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Although the corona is not at the center of our agenda now, it is still here, and people are still contracting the virus, and suffering from its long-term consequences.
Even today, the world of medicine faced many questions and dilemmas regarding the treatment of people infected with the corona virus, and these dilemmas are difficult but more so when it comes to pregnant women.
Now, a new Israeli study may help treat pregnant women who are ill with severe corona.
The study revealed that there is an advantage to the child of pregnant women who are hospitalized in intensive care units due to the corona virus, before there is a deterioration in their condition approaching the need for ventilation.
The study was conducted by Prof. Yehuda Ginosar, director of the Maternal and Child Anesthesia Unit of the Hadassah Medical Center and head of the Department of Anesthesia, Intensive Care and Pain Medicine of the Faculty of Medicine of the Hebrew University, and was recently published in the medical journal Lancet Respiratory Medicine.
A complex medical issue.
A doctor in the Corona ward (Photo: ShutterStock)
"During the epidemic, especially when the delta variant arrived, we recognized that the course of the disease in pregnant women is more severe than in non-pregnant women," explains Prof. Ginoser, "The number of pregnant women who were hospitalized in intensive care and needed supportive care and even more, was greater than the number of women who arrived in intensive care And they weren't pregnant. The arrival of pregnant women sick with Corona to the intensive care unit raised many questions in the clinical aspect and the way they were treated, and one of the big questions was whether it was worth giving birth to them and whether the very act of giving birth would improve their condition or make it worse."
He added that during pregnancy, pressure occurs on the diaphragm and the lungs, "and we know that childbirth will lower the abdominal pressure and thus the patient's lung functions may improve. On the other hand, we know that in the first days after giving birth there is an increase in blood volume and in women suffering from cardiac damage this may cause insufficiency heart.
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Under the leadership of Prof. Ginosar together with Dr. Elena Patnik, a senior physician in the anesthesiology department at Hadassah Ein Kerem and Prof. Vernon Van Heerden, the director of the intensive care unit at Hadassah Ein Kerem, a study began at Hadassah to which almost all hospitals in Israel were recruited. "For two years we examined the The condition of all pregnant women who were hospitalized in intensive care units due to the corona virus and we followed their condition throughout the days of hospitalization in intensive care," explains Prof. Ginoser, "After collecting all the data, we focused especially on the period of five days before the birth and ten days after the birth.
After analyzing all the data, we saw a clear distribution between the groups of women: the day of delivery was a turning point that differentiated the women - the condition of those who were ventilated or had indicators that indicated that they were on the way to being ventilated worsened after delivery, compared to the women who were hospitalized in intensive care only with treatment supportive, and were not close to the need for ventilation - which improved very quickly after the birth."
"The data point unequivocally to the time when we must intervene," Prof. Ginosar concludes.
"When a pregnant woman comes to the intensive care unit with acute pneumonia due to the corona virus, and her blood oxygenation level does not improve despite the supportive treatment, the child should be considered as soon as possible (usually by caesarean section) in order to treat her in the best way and not wait for her condition to deteriorate until she is close for the need for ventilation. We hope that our research will help many medical teams make decisions regarding the treatment of pregnant women who are sick with the corona virus all over the world."
health
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Corona
pregnancy