{"id":4283,"date":"2020-06-22T13:13:17","date_gmt":"2020-06-22T10:13:17","guid":{"rendered":"https:\/\/dralexandrostraianos.gr\/?p=4283"},"modified":"2022-01-12T18:43:48","modified_gmt":"2022-01-12T16:43:48","slug":"%ce%ba%ce%bf%cf%81%ce%bf%ce%bd%ce%bf%cf%8a%cf%8c%cf%82-%ce%ba%ce%b1%ce%b9-%ce%b5%ce%b3%ce%ba%cf%85%ce%bc%ce%bf%cf%83%cf%8d%ce%bd%ce%b7-%ce%bd%ce%b5%cf%8c%cf%84%ce%b5%cf%81%ce%b1-%cf%83%cf%84%ce%bf","status":"publish","type":"post","link":"https:\/\/dralexandrostraianos.gr\/en\/%ce%ba%ce%bf%cf%81%ce%bf%ce%bd%ce%bf%cf%8a%cf%8c%cf%82-%ce%ba%ce%b1%ce%b9-%ce%b5%ce%b3%ce%ba%cf%85%ce%bc%ce%bf%cf%83%cf%8d%ce%bd%ce%b7-%ce%bd%ce%b5%cf%8c%cf%84%ce%b5%cf%81%ce%b1-%cf%83%cf%84%ce%bf\/","title":{"rendered":"CROWN AND PREGNANCY: LATEST FIGURES FOR PREGNANT WOMEN WITH COVID-19\u00a0"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">From December 2019, the manifestation of his disease <strong>coronavirus<\/strong> (COVID-19), which originated in Wuhan, China, has become a global threat to public health. On February 28, 2020, the WHO upgraded its assessment of its risk of spread and risk of impact <strong>COVID-19<\/strong> at a very high level globally. THE <strong>epidemic has spread<\/strong> in 118 countries around the world.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">With immunosuppressed state and normal adaptive changes <strong>during<\/strong> <strong>pregnancy<\/strong>, pregnant women could be more susceptible to infection than <strong>COVID-19<\/strong> than the general population. As the virus spreads rapidly, the parent management and <strong>fetal safety<\/strong> are a major concern, but there is little evaluation and management information <strong>pregnant women infected with COVID-19<\/strong> and the potential risk of vertical transmission is unclear. In The Lancet Infectious Diseases, they report its clinical features and obstetric and neonatal results <strong>pregnancy with COVID-19 pneumonia<\/strong> in Wuhan, China. Seven women were examined <strong>you were pregnant<\/strong> with pneumonia<strong> COVID-19<\/strong> and onset symptoms <strong>it was similar<\/strong> with those reported in non-pregnant adults with <strong>COVID-19<\/strong>. All patients received oxygen therapy and antiviral therapy in isolation. All patients did <strong>caesarean section<\/strong> <strong>section<\/strong> after consultation with a multidisciplinary team and the results of pregnant women and newborns were good. Three newborns were tested for severe<strong> acute respiratory syndrome<\/strong> (SARS-CoV-2) and were found to be infected with <strong>COVID-19<\/strong> 36 hours after birth. The findings of the study provide some indications for clinical evaluation and management <strong>of pregnant women with COVID-19<\/strong>, but questions remain about how to treat infected pregnant women.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">As reported, five pregnant women took steroids after<strong> cesarean<\/strong>. Two are also treated with traditional Chinese medicine. However, no reliable evidence is specific <strong>COVID-19 treatment<\/strong> for <strong>pregnant women<\/strong>. The guidance of the WHO and some clinical data do not recommend the use of corticosteroids for COVID-19. THE <strong>use of drugs<\/strong> in pregnant women should be based on solid data.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Are required <strong>clinical tests<\/strong> to demonstrate the effectiveness of drugs and <strong>effects on the fetus<\/strong> to create a <\/span><span style=\"font-weight: 400;\">standard treatment c<strong>a pregnant woman with COVID-19.<\/strong><\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Previous treatment experience <strong>did not come to the conclusion<\/strong> on which method of administration is safest in this patient population. Scientists reported <strong>nine pregnant women with COVID-19<\/strong>. Seven of the women gave birth to their babies with<strong> cesarean<\/strong> and two with <\/span><strong>vaginal delivery<\/strong><span style=\"font-weight: 400;\">. All three newborns born by vaginal delivery<\/span><span style=\"font-weight: 400;\">(including two who were twins) had an Apgar score of at least 9 and a<\/span><span style=\"font-weight: 400;\">negative nucleic acid test for SARS-CoV-2.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">According to the study, while all mothers and infants showed good results, women were in the third trimester and had only mild symptoms. Hence the effect of infection<strong> SARS-CoV-2 in the fetus<\/strong> during the first or second trimester or in patients with moderate to severe infection <strong>remains to be investigated<\/strong><\/span><span style=\"font-weight: 400;\">. Further research is required <strong>for risk assessment<\/strong> and for drawing up guidelines for delivery times and methods <strong>in patients with COVID-19<\/strong>.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">According to a previous study, SARS virus infection <strong>during pregnancy<\/strong> can cause <strong>premature birth.<\/strong> In the study <strong>three newborns<\/strong> tested for<strong> SARS-CoV-2<\/strong>, two of which were negative. One newborn was positive, but the placental viral nucleic acid and umbilical cord blood tests were negative in this case. At the end of follow-up, no pneumonia or other clinical symptoms and signs were reported in any of these seven neonates. There is no reliable evidence to support the possibility of vertical transmission <strong>of COVID-19 infection<\/strong> from mother to baby. The results are in line with previous reports.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">But all these studies evaluated<strong> only a small number of cases<\/strong>. Future studies should include a larger number of sampling at multiple centers in order to determine if there may be <strong>vertical transmission between mother and newborn<\/strong>.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">However, understanding it<strong> SARS-CoV-2,<\/strong> especially the effect <strong>in pregnant women and newborns<\/strong>, is still insufficient. Research needs to be further strengthened to provide a sound basis for medical management for\u00a0 <strong>pregnant patients with COVID-19<\/strong>.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #00ccff;\"><b>* The content on this blog is not intended to replace professional medical advice, diagnosis or treatment. Always seek the advice of qualified health care providers with questions you may have about medical conditions.<\/b><\/span><\/p>","protected":false},"excerpt":{"rendered":"<p>Since December 2019, the outbreak of coronavirus disease (COVID-19), which originated in Wuhan, China, has become a global public health threat. On February 28, 2020, the WHO upgraded its assessment of the risk of spread and impact of COVID-19 to very high globally. [\u2026]<\/p>","protected":false},"author":9,"featured_media":4284,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[425],"tags":[283,294],"class_list":["post-4283","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-covid-19","tag-covid-19","tag-294"],"_links":{"self":[{"href":"https:\/\/dralexandrostraianos.gr\/en\/wp-json\/wp\/v2\/posts\/4283","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dralexandrostraianos.gr\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dralexandrostraianos.gr\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dralexandrostraianos.gr\/en\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/dralexandrostraianos.gr\/en\/wp-json\/wp\/v2\/comments?post=4283"}],"version-history":[{"count":0,"href":"https:\/\/dralexandrostraianos.gr\/en\/wp-json\/wp\/v2\/posts\/4283\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dralexandrostraianos.gr\/en\/wp-json\/wp\/v2\/media\/4284"}],"wp:attachment":[{"href":"https:\/\/dralexandrostraianos.gr\/en\/wp-json\/wp\/v2\/media?parent=4283"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dralexandrostraianos.gr\/en\/wp-json\/wp\/v2\/categories?post=4283"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dralexandrostraianos.gr\/en\/wp-json\/wp\/v2\/tags?post=4283"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}