RESUMEN
'G' antigen belongs to the Rh family and it was first described by Allen and Tippet in 1958. Various anti-D, anti-C, and anti-G antibody combinations can be found in patients. Ruling out the presence of anti-D is important for administering RhIg prophylaxis in RhD-negative pregnant women to prevent hemolytic disease of fetus and newborn (HDFN). RhIg prophylaxis is not indicated in the presence of an anti-D antibody. Time-to-time monitoring and follow-up of cases of RhD-negative pregnant women with a multi-disciplinary approach including an obstetrician, neonatologist, and transfusion medicine specialist helps diagnose, manage, and monitor HDFN in such cases. This case report emphasizes the need for proper antibody identification (anti-G) and managing HDFN (with intrauterine transfusions and exchange transfusion) during the perinatal period.
RESUMEN
Body stalk anomaly, with a prevalence of 0.12 in 10,000 births, occurs when abdominal organs develop outside the abdominal cavity while remaining attached to the placenta in the fetus. This article relates to a rare case of body stalk anomaly detected in the first trimester of pregnancy. The images presented are characteristic to the anomaly. A postnatal evaluation confirmed the findings and helped in comprehensive counseling of the patient.
RESUMEN
BACKGROUND: Novel coronavirus (SARS-CoV-2) is responsible for the current global pandemic and understandably, Obstetrics is not spared. Private maternity hospitals have a unique challenge of reassuring unaffected patients of uneventful delivery with the lowest possible rate of coronavirus infection while consequently offering compassionate and state of art services to women who turn out to be positive for SARS-CoV-2. This has led to a routine SARS-CoV-2 testing of all patients before admission in many of the private hospitals in India. The current study was undertaken to determine the incidence of SARS-COV-2 among asymptomatic pregnant women and to ascertain the utility of universal screening in these women. METHODOLOGY: A retrospective observational multi-center study was conducted over a period of approximately 5 months (1-May-2020 to 10-September-2020) in a chain of privately run maternity hospitals with presence in multiple cities across India. All asymptomatic pregnant women were tested for SARS-CoV-2 prior to elective/emergency hospital admission. RESULTS: Among 4158 women tested, 54 (1.3%) were positive for SARS-CoV-2 and intra partum and postnatal period was uneventful for all of them. CONCLUSION: Universal screening should be continued as preferred approach to ensure low anxiety levels of delivering women and safety of frontline workers. Further, universal screening helps avoid emergence of maternity centers as virus clusters by effective isolation of identified positive cases and minimizing points of contact.
