We already know that surviving the deadly coronavirus is difficult and it becomes extremely hard when you are with a child. So, we have some useful notes for all the pregnant women out there. Give a quick read because these are important.
1. Asymptomatic and mild disease during pregnancy-
In more than 95% pregnant women there are no complications except more chances of cesarean delivery and psychological disturbances, anxiety and depression.
Fetus and neonates are not affected approximately 4% to 6% chances of a newborn becoming positive.
Newborn to be isolated from mother but breast feeding to be continued even when mother is positive. Breast milk and skin-to-skin contact are safe in Covid-19 infected mothers if performed with appropriate use of precautions such as hand and breast hygiene and masking.
Also there is no effect on the fetus and mother when mild to moderate Covid infection occurs during early pregnancy. It is not an indication for the medical termination (abortion).
There is no data suggesting vaginal delivery increases chances of neonatal infections.
2. Moderate to severe or acute respiratory disease or patients with comorbidities
Chances of preeclampsia, intrauterine growth retardation and premature delivery increase 4 to 5 times
Chances of fetal or mother’s death increase chances of postpartum hemorrhage and blood transfusion increase if a patient delivers during active Covid infection.
Cesarean section rates are very high to avoid nosocomial infection of newborn and improve perinatal outcome.
Amniotic fluid, placenta, cord blood and newborn blood have 4 to 6% chances of active viral load in all Covid positive mothers.
3. Vaccines for pregnant and lactating mothers are not recommended in India. (Based on how these vaccines work in the body, experts believe they are unlikely to pose a specific risk for people who are pregnant. However, there are currently limited data on the safety of Covid-19 vaccines in pregnant people. Clinical traits that look at the safety and how well the Covid-19 vaccines work in pregnant people are underway or planned. Vaccine manufacturers are also monitoring data from people in the clinical traits who received vaccine and became pregnant. Studies in animals receiving a Moderna, Pfizer-BioNTech or Johnson & Johnson’s Janssen (J&J/Janssen) Covid-19 vaccine before or during pregnancy found no safety concerns.
Protection of Covid affected mother’s antibodies to newborn is not yet confirmed.
Mother’s or child’s blood group relationship with severity of disease not confirmed.
4. Treatment protocol does not change because of pregnancy status.
5. Indirect effects of lockdown or non-availability of doctors or hospital beds have made significant negative impact on ante-natal, intra-natal and post-natal care in many countries resulting in negative outcomes for mother and child as well.
– By Jagdip Shah, M.D., D.G.O. Obstetrician & Gynecologist with 36 years of experience & practicing in Mumbai since 1984.
Study: 4th Covid vaccine dose effective in protecting people over 60
As per the new Israeli-led study, the largest healthcare organisation Clalit said fourth dose of Covid vaccine is effective for protecting people aged 60 and above.
The study found that a fourth dose can reduce the possibilities of symptomatic infection, hospitalisation, serious illness and mortality among the elders, Clalit said, Xinhua news agency reported.
In the study, published in the New England Journal of Medicine, Clalit researchers and their colleagues from Harvard University in Boston analysed data from 182,122 Clalit members, all aged 60 and above, who received Pfizer’s fourth dose.
“The study unequivocally demonstrates that the fourth dose provides effective protection in preventing morbidity,” said Ran Balicer, Director of the Clalit Research Institute.
“It will help every person to make a decision on the fourth vaccine based on their level of personal risk,” he added.
Covid-19: Here are the symptoms of fourth wave
covid-19 pandemic. BA.2 has two characteristics – they are dizziness and extreme tiredness. BA.2 sub-variant or stealth omicron affects more on the stomach and intestines of the people, which leads to digestive problems. there is currently no evidence that people can catch covid-19 from food. the virus that causes covid-19 can be killed at temperatures similar to that of other known viruses and bacteria found in food.
Symptoms of Omicron:
- Continuous Cough
- Muscle and body health
- Shortness of breath
- Difficulty in breathing
- Skin rash
- Sleeping paralysis
- Back pain
- A loss of appetite
- High temperature
- Sore throat
- Chest pain
- Abdominal pain
- Covid toes or figures
- Covid tongue
- Night sweats
- Hoarse voice
- New loss of taste and smell
- Congestion or running nose
- Nausea or vomiting
Covid-19: WHO shares post COVID symptoms
In the third year of pandemic, it is not just a fight against COVID, we have another challenge ahead of us i.e. dealing with post-COVID conditions. They are also known as long COVID conditions. With the growing number of cases of long COVID it is confirmed that COVID does not spare any body organ and it affects the biological ecosystem. Fatigue, trouble in breathing and cognitive dysfunction is the most common symptoms.
Fatigue: It is very common response from the body when fighting against any viral infection. It may last for weeks and it is very common symptom seen in all the patients who recovered from COVID.
Trouble in breathing: Even with the minimal physical activity person may have trouble in breathing. It is very common occurrence in the people who have been infected with COVID.
Cognitive dysfunction: It is commonly referred as brain fog. It actually means people having trouble with their attention, trouble in concentrating, trouble in recall or memory, trouble in sleeping.
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