Fetus as a patient in pregnant women with COVID-19

2021 ◽  
Vol 129 (2) ◽  
pp. 415-420
Author(s):  
Alexandra Rivero Fraute ◽  
Carlos Cabrera ◽  
Pedro Faneite ◽  
Paulino Vigil-De Gracia ◽  
César Cuadra
Keyword(s):  
Pregnant Women ◽  
Intracellular Transport ◽  
Pharmacological Therapy ◽  
Physiological Changes ◽  
Teratogenic Effects ◽  
Fetal Demise

The fetus and placenta are an immunologically privileged unit, whose physiological changes during pregnancy intervenes in the behavior against SARS-CoV- 2, describing a theoretical potential teratogenic damage due to receptors ACE-2 expression, necessary for SARS-CoV-2 intracellular transport in the epiblast, vital in organogenesis, as well as the current pharmacological therapy teratogenic effects, abortions, and fetal demise.

scholarly journals Hyperlipidemia in pregnancy

2011 ◽  
Vol 152 (19) ◽  
pp. 753-757 ◽  
Author(s):  
Tatjána Ábel ◽  
Anna Blázovics ◽  
Márta Kemény ◽  
Gabriella Lengyel
Keyword(s):  
Cardiovascular Disease ◽  
Acute Pancreatitis ◽  
Cohort Studies ◽  
Pregnant Women ◽  
Breast Feeding ◽  
Normal Pregnancy ◽  
Large Cohort ◽  
Physiological Changes ◽  
Teratogenic Effects ◽  
In Pregnancy

Physiological changes in lipoprotein levels occur in normal pregnancy. Women with hyperlipoproteinemia are advised to discontinue statins, fibrates already when they consider pregnancy up to and including breast-feeding the newborn, because of the fear for teratogenic effects. Hypertriglyceridemia in pregnancy can rarely lead to acute pancreatitis. Management of acute pancreatitis in pregnant women is similar to that used in non-pregnant patients. Further large cohort studies are needed to estimate the consequence of supraphysiologic hyperlipoproteinemia or extreme hyperlipoproteinemia in pregnancy on the risk for cardiovascular disease later in life. Orv. Hetil., 2011, 152, 753–757.

scholarly journals PREGNANCY CARE IN COVID19 THROUGH AYURVEDA

2021 ◽  
Vol p6 (1) ◽  
pp. 3219-3222
Author(s):  
Mrityunjoy Baroi ◽  
Dipak Kr. Goswami
Keyword(s):  
Infectious Disease ◽  
Pregnant Women ◽  
Adverse Outcomes ◽  
Physiological Changes ◽  
Vulnerable Group ◽  
Pregnancy Care ◽  
Preg Nancy ◽  
The World ◽  
Systemic Manifestations ◽  
Maternal Wellbeing

The coronavirus disease 2019 (COVID-19) is a highly transmittable and pathogenic viral infection caused by se- vere acute respiratory syndrome coronavirus 2 (SARS COV-2) and Garbha-Kala is one of the most crucial and responsible stages in women's life. COVID-19 can produce a devastating effect on maternal wellbeing. Ayurveda has mentioned the pandemic situation under the term Janapadodhwamsa which spread through Vayu, Jala, Desha and Kala. The outbreak of Covid-19 is severely affecting the world. It is an infectious disease caused by severe acute respiratory syndrome coronavirus 2. It has mainly respiratory and systemic manifestations. People having diabetes, chronic diseases, pregnant women are more prone to this infection as they are more susceptible to path- ogens and the development of severe conditions like pneumonia. Due to the physiological changes during preg- nancy, pregnant women are the most vulnerable group in this pandemic situation because infection during preg- nancy can result in adverse outcomes. Much research is still in continuation because we are not sure of much evi- dence till now. Many preventive protocols suggested by Ayurveda can prevent the prevalence of disease up to some extent. Keywords: Ayurveda, Covid-19, Janapadodhwamsa, Pandemic, Pregnancy

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

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.

scholarly journals Pregnant Women’s Risk Perception of the Teratogenic Effects of Alcohol Consumption in Pregnancy

2019 ◽  
Vol 8 (6) ◽  
pp. 907 ◽  
Author(s):  
Isabel Corrales-Gutierrez ◽  
Ramon Mendoza ◽  
Diego Gomez-Baya ◽  
Fatima Leon-Larios
Keyword(s):  
Risk Perception ◽  
Alcohol Consumption ◽  
Pregnant Women ◽  
Lower Risk ◽  
Structural Equation ◽  
Alcohol Exposure ◽  
University Hospital ◽  
Equation Modeling ◽  
Teratogenic Effects ◽  
Ample Evidence

There is ample evidence of the teratogenic effects of prenatal alcohol exposure, with long-term consequences throughout the entire life cycle. Nevertheless, research on risk perception of alcohol consumption among pregnant women is scarce. In order to analyze risk perception of alcohol consumption during pregnancy, a cross-sectional study was conducted with a random sample of 426 pregnant women (in their 20th week of gestation) receiving care at the outpatient clinics of a public university hospital in the southern European city of Seville (Spain). Data were collected through structured face-to-face interviews conducted by trained health professionals using a customized questionnaire. Data analysis included structural equation modeling. Only 48.1% of the sample indicated that the sequelae from alcohol consumption during pregnancy were life-long. The structural equation model showed that a lower risk perception about beer and wine consumption, and a lower educational level, were related to more frequent alcohol consumption. Younger participants showed lower risk perception concerning beer consumption. Higher levels of education were related to a greater risk perception of beer. Healthcare institutions should articulate programs that facilitate health advice regarding alcohol consumption during pregnancy, particularly when providing care for women with low educational levels.

Pregnancy and the Antithyroid Drug Conundrum

2014 ◽  
Vol 10 (02) ◽  
pp. 113
Author(s):  
Terry F Davies ◽  
Keyword(s):  
Pregnant Women ◽  
Antithyroid Drug ◽  
Teratogenic Effects

Treating pregnant women with anti-thyroid drugs that have known teratogenic effects continues to present clinicians with multiple concerns.

scholarly journals Pharmacological Therapy of Tachyarrhythmias During Pregnancy

2016 ◽  
Vol 5 (1) ◽  
pp. 41 ◽  
Author(s):  
Ameeta Yaksh ◽  
◽  
Lisette JME van der Does ◽  
Eva AH Lanters ◽  
Natasja MS de Groot ◽  
...  
Keyword(s):  
Pharmacological Treatment ◽  
Current Knowledge ◽  
Pharmacological Therapy ◽  
Risk Assessments ◽  
Individual Risk ◽  
Cardiac Complications ◽  
Haemodynamic Instability ◽  
Efficacy And Safety ◽  
Teratogenic Effects ◽  
Supraventricular Tachyarrhythmias

Tachyarrhythmias are the most frequently observed cardiac complications during pregnancy. The majority of these maternal and foetal arrhythmias are supraventricular tachyarrhythmias; ventricular tachyarrhythmias are rare. The use of anti-arrhythmic drugs (AADs) during pregnancy is challenging due to potential foetal teratogenic effects. Maintaining stable and effective therapeutic maternal drug levels is difficult due to haemodynamic and metabolic alterations. Pharmacological treatment of tachyarrhythmias is indicated in case of maternal haemodynamic instability or hydrops fetalis. Evidence regarding the efficacy and safety of AAD therapy during pregnancy is scarce and the choice of AAD should be based on individual risk assessments for both mother and foetus. This review outlines the current knowledge on the development of tachyarrhythmias during pregnancy, the indications for and considerations of pharmacological treatment and its potential side-effects.

scholarly journals HUBUNGAN UMUR KEHAMILAN DENGAN STATUS KESEHATAN GINGIVA PADA IBU HAMIL DI WILAYAH KERJA PUSKESMAS ANDALAS KECAMATAN PADANG TIMUR

2015 ◽  
Vol 3 (1) ◽  
pp. 43-49
Author(s):  
Kinanti Fauzin ◽  
Hafni Bachtiar ◽  
Susi Susi
Keyword(s):  
Public Health ◽  
Pregnant Women ◽  
Gestational Age ◽  
Soft Tissues ◽  
Gingival Tissue ◽  
Physiological Changes ◽  
Gingival Index ◽  
Chi Square ◽  
Cross Sectional ◽  
The Relationship

Gingivitis is an inflammation of the soft tissues inoral cavity that invade the free gingival. There are two kinds of etiologies that can cause gingivitis, they are plaque and non-plaque. Pregnant women will have some maternal physiological changes during pregnancy, one of them is the increasing of estrogen and progesterone. It will cause the gingival tissue to react to irritant such as plaque excessively. The aim of this study was to determine the relationship between gestational age and gingival index in pregnant women. This analytic correlation research used cross sectional approach. The gestational age were observed from Mom’s and Kid’s Health Book. The Gingival Index was observed by using Loe and Silness index to each pregnant woman’s oral cavity. Data was analysed by using Chi –square. The study took place in Andalas Public Health Center, from 16th  February 2-15 until 26th  February 2015. Most of the pregnant women had mild gingivitis, no pregnant women were found with healthy gingiva or severe gingivitis. The result showed that there was no significantly relationship between gestational age and gingival index in pregnant women (p>0,005).

scholarly journals Therapeutic effect of Al-Quran murattal (surah yusuf) on blood pressure level in pregnant women with preeclampsia

2020 ◽  
Vol 2 (1) ◽  
pp. 27
Author(s):  
Sri Rejeki ◽  
Sumastia Trimuliani ◽  
Machmudah Machmudah ◽  
Nikmatul Khayati
Keyword(s):  
Blood Pressure ◽  
Data Collection ◽  
Pregnant Women ◽  
Blood Pressure Level ◽  
Reduce Blood Pressure ◽  
Pharmacological Therapy ◽  
Autonomic Nerve ◽  
P Value ◽  
Data Collection Tool ◽  
Data Collection Technique

Pre-Eclampsia was recorded as a cause of maternal death in Indonesia in 2017, which was 28.8%. Hypertension is a sign of pre-eclampsia. Murattal Therapy Letter Yusuf is a non-pharmacological therapy that can be used to reduce blood pressure. The purpose of this study is to determine the effect of Murattal Therapy in reducing blood pressure in pregnant women with pre-eclampsia. The design of this study used the Quasy Experiment design with One Group Pretest and Posttest Design. As the population are pregnant women who are diagnosed with pre-eclampsia. 15 respondents were selected using purposive sampling. Data collection tool with an observation sheet and tensimeter. The data collection technique was carried out using the respondent placed in a conditioned room, then listening to the letter of Joseph for 15 minutes using a tape recorder and then his blood pressure was measured. From the 15 respondents after Murotal therapy, the result of a decrease in blood pressure with a statistical test using a paired t-test obtained a p-value of systolic blood pressure of 0,000 and diastolic blood pressure of 0,000. Murattal therapy can stimulate a controlled autonomic nerve and cause secretion of epinephrine and norepinephrine by the controlled adrenal medulla. Control hormones epinephrine and norepinephrine will inhibit the formation of angiotensin which can reduce blood pressure. Surah Yusuf's Murattal Therapy can reduce the blood pressure of pregnant women with pre-eclampsia.

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