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1.
Recurso de Internet en Portugués | LIS - Localizador de Información en Salud | ID: lis-48168

RESUMEN

O Ministério da Saúde do Brasil e a Organização Pan-Americana da Saúde (OPAS) lançam uma série de videoaulas para orientar profissionais de saúde sobre as melhores práticas de assistência a gestantes e puérperas no contexto da pandemia de COVID-19.


Asunto(s)
Infecciones por Coronavirus/prevención & control , Betacoronavirus , Mujeres Embarazadas , Periodo Posparto , Equipo de Protección Personal , Atención Prenatal , Infecciones por Coronavirus/transmisión
2.
Natl Vital Stat Rep ; 70(2): 1-51, 2021 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-33814033

RESUMEN

Objectives-This report presents 2019 data on U.S. births according to a wide variety of characteristics. Trends in fertility patterns and maternal and infant characteristics are described and interpreted. Methods-Descriptive tabulations of data reported on the birth certificates of the 3.75 million births that occurred in 2019 are presented. Data are presented for maternal age, livebirth order, race and Hispanic origin, marital status, tobacco use, prenatal care, source of payment for the delivery, method of delivery, gestational age, birthweight, and plurality. Selected data by mother's state of residence and birth rates by age are also shown. Trend data for 2010 through 2019 are presented for selected items. Trend data by race and Hispanic origin are shown for 2016-2019. Results-A total of 3,747,540 births were registered in the United States in 2019, down 1% from 2018. The general fertility rate declined from 2018 to 58.3 births per 1,000 women aged 15-44 in 2019. The birth rate for females aged 15-19 fell 4% between 2018 and 2019. Birth rates declined for women aged 20-34 and increased for women aged 35-44 for 2018-2019. The total fertility rate declined to 1,706.0 births per 1,000 women in 2019. Birth rates declined for both married and unmarried women from 2018 to 2019. The percentage of women who began prenatal care in the first trimester of pregnancy rose to 77.6% in 2019; the percentage of all women who smoked during pregnancy declined to 6.0%. The cesarean delivery rate decreased to 31.7% in 2019 (Figure 1). Medicaid was the source of payment for 42.1% of all births in 2019. The preterm birth rate rose for the fifth straight year to 10.23% in 2019; the rate of low birthweight was essentially unchanged from 2018 at 8.31%. Twin and triplet and higher-order multiple birth rates both declined in 2019 compared with 2018.


Asunto(s)
Tasa de Natalidad/tendencias , Adolescente , Adulto , Certificado de Nacimiento , Orden de Nacimiento , Tasa de Natalidad/etnología , Peso al Nacer , Grupos de Población Continentales/estadística & datos numéricos , Parto Obstétrico/economía , Parto Obstétrico/métodos , Femenino , Edad Gestacional , Hispanoamericanos/estadística & datos numéricos , Humanos , Recién Nacido , Masculino , Estado Civil/etnología , Estado Civil/estadística & datos numéricos , Edad Materna , Persona de Mediana Edad , Madres/estadística & datos numéricos , Progenie de Nacimiento Múltiple/estadística & datos numéricos , Embarazo , Atención Prenatal/estadística & datos numéricos , Uso de Tabaco/epidemiología , Uso de Tabaco/etnología , Estados Unidos/epidemiología , Adulto Joven
3.
Artículo en Inglés | MEDLINE | ID: mdl-33753426

RESUMEN

BACKGROUND: The impact of COVID-19 on pregnant inflammatory bowel disease (IBD) patients is currently unknown. Reconfiguration of services during the pandemic may negatively affect medical and obstetric care. We aimed to examine the impacts on IBD antenatal care and pregnancy outcomes. METHODS: Retrospective data were recorded in consecutive patients attending for IBD antenatal care including outpatient appointments, infusion unit visits and advice line encounters. RESULTS: We included 244 pregnant women with IBD, of which 75 (30.7%) were on biologics in whom the treatment was stopped in 29.3% at a median 28 weeks gestation. In addition, 9% of patients were on corticosteroids and 21.5% continued on thiopurines. The care provided during 460 patient encounters was not affected by the pandemic in 94.1% but 68.2% were performed via telephone (compared with 3% prepandemic practice; p<0.0001). One-hundred-ten women delivered 111 alive babies (mean 38.2 weeks gestation, mean birth weight 3324 g) with 12 (11.0%) giving birth before week 37. Birth occurred by vaginal delivery in 72 (56.4%) and by caesarean section in 48 (43.6%) cases. Thirty-three were elective (12 for IBD indications) and 15 emergency caesarean sections. Breast feeding rates were low (38.6%). Among 244 pregnant women with IBD, 1 suspected COVID-19 infection was recorded. CONCLUSION: IBD antenatal care adjustments during the COVID-19 pandemic have not negatively affected patient care. Despite high levels of immunosuppression, only a single COVID-19 infection occurred. Adverse pregnancy outcomes were infrequent.


Asunto(s)
/complicaciones , Enfermedades Inflamatorias del Intestino/tratamiento farmacológico , Enfermedades Inflamatorias del Intestino/epidemiología , Atención Prenatal/estadística & datos numéricos , Corticoesteroides/uso terapéutico , Adulto , Alopurinol/análogos & derivados , Alopurinol/uso terapéutico , Productos Biológicos/uso terapéutico , Lactancia Materna/estadística & datos numéricos , /epidemiología , Cesárea/estadística & datos numéricos , Parto Obstétrico/estadística & datos numéricos , Femenino , Edad Gestacional , Humanos , Enfermedades Inflamatorias del Intestino/virología , Embarazo , Resultado del Embarazo/epidemiología , Estudios Retrospectivos , Reino Unido/epidemiología , Privación de Tratamiento
4.
Infect Dis Poverty ; 10(1): 37, 2021 Mar 24.
Artículo en Inglés | MEDLINE | ID: mdl-33761984

RESUMEN

BACKGROUND: The COVID-19 has caused significant toll over the globe. Pregnant women are at risk of infection. The present study examined the frequency of washing hands with soap and wearing face mask when going out, prevalence of depression and anxiety, and identified their associated factors among pregnant women during the early phase of COVID-19 outbreak in China. METHODS: A cross-sectional online survey was conducted between 24 February and 3 March 2020. A total of 15 428 pregnant women who were using maternal health care services in China completed a questionnaire which assessed their socio-demographic and pregnancy-related characteristics, contextual, cognitive and social factors related to COVID-19, frequency of washing hands and wearing face masks, and depression and anxiety. Logistics regression analyses were performed to identify the associated factors of preventive behaviours and mental health. RESULTS: The prevalence of probable anxiety and depression was 28.2% and 43.6% respectively. 19.8% reported always wearing face mask when going out, and 19.1% reported washing hands with soap for more than 10 times per day. Results from logistic regression analyses showed that older age was associated with lower levels of depression and anxiety (OR = 0.42-0.67) and higher frequency of washing hands (OR = 1.57-3.40). Higher level of education level was associated with probable depression (OR = 1.31-1.45) and higher frequency of wearing face mask (OR = 1.50-1.57). After adjusting for significant socio-demographic and pregnancy-related factors, place of residence being locked down (aOR = 1.10-1.11), being quarantined (aOR = 1.42-1.57), personally knowing someone being infected with COVID-19 (aOR = 1.80-1.92), perception that COVID-19 would pose long term physical harm to human (aOR = 1.25-1.28) were associated with higher levels of depression and anxiety, while the perception that the disease will be under control in the coming month was associated with lower levels of depression and anxiety (aOR = 0.59-0.63) and lower tendency of always wearing face mask (aOR = 0.85). Social support was associated with lower levels of depression and anxiety (aOR = 0.86-0,87) and higher frequency of washing hands (aOR = 1.06). CONCLUSIONS: The mental health and preventive behaviours of pregnant women during COVID-19 outbreak was associated with a range of socio-demographic, pregnancy-related, contextual, cognitive and social factors. Interventions to mitigate their mental health problems and to promote preventive behaviours are highly warranted.


Asunto(s)
/prevención & control , Conductas Relacionadas con la Salud , Salud Mental , Complicaciones Infecciosas del Embarazo/prevención & control , Adulto , Factores de Edad , China , Depresión/epidemiología , Escolaridad , Femenino , Desinfección de las Manos/tendencias , Humanos , Modelos Logísticos , Servicios de Salud Materna/estadística & datos numéricos , Oportunidad Relativa , Equipo de Protección Personal , Embarazo , Complicaciones Infecciosas del Embarazo/psicología , Atención Prenatal , Prevalencia , Factores de Riesgo , Apoyo Social , Encuestas y Cuestionarios , Adulto Joven
7.
West Afr J Med ; 38(3): 206-212, 2021 03 22.
Artículo en Inglés | MEDLINE | ID: mdl-33764716

RESUMEN

BACKGROUND: There have been calls for privatisation of public health facilities to improve quality of care received. The study compared antenatal and delivery services received in public and private health facilities in Nigeria. METHODS: The study was based on 2018 Nigeria Demographic and Health Survey data collected from women aged 15-49 years, concerning their pregnancy and delivery. Data on those that attended antenatal clinic (ANC) in public or private facilities and had live births in the preceding five years was analysed. Simple logistic regression was used to test for association between type of facility for ANC and delivery and the care received. RESULTS: A total of 15,811 women attended ANC in public (12,921, 81.7%) and private (2,890, 18.3%) facilities, and 12,399 delivered in public (8,583, 69.2%) and private (3,817, 30.8%) facilities. Type of facility attended was associated with number of ANC visits (OR=3.89; p<0.001), blood sample taken (OR=1.16; p=0.029), iron supplementation (OR=0.49; p<0.001), deworming (OR=0.74; p<0.001), receiving all the components of ANC service (OR=0.79; p<0.001), and skilled birth attendance (OR=3.81; p<0.001). However, it was not associated with blood pressure measurement (OR=1.07; p=0.459), urine sample taken (OR=1.05; p=0.486), postnatal check (OR=0.94; p=0.171) and timing of postnatal check (OR=0.73; p=0.185). CONCLUSION: While private facilities had more ANC visits and skilled birth attendance, overall provision of ANC services was better in the public facilities. Therefore, antenatal and delivery services were not necessarily better in private facilities. Beyond availability, further studies are needed to compare the quality of antenatal and delivery services in public and private facilities.


Asunto(s)
Atención Prenatal , Instalaciones Privadas , Adolescente , Adulto , Instituciones de Atención Ambulatoria , Demografía , Femenino , Humanos , Persona de Mediana Edad , Nigeria , Embarazo , Adulto Joven
8.
BMC Pediatr ; 21(1): 150, 2021 03 29.
Artículo en Inglés | MEDLINE | ID: mdl-33781214

RESUMEN

BACKGROUND: Prematurity escalates the crisis of the infants a susceptible group of the society. Multiple delivery further intensifies the susceptibility of both family and health system. A comprehensive care is, thus, necessary to ensure the optimal growth and development of such multiple-births. Accompanied by trainings, challenges, and strategies, the present study was conducted based on a two-year report of comprehensive care management experience on two sets of multiple infants. METHODS: A qualitative case study approach was used to survey these two sets of premature infants (quadruplet and quintuplet) and their families. The data were collected through medical files, interviews, questionnaire, field presence, phone call and WhatsApp application, and continued follow-ups. Content analysis was performed based on survey and interventions during a period of two years in Isfahan, Iran (2018-2020). RESULTS: Case presentation and comprehensive care management are the main areas resulted from this study. The results of the study were categorized in eight challenging areas (categories) and strategies including sterility and infertility period, transition from the intrauterine to neonatal intensive care unit (NICU), discharge process, physical and developmental status, home visit and home care, development of care plan, socio-economic support, and coronavirus nightmare. CONCLUSION: Based on challenges and strategies during these two years, the situation of the multiple-birth infants and their families' needs should be identified as the first prerequisites in an inter-professional approach and in collaboration with the health providers. Isfahan University of Medical Sciences, Welfare Organization, and the charities were the parties involved with this process in our study. It was also found that developing a separate specific package of comprehensive care management plan for multiple-births is a necessity.


Asunto(s)
Recien Nacido Prematuro , Unidades de Cuidado Intensivo Neonatal , Atención Perinatal/organización & administración , Embarazo Múltiple , Femenino , Humanos , Lactante , Recién Nacido , Irán , Alta del Paciente , Embarazo , Atención Prenatal , Cuádruples , Quíntuples
9.
Anaesthesia ; 76 Suppl 4: 69-75, 2021 04.
Artículo en Inglés | MEDLINE | ID: mdl-33682091

RESUMEN

Infectious diseases can directly affect women and men differently. During the COVID-19 pandemic, higher case fatality rates have been observed in men in most countries. There is growing evidence, however, that while organisational changes to healthcare delivery have occurred to protect those vulnerable to the virus (staff and patients), these may lead to indirect, potentially harmful consequences, particularly to vulnerable groups including pregnant women. These encompass reduced access to antenatal and postnatal care, with a lack of in-person clinics impacting the ability to screen for physical, psychological and social issues such as elevated blood pressure, mental health issues and sex-based violence. Indirect consequences also encompass a lack of equity when considering the inclusion of pregnant women in COVID-19 research and their absence from vaccine trials, leading to a lack of safety data for breastfeeding and pregnant women. The risk-benefit analysis of these changes to healthcare delivery remains to be fully evaluated, but the battle against COVID-19 cannot come at the expense of losing existing quality standards in other areas of healthcare, especially for maternal health.


Asunto(s)
/epidemiología , Salud Materna , Anestesia Obstétrica , /inmunología , Femenino , Humanos , Salud Mental , Embarazo , Atención Prenatal
10.
Eur J Paediatr Dent ; 22(1): 5, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33719475

RESUMEN

One of the main information channels on oral health during pregnancy is direct and regular contact with obstetricians and gynecologists, who are the health professionals that future mothers consult most often during pregnancy. Thus, it would be desirable to promote information campaigns on dental topics aimed at women, starting with pre- and post-partum courses, to prepare them for the changes of the perinatal period. In recent years, health professionals have increasingly focused on maternal health during pregnancy. In a survey conducted in the United States just over ten years ago on a large sample of obstetrician-gynecologists, most respondents recognised the importance of pregnancy care. However, 77% of respondents had not advised the patients to undergo dental checkups, and 73% seldom asked the patients whether they had seen a dentist in the past 12 months [Morgan, 2009]. In light of these discouraging findings, in 2012 the American College of Obstetricians and Gynecologists and the American Dental Academy devised appropriate guidelines [OHRC, 2012]: It would be desirable to promote similar initiatives globally, and we ask our readers to report to us the current status in their own country. Regarding Italy, the recent partnership between the European Federation of Periodontology and the Italian Society of Periodontology has made it possible to offer a wealth of useful information, accessible online, aimed at professionals and expectant mothers as an aid to achieve optimal oral health in pregnancy [EFP and SIdP, 2017]. Thanks to the compliance and the positive attitude of future mothers, as a result of the support of healthcare professionals and widespread dissemination, it is now possible to reduce the incidence of both pregnancy-related and childhood diseases. We are well aware that the paediatric dentist is often consulted too late, in the presence, for instance, of advanced carious lesions. Therefore it is crucial for general and paediatric dentists to inform future mothers on the critical issues that may arise during pregnancy and the first years of their child's life, and to provide them a set of instructions, starting with basic notions such as the recommended frequency of brushing and the correct use of fluorinated toothpastes. Finally, it would be useful to promote programmes that are aimed at evaluating the patients' knowledge about aspects such as prevention and oral health. This would aid in identifying any weaknesses in the current prevention strategies, and help health professionals implement targeted projects supported by both the private sector and the national health system in order to include all the information required to achieve true primary prevention.


Asunto(s)
Madres , Salud Bucal , Niño , Femenino , Personal de Salud , Humanos , Italia , Embarazo , Atención Prenatal , Estados Unidos
11.
J Prim Care Community Health ; 12: 2150132721996892, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33660538

RESUMEN

INTRODUCTION: Evidences suggest a significant decline in maternal health service uptake following the coronavirus disease 2019 (COVID-19) pandemic in Ethiopia. However, COVID-19 related factors impacting the service uptake are not sufficiently addressed. Hence, the current study was intended to explore COVID-19 related factors influencing antenatal care service uptake in rural Ethiopia. METHODS: A community-based qualitative study was conducted from September 25/2020 to November 25/2020 among selected pregnant women residing in rural districts of Bench-Sheko Zone, and healthcare providers working in the local health care facilities. Six focus group discussions and 9 in-depth interviews were made between pregnant women, and health care providers, respectively. Data was collected by health education and behavioral science professionals who also have experience in qualitative data collection procedure. Data were transcribed, translated, and analyzed thematically using Open Code 4.0 software. RESULT: The study revealed several COVID-19 related factors influencing the uptake of antenatal care service during the pandemic. Health facility related barriers, perceived poor quality of care during the pandemic, government measures against COVID-19, anxiety related to the pandemic, and risk minimization were the identified factors possibly influencing the current antenatal care service uptake among women in rural Bench-Sheko Zone. CONCLUSION: COVID-19 preventive measures, and health facility related factors and individual factors were responsible for the current decline in antenatal care service uptake. Preserving essential health care service is critical to prevent avoidable losses of maternal and child lives during the pandemic period. Hence, programs and strategies designed to maintain maternal health services particularly, antenatal care service have better take the above determinants into consideration.


Asunto(s)
Pandemias , Aceptación de la Atención de Salud , Atención Prenatal , Población Rural , Adulto , Ansiedad , /psicología , Control de Enfermedades Transmisibles , Etiopía , Femenino , Grupos Focales , Instituciones de Salud , Personal de Salud , Accesibilidad a los Servicios de Salud , Humanos , Motivación , Aceptación de la Atención de Salud/psicología , Embarazo , Mujeres Embarazadas/psicología , Salud Pública , Investigación Cualitativa , Calidad de la Atención de Salud
12.
Midwifery ; 96: 102940, 2021 May.
Artículo en Inglés | MEDLINE | ID: mdl-33601126

RESUMEN

PURPOSE: The aim of the study was to create and to validate the Polish version of the original English version of the Pandemic-Related Pregnancy Stress Scale (PREPS) developed by Preis and colleagues (2020a; 2020b) We additionally investigated the association of maternal obstetrical and pandemic related factors with the PREPS in order to test its sensitivity. METHODS: A cross-sectional study design with nonrandom sampling was used. The sample consisted of a total of 1148 pregnant women in various trimesters. They were recruited via social media and completed an online study questionnaire in April-May 2020. RESULTS: The results of the present research indicate satisfactory psychometric properties of the Polish version of the PREPS. Our findings confirm the factor structure found by the authors of the original English version of the PREPS. The scale consists of two stress subscales: perinatal infection stress and preparedness stress and one additional positive appraisal scale. Pandemic-related pregnancy stress is significantly associated with fear of childbirth and with non-pandemic pregnancy-specific stress, which bolsters its convergent validity. Higher levels of pandemic-related pregnancy stress are experienced by primiparas, those in their second or third trimester, women who received infertility treatment, and those with a high-risk pregnancy. CONCLUSIONS: The Polish version of the PREPS has sound psychometric properties and replicates the structure of the original English PREPS. This stress scale can be used to investigate additional impacts of the COVID-19 pandemic and to identify women at risk of high stress and those who need intervention.


Asunto(s)
/psicología , Parto , Trastornos Fóbicos/psicología , Complicaciones del Embarazo/psicología , Psicometría , Adolescente , Adulto , Estudios Transversales , Femenino , Humanos , Persona de Mediana Edad , Pandemias , Polonia , Embarazo , Trimestres del Embarazo , Atención Prenatal , Encuestas y Cuestionarios , Traducciones , Adulto Joven
16.
Medicine (Baltimore) ; 100(4): e23627, 2021 Jan 29.
Artículo en Inglés | MEDLINE | ID: mdl-33530164

RESUMEN

BACKGROUND: Intrahepatic cholestasis of pregnancy (ICP) is a common complication in the third trimester of pregnancy, which may result in premature delivery, fetal distress, stillbirth, and other adverse pregnancy outcomes. Ursodeoxycholic acid (UDCA) is a first-line treatment for ICP and has been controversial in improving adverse pregnancy outcomes. The purpose of this protocol is to systematically evaluate the effect of UDCA on pregnancy outcomes in patients with intrahepatic cholestasis during pregnancy. METHODS: To search the databases PubMed, Embase, Web of Science, the Cochrane Library, CNKI, WanFang, VIP, CBMDIsc by computer, then to include randomized controlled clinical studies on UDCA for treatment of intrahepatic cholestasis during pregnancy from the establishment of the database to October 1, 2020. Two researchers independently extract and evaluate the data of the included studies, and meta-analysis is conducted on the included literatures using RevMan5.3 software. RESULTS: This protocol evaluates the outcome of UDCA in improving ICP by incidence of postpartum hemorrhage in pregnant women preterm birth rates meconium contamination rate in amniotic fluid incidence of fetal distress scale of newborns scoring <7 in 5-min Apgar incidence of neonatal admission to neonatal intensive care unit. CONCLUSION: This protocol will provide an evidence-based basis for clinical use of UDCA in the treatment of intrahepatic cholestasis during pregnancy. ETHICS AND DISSEMINATION: Private information from individuals will not be published. This systematic review also does not involve endangering participant rights. Ethical approval was not required. The results may be published in a peer-reviewed journal or disseminated at relevant conferences. OSF REGISTRATION NUMBER: DOI 10.17605 / OSF.IO / BE67H.


Asunto(s)
Colagogos y Coleréticos/uso terapéutico , Colestasis Intrahepática/tratamiento farmacológico , Complicaciones del Embarazo/tratamiento farmacológico , Resultado del Embarazo/epidemiología , Atención Prenatal/métodos , Ácido Ursodesoxicólico/uso terapéutico , Femenino , Sufrimiento Fetal/epidemiología , Sufrimiento Fetal/etiología , Humanos , Incidencia , Recién Nacido , Metaanálisis como Asunto , Embarazo , Nacimiento Prematuro/epidemiología , Nacimiento Prematuro/etiología , Proyectos de Investigación , Mortinato/epidemiología , Revisiones Sistemáticas como Asunto , Resultado del Tratamiento
18.
J Subst Abuse Treat ; 123: 108268, 2021 04.
Artículo en Inglés | MEDLINE | ID: mdl-33612199

RESUMEN

Since the onset of the COVID-19 pandemic, several federal, state, and payor policy changes have facilitated the uptake of telehealth service delivery. These changes have resulted in a significant uptick in the utilization of maternal mental health and substance use disorder screening and treatment services for pregnant and postpartum women. The Medical University of South Carolina's [MUSC] Women's Reproductive Behavioral Health Program provides outpatient mental health and substance use treatment to pregnant and postpartum women within obstetric practices. With the onset of COVID-19, our program converted all of its screening for and treatment of mental health and substance use disorders to remote platforms. Lessons learned during this time may lay the foundation for transitioning to sustainable telehealth-based referral and delivery of substance use treatment more broadly.


Asunto(s)
Servicios de Salud Materna , Complicaciones del Embarazo , Atención Prenatal , Trastornos Relacionados con Sustancias , Telemedicina , Femenino , Humanos , Embarazo , Derivación y Consulta , South Carolina
19.
Artículo en Inglés | MEDLINE | ID: mdl-33533811

RESUMEN

Chagas disease (CD) is caused by the protozoan Trypanosoma cruzi and it is mainly acquired through the vector route, however, blood transfusion and congenital transmission are implicated in the spread of the illness worldwide. The congenital route can occur at any stage of pregnancy and its frequency varies. In the Federal District, in Brazil, the frequency of T. cruzi infection in pregnant women and their offspring has not been updated. Thus, the aim of this study was to estimate the prevalence of T. cruzi infection in pregnant women and the rate of congenital transmission in the Federal District. A cross-sectional study was conducted to estimate the seroprevalence of T. cruzi from 2014 to 2016 in the population of pregnant women attended by the public health service throughout the Federal District and a descriptive cohort for the evaluation of congenital transmission. During the study, prenatal data of 98,895 women were consulted and pregnant women registered in 2016, presenting with positive T. cruzi serology, were part of the descriptive cohort. The estimated prevalence of T. cruzi infection in the three years was 0.19% and the congenital transmission rate was 1/40 (2.5%). Our results have shown that, although the main routes of transmission of CD have been interrupted, there is still a risk of congenital transmission in the Federal District. This present study highlights the need for the continuous implementation of a screening program for pregnant women and timely treatment of infected newborns and children.


Asunto(s)
Enfermedad de Chagas/epidemiología , Transmisión Vertical de Enfermedad Infecciosa/estadística & datos numéricos , Complicaciones Parasitarias del Embarazo/epidemiología , Trypanosoma cruzi/aislamiento & purificación , Brasil/epidemiología , Enfermedad de Chagas/diagnóstico , Enfermedad de Chagas/transmisión , Niño , Estudios Transversales , Femenino , Humanos , Recién Nacido , Embarazo , Mujeres Embarazadas , Atención Prenatal , Prevalencia , Estudios Seroepidemiológicos
20.
Ginekol Pol ; 92(1): 57-63, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33576491

RESUMEN

Rapid spread of severe acute respiratory syndrome coranovirus-2 virus (SARS-CoV-2) caused the pandemic of Coronavirus Disease 19 (COVID-19). Clinical course of the disease presents symptoms mainly from the respiratory system such as: cough, dyspnea and fever, and among some patients, can deteriorate even further to acute respiratory distress syndrome (ARDS), eventually leading to death. This outbreak, as well as previous ones (SARS, MERS) pose a significant challenge for health care managers, epidemiologists and physicians. Below we are presenting the clinical profile of the COVID-19 among special group of patients; pregnant women and newborns, who require special clinical management during hospitalization. In the summary of this manuscript, we present practical guidelines for managing pregnant women infected with SARS-CoV-2, labor and care of the newborn of a positive mother, as well as practical guidelines for COVID-19 vaccinations. It is important to stress, that this manuscript is based on information available as of December 2020.


Asunto(s)
/epidemiología , Complicaciones Infecciosas del Embarazo/epidemiología , Atención Prenatal , /prevención & control , Femenino , Humanos , Recién Nacido , Transmisión Vertical de Enfermedad Infecciosa/prevención & control , Polonia , Guías de Práctica Clínica como Asunto , Embarazo , Complicaciones Infecciosas del Embarazo/etiología , Complicaciones Infecciosas del Embarazo/prevención & control , Factores de Riesgo
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