London- A team of researchers has discovered that the more severely a mother is infected with Covid-19, the more likely she is to experience preterm birth.
The researchers reported that the rate of preterm birth in nearly 1,000 pregnant women, who tested positive for SARS-CoV-2, the virus that causes Covid-19, was a function of the severity of infection.
"The more severe the SARS-CoV-2 infection, the greater the risk of preterm birth," said researcher Roberto Romero from the Wayne State University School of Medicine in the US.
"There was a dose-dependent relationship between the severity of SARS-CoV-2 infection and the risk of prematurity," Romero added.
For the study published in the American Journal of Obstetrics and Gynecology, the team included data from 14 National Health Service (NHS) maternity hospitals in the UK to assess the effects of SARS-CoV-2 infection in pregnancy.
The excess rate of premature birth, they report, is largely due to medically-induced preterm birth brought about by concerns for health of the mother, such as preeclampsia.
Preterm birth, the leading cause of perinatal morbidity and mortality worldwide, is defined as one that occurs before 37 weeks of gestation.
Two-thirds of preterm births are due to the spontaneous onset of preterm labour. The remaining third is due to medical conditions that affect either the mother or the unborn baby that necessitate delivery.
The more severe the Covid-19 infection, the greater the risk of preeclampsia, a sudden increase in blood pressure after the 20th week of pregnancy.
The condition is responsible for 76,000 maternal deaths and more than 5,00,000 infant deaths every year.
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New Delhi, Aug 12 (IANS) Doctors at Fortis Hospital here performed a life saving Whipple surgery, a first in India, on a six-month pregnant pancreatic cancer patient from Afghanistan.Fahima, was five and a half months pregnant when she was diagnosed with pancreatic cancer. On account of her pregnancy, she could also not undergo chemotherapy. In addition, her uterus was already quite large and above the umbilicus. It was already obscuring access to the pancreas. A surgery to remove the cancer from the pancreas, in this condition, was difficult and posed a potential risk for both the mother and the baby. "In a standard Whipple's operation, we remove the cancerous tumour together with the head of pancreas, remove part of the stomach, small intestine, gall bladder, bile duct, and lymph nodes and reattach the remaining organs (allowing for the normal digestion of food). This was a complex procedure considering that the cancerous area (in the pancreas) and the uterus were very close to one another," said Amit Javed, Director, Gastrointestinal Oncology, Fortis Flt. Lt. Rajan Dhall Hospital, Vasant Kunj, in a statement on Thursday. "All necessary measures were taken during the procedure to ensure complete cancer removal; the foetus was not harmed in any way and the mother remained safe," he added.The surgery, which took four hours, was done without ‘moving the baby' and the postoperative tests showed complete tumour removal and a healthy baby. Fahima had a smooth post-operative recovery and was discharged after seven days, the doctors said. "The Whipple surgery proved to be a lifeline for me. I was adamant that this pregnancy was very important to me. Dr Javed and his team gave me hope and it is because of their expertise, skill and faith that me and my baby are alive today. I will always be grateful and thankful to them for giving me a new lease of life and for saving my child," Fahima said. --IANSrvt/bg
Gurugram, Aug 10 (IANS) As many as 1,267 pregnant women received first, while one got her second dose of Covid-19 vaccine during the first day of a special vaccination drive organised at 34 health centres across Gurugram.In the camp, organised under the 'Pradhan Mantri Surakshit Matritva Abhiyan' on Monday, all the beneficiaries were administered Covaxin. "Under the campaign, vaccination camps would be organised for pregnant women on the 9th of every month in the district. In these camps, first and second doses of the vaccine would be given to them. Also the health check-up of pregnant women will be conducted on the 9th of every month," District Civil Surgeon, Dr Virendra Yadav said.He further said the women do not have to come to the health centre again and again, so the 9th day of every month has been chosen for both health check-ups and vaccination.Dr M.P. Singh, the Nodal Officer and Deputy Civil Surgeon of the vaccination campaign told IANS that only Covaxin would be administered to all the women as per the fixed schedule."The time frame that has been fixed between the first and the second dose of Covaxin is very short. Through this vaccine, we can ensure that pregnant women get their first and second anti-corona vaccine early during pregnancy," Singh said.On why is vaccination necessary in pregnancy, Dr Singh said that if a woman gets infected with coronavirus during pregnancy, there is a possibility of premature delivery, the baby's weight will be less than 2.5 kg. Also, in many cases, the child may even die before birth.He said that if a woman gets infected with the coronavirus during pregnancy, she can be vaccinated only after delivery.--IANSstr/shs/skp/
Recently, Covid vaccination drives have started for pregnant patients as well. While pregnant patients are not more prone to the Covid infection when compared to normal persons, it is well-known that if a pregnant woman catches the infection, her condition can deteriorate very fast. As there aren't many studies on the adverse effect of vaccines on pregnant women, one needs to be very careful.
Before taking the decision of taking the vaccine it is advisable that pregnant women should talk to their gynaecologist and take their opinion whether they should take their vaccine shot or not and if yes, then which vaccine. Make things clear with your doctor and then proceed on to book your slot.
Inform your gynaecologist you are going for the vaccination.
The day before vaccination keep yourself hydrated, get 8 hours of sleep and have a light meal just before going for the vaccination.
Wear loose clothes especially on the arms so that vaccines can be given easily.
If you have any history of prior allergic reaction to any medication then make sure to tell the concerned authorities at the centre.
While at the centre follow all Covid protocols like wearing a double mask, don't touch the front part of the mask, don't touch surfaces, maintain social distance.
After taking the vaccine, wait for at least 30 minutes, because most of the adverse effects appear in the first 30 minutes.
After going home if you experience any symptoms like fever, body pains, headaches, joint pains then take paracetamol after informing your gynaecologist.
If you have a sore forearm then applying a heat pack will provide a lot of relief.
Continue your supplementation of iron, calcium along vitamin E and vitamin D to recovery faster.
Rest the entire day and keep yourself hydrated the day you get your vaccination.
If you are in your last trimester then take a note of fetal movements. If anytime you feel that fetal movements have decreased rush to the hospital immediately.
If mild symptoms don't subside or become worse immediately contact your gynaecologist.
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Pregnancy is one of the most beautiful experiences of a woman's life. It is a time when a woman is overwhelmed with different emotions happiness, excitement, anxiety all at the same time. During this phase, a woman can also experience frequent mood swings, thanks to the hormonal changes taking place in the body. Fatigue and discomfort too, become permanent companions owing to the physical changes occurring.
Yoga offers holistic benefits to expecting women helping them to keep the body healthy and mind, calm and relaxed. Yoga prepares women for labour and delivery as well as assists them in recovering better post-delivery. Rajeev Rajesh, Chief Yoga Officer, Jindal Naturecure Institute, shares five yoga asanas that can bring multiple benefits to pregnant women.
How to do: Stand erect and keep the feet a little wide apart. Interlock the fingers, raise the hands up and turn the palms upward. Take a deep breath. While breathing out, bend from the waist to the right, keeping the elbows straight and feet firmly on the ground. Hold the posture and breathe normally. Feel the stretch on the sides. While inhaling, gently come back to the original position. Repeat on the other side.
Benefits: This asana stretches the waistline and improves the flexibility of the spine. It provides relief in back pain and constipation, a common problem during pregnancy.
How to do: Standing erect and spread the legs 3-4 feet apart. Turn the right foot 90 degrees outwards and the left foot by 15e inward. While inhaling, raise the arms sideways so that they are parallel to the ground and in line with the shoulders. While exhaling, bend the right knee and turn your gaze towards the right. Gently push down on the pelvis and maintain this position with normal breathing. Inhale and gently come up and while exhaling, bringing the hands to the sides. Repeat on the other side.
Benefits: It helps develop balance, releases stress from the arms and shoulders and relaxes the mind and the body. It is also an excellent asana to strengthen the lower back, legs and arms.
How to do: Stand on the knees and keep them a little apart. Bend forward and place the palms below the shoulders and in front of the knees on the ground. While inhaling, lift the head up and push the lower back down. While exhaling, lift the back up and bend the head down. Repeat the practice ten times.
Benefits: This asana stretches the spine and makes it flexible. This helps support more weight during pregnancy. It also tones the abdominal organs and improves blood circulation.
How to do: Sit straight with the legs stretched forward. Bend the knees and join the soles of the feet together. Interlock the fingers and hold the feet firmly. Bring the heels close to your genitals. Breathe in deeply. Keep the elbows on the thighs. While exhaling, gently press the thighs and knees down towards the floor and then allow it to move up.
Benefits: This asana gives a good stretch to the inner thighs and pelvic area. This helps improve the flexibility and strength of the pelvic and hip region. If practiced regularly, it will facilitate a smooth delivery.
How to do: Lie down straight on the back. Keep the legs slightly apart and hands slightly away from the body. Turn the palms up. Gently close the eyes and relax the body completely. Keep breathing gently and slowly. Do not allow any thoughts to come into your mind. Stay in this position for 10 minutes.
Benefits: The asana helps to achieve a deep, meditative state that fosters the repair of tissues and cells, relieving stress. It is also a good practice to reduce blood pressure, insomnia and anxiety.
Finally, a word of advice: It is crucial for pregnant women to remember that they should not indulge in asanas that require them to lie flat on the stomach. Also, inverted and forward bending asanas must be avoided as they might put pressure on the abdomen. Always Practice yoga asanas under the supervision of expert.
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<br>This is a very progressive step as it will affect 50 million lives in India, say doctors, adding that every individual needs protection from the surging Covid-19 infections, and vaccination seems to be the best and long-term solution. Now all mothers-to-be can be protected from Covid-19. The benefits of vaccinating pregnant women seem to far outweigh any theoretical and remote risk of vaccination.Sonal Kumta, Senior Consultant Obstetrician & Gynaecologist, Fortis Hospital Mulund, and Manjiri Mehta, Consultant Gynaecologist & Obstetrician, Hiranandani Hospital Vashi, share a few things that pregnant women must know about vaccination.THE NEED FOR PREGNANT WOMEN TO BE VACCINATED --First, it is important to note that pregnancy does not increase the risk of Covid-19 infection. Most pregnant women will be asymptomatic or have a mild disease, but their health may deteriorate rapidly and that might affect the foetus. It is also important that they take all precautions to protect themselves from being infected, and that certainly includes vaccination against Covid-19. It is therefore advised that a pregnant woman should take the vaccine.Covid-19 IMPACT ON PREGNANT WOMEN --Although most (>90 per cent) infected pregnant women recover without any need for hospitalization, rapid deterioration in health may occur in a few. Symptomatic pregnant women appear to be at an increased risk of severe disease and death. In case of severe disease, like all other patients, pregnant women shall also need hospitalization. Moreover, pregnant women with underlying medical conditions e.g., high blood pressure, obesity, age over 35 years, etc are at a higher risk.RECOVERED PREGNANT WOMEN WITH COVID INFECTION --Pregnant women who have recovered from Covid-19 are eligible for vaccination. Among such individuals, vaccination should be differed for 12 weeks from the infection or 8 weeks after recovery.SIDE EFFECTS OF THE VACCINES --The available Covid-19 vaccines are safe, and vaccination protects pregnant women against illness/disease like other individuals. Like any medicine, a vaccine may have side effects which are normally mild. After getting the vaccine injection, she can get a mild fever, pain at the injection site, or feel unwell for 1-3 days.If you are confused about whether to receive a Covid-19 vaccine while pregnant, consider:* Your risk of exposure to Covid-19* The risks of severe illness* The known benefits of vaccination*The limited but growing evidence about the safety of vaccinations during pregnancy<br> VACCINE REGISTRATION FOR PREGNANT WOMEN --All pregnant women need to register themselves on the CoWIN portal or may get themselves registered on-site at the Covid-19 vaccination centre. The process of registration for pregnant women remains the same as of the general population and as per the latest guidance provided by the MoHFW. The need of the hour is to arrange for on-site consultation by Gynecologists, especially for those not registered for ante-natal (pre-delivery) care. We should also maintain a registry of vaccinated pregnant women for long-term follow-up and data collection.PRECAUTIONS TO BE TAKEN --* Wear a double mask* Practice frequent handwashing* Maintain physical distance and avoid going to crowded places<br> <br>Please note, if a pregnant woman has already had Covid-19, she should be vaccinated soon after the delivery. Moreover, speak to your doctor and discuss all your doubts. Also, note that if you are trying to get pregnant now or in the future, would-be parents can receive the Covid-19 vaccine. There is currently no evidence that any vaccines, including the Covid-19 vaccines, cause female or male fertility problems--problems getting pregnant. Most importantly, you cannot get Covid-19 infection from vaccination!(Puja Gupta can be contacted at [email protected])--IANS<br>pg/tb/<br>