetus. Pregnancy is a special physiological condition, during which a number of changes occur in the body, not only in the hormonal status, but also in the immune system. The urgency of this problem is due to the high prevalence of new coronavirus infection among the population. On March 12, 2020, the World Health Organization (WHO), as a result of the dynamic development of the epidemic in many countries and continents, declared a global pandemic of the contagious disease COVID-19 caused by the SARS-CoV-2 virus. According to available studies, pregnant women are more susceptible to a more severe course of infectious diseases affecting the upper respiratory tract. According to various studies, a new coronavirus infection can lead to premature birth, miscarriage, and preeclampsia. Separate studies show increased mortality in pregnant women diagnosed with COVID-19. The SARS-CoV-2 virus does not have a direct teratogenic effect on the fetus, but it can indirectly lead to harmful effects on the developing organism. Special attention should be paid to the issue of vaccination of pregnant women against a new coronavirus infection, at the moment there is no accurate data on the effect of the vaccine on the body of the pregnant woman and the fetus. In this regard, the question of the impact of a new coronavirus infection on the course of pregnancy has become relevant.

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Organisation of Medical Care for Pregnant Women, Women in Labor and New Mothers with COVID-19 Infection

Spravočnik vrača obŝej praktiki (Journal of Family Medicine) ◽

10.33920/med-10-2009-07 ◽

2020 ◽

pp. 47-56

Author(s):

Vladimir Klimov

Keyword(s):

Pregnant Women ◽

Physiological Condition ◽

Viral Infections ◽

Physiological Changes ◽

Insufficient Information ◽

Present Stage ◽

New Mothers ◽

High Affinity ◽

Coronavirus Infection ◽

Respiratory Viral Infections

Although pregnancy is a physiological condition, this category of women has a high probability of severe acute respiratory viral infections, and a fairly high affinity to these diseases, due to physiological changes in the immune system. In 2009/2010, during the A(H1N1)09 virus that caused pig flu, the morbidity among pregnant women reached 27.9%. In addition, such viruses as SARS-CoV and MERS-CoV are known to contribute to severe complications in pregnancy and lead to the need for endotracheal intubation and hospitalisation of women to the intensive care unit, and in some cases, diseases caused by these viruses can cause kidney failure and even death, which reaches 25% when SARS-CoV is detected among pregnant women. At the present stage, there is insufficient information on the new coronavirus infection impact on pregnant women and newborns, and there are no reliable recommendations as to the management of pregnant women when COVID-19 is diagnosed. In this article, we will try to summarise information on managing such patients based on the cases when coronavirus was diagnosed in pregnant women.

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Covid-19 and Pregnancy: An Overview

Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics ◽

10.1055/s-0040-1713408 ◽

2020 ◽

Vol 42 (07) ◽

pp. 420-426

Author(s):

Pedro Castro ◽

Ana Paula Matos ◽

Heron Werner ◽

Flávia Paiva Lopes ◽

Gabriele Tonni ◽

...

Keyword(s):

Public Health ◽

Pregnant Women ◽

World Health Organization ◽

Case Series ◽

Public Health Emergency ◽

Present Review ◽

World Health ◽

The World ◽

Coronavirus Infection ◽

Health Organization

AbstractSince the World Health Organization (WHO) declared coronavirus infection (COVID-19) a Public Health Emergency of International Concern in January 2020, there have been many concerns about pregnant women and the possible effects of this emergency with catastrophic outcomes in many countries. Information on COVID-19 and pregnancy are scarce and spread throughout a few case series, with no more than 50 cases in total. The present review provides a brief analysis of COVID-19, pregnancy in the COVID-19 era, and the effects of COVID-19 on pregnancy.

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