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COVID-19 and pregnancy, doctors explain the possible risks involvedHighlights
- According to a study, India reported first case of miscarriage due to COVID
- A Mumbai based woman suffered a miscarriage when she was 13 weeks pregnant
- Doctors explain the risk factors in pregnancies due to COVID-19
New Delhi: Recently, a Mumbai based woman who was in her late 20s suffered a miscarriage due to COVID-19, stated a study done by National Institute of Research in Reproductive Health (NIRRH). This is the first time a miscarriage due to COVID-19 is being reported in India.
The woman, a security guard in a government hospital in Mumbai, was in her first trimester and had contracted COVID-19 when she was eight weeks pregnant. Earlier, the woman showed no symptoms, but a precautionary nasopharyngeal test returned positive for the virus, and she was admitted to institutional isolation. About four weeks later, a second test showed no trace of the virus, but a week later (when she was 13 weeks pregnant), a routine ultrasound test found that the foetus had died.
Th doctors in this particular case concluded that SARS-CoV-2 virus had travelled into the umbilical cord, placenta and possibly caused inflammation and the death in the foetus. The paper was posted on August 22 on MedRxiv, an online site that publishes pre-prints of medical and scientific papers.
There are not many known COVID-19 related complications in pregnancy that has been documented and there is also the limited research on how the novel coronavirus can affect the unborn child. To know about the case in details and COVID-19 impact on pregnancy, NDTV speaks with top doctors.
Also Read: Mothers Should Continue To Breastfeed Even If They Are COVID-19 Positive, Experts Say It Is ‘Safe’
Talking about the risks involved in pregnancy during COVID-19 times, Dr Kaberi Banerjee, Gynecologist says,
The vertical transmission in COVID has been reported to be lower than other viruses. Like in SARS virus the vertical transmission rate from the mother to the baby is about 25 per cent but in COVID, as we all know, is a new virus and is evolving virus, the studies about the transmission and the total number of such cases is still limited to the medical community. But we can give a rate about less than 5 per cent. However, we all know that this virus is always evolving and maybe we will see some more cases of vertical transmission as we have seen in the Mumbai case.
Dr Banerjee further adds that the literature so far has said that there is a risk of placental contamination with this virus as we have seen in Mumbai case but it is very-very less. She said,
However, very less doesn’t mean zero risk. In every decision in life, we need to do the risk and benefit analysis, I think, if the women go ahead and take all the precautions like wearing mask, social distancing and hand hygiene, I think they will be good to go ahead with their pregnancies.
Giving advice to all the mothers to be and how they can save themselves from the possible COVID virus, Dr Banerjee said,
We have seen that the incident of total number of cases to the total number of recoveries is very very high and as many people are saying we cannot put lives on hold as we don’t know when this virus will go, we don’t know when the vaccine will come. So the advice is that we can still go ahead with conception having known that the risk of preterm labour (delivery before time) is slightly higher in pregnancies with COVID, the risk of transmission from mother to child is low, even in fertility and natural pregnancy, people are going ahead with their lives, it is just that they need to know about the possible risk factors. But at the same time the risk is not that huge to hold on pregnancies till the indefinite time.
Also Read: Pregnancy In The Times Of A Pandemic: What Impact Can COVID-19 Have On Moms-To-Be And Babies
Dr. Jyoti Vajpayee, a gynecologist based in Lucknow highlighting the fear and uncertainties in pregnant women due to COVID said,
Pregnant women are vulnerable to the COVID-19 infection because of the changes in their body and the immune system so it has been advised by the government that pregnant women should take extra precautions just as the elderly. This creates a sense of fear and anxiety in women who are pregnant. They are missing their ante-natal check-ups which may cause further complications later on. We still need a system in place for online check-ups so that the contraction risk is reduced to zero and the vulnerable group like the pregnant women doesn’t have to step out of the house.
Also Read: Expert Blog: Why Is The Focus On First 1000 Days From Health Perspective Of Mother And Child?
Dr. Rakesh Sahay, Endocrinologist and Diabetologist, and Professor at Osmania Medical College in Hyderabad adds that still limited information is out there when it comes to COVID-19 and its impact on pregnant women but we have seen cases previously where COVID-19 mothers have given birth to healthy and normal children WHO were also not infected with the virus and now the first case has come up which has linked COVID-19 with miscarriage, so there is still a lot which needS to be researched and covered in terms of COVID and its impact on pregnant woman.
Currently, in order to guide pregnant women in managing their pregnancy and healthcare workers in taking care of pregnant women, Indian Council for Medical Research (ICMR) and National Institute for Research in Reproductive Health (NIRRH) have issued a set of guidelines. As per the guidelines, if a woman meets the criteria for COVID-19 testing, she should be tested and until test results are available, she should be treated as though she has confirmed COVID-19. The guidelines also say that pregnant women with heart disease are at the highest risk of becoming COVID-19 positive and all the pregnant women are advised to increase their social distancing to reduce the risk of infection and practice hand hygiene at all the times.
The guided documents also says that during the term of pregnancy and delivery process, a single person should be permitted to stay with the women and if pregnant women are self-quarantined because someone in their household may have symptoms of COVID-19, doctor’s appointments should be delayed for 14 days.
NDTV – Dettol Banega Swasth India campaign is an extension of the five-year-old Banega Swachh India initiative helmed by Campaign Ambassador Amitabh Bachchan. It aims to spread awareness about critical health issues facing the country. In wake of the current COVID-19 pandemic, the need for WASH (Water, Sanitation and Hygiene) is reaffirmed as handwashing is one of the ways to prevent Coronavirus infection and other diseases. The campaign highlights the importance of nutrition and healthcare for women and children to prevent maternal and child mortality, fight malnutrition, stunting, wasting, anaemia and disease prevention through vaccines. Importance of programmes like Public Distribution System (PDS), Mid-day Meal Scheme, POSHAN Abhiyan and the role of Aganwadis and ASHA workers are also covered. Only a Swachh or clean India where toilets are used and open defecation free (ODF) status achieved as part of the Swachh Bharat Abhiyan launched by Prime Minister Narendra Modi in 2014, can eradicate diseases like diahorrea and become a Swasth or healthy India. The campaign will continue to cover issues like air pollution, waste management, plastic ban, manual scavenging and sanitation workers and menstrual hygiene.
World
2,52,21,935Cases
77,57,387Active
1,66,18,163Recovered
8,46,385Deaths
Coronavirus has spread to 188 countries. The total confirmed cases worldwide are 2,52,21,935 and 8,46,385 have died; 77,57,387 are active cases and 1,66,18,163 have recovered as on August 31, 2020 at 4:07 am.
India
36,21,245 78512Cases
7,81,975 16673Active
27,74,801 60868Recovered
64,469 971Deaths
In India, there are 36,21,245 confirmed cases including 64,469 deaths. The number of active cases is 7,81,975 and 27,74,801 have recovered as on August 31, 2020 at 2:30 am.
State & District Details
| State | Cases | Active | Recovered | Deaths |
|---|---|---|---|---|
|
DistrictCases Akola757 Aurangabad1974 Dhule228 Jalgaon1039 Mumbai45478 Mumbai Suburban5363 Nagpur692 Nashik1575 Palghar1421 Pune9920 Satara629 Solapur1291 Thane13660 Yavatmal150 Ahmednagar190 Amravati291 Beed54 Bhandara41 Buldhana88 Chandrapur32 Hingoli208 Jalna201 Kolhapur646 Latur139 Nanded176 Nandurbar42 Parbhani78 Raigad1462 Ratnagiri350 Sangli145 Gadchiroli42 gondia69 Osmanabad125 Sindhudurg114 Wardha11 Washim13 |
780689 16408 |
193889 8422 |
562401 7690 |
24399 296 |
|
DistrictCases Chittoor319 Guntur511 Krishna557 Kurnool795 Sri Potti Sriramulu Nell*296 Anantapur428 East Godavari356 Prakasam104 Srikakulam183 Visakhapatnam103 West Godavari199 Y.S.R.205 Vizianagaram23 |
424767 10603 |
99129 1448 |
321754 9067 |
3884 88 |
|
DistrictCases Bengaluru Rural40 Bengaluru Urban529 Mysuru107 Bagalkote103 Ballari60 Belagavi337 Bidar219 Chikkaballapura149 Dakshina Kannada179 Dharwad61 Gadag45 Kalaburagi669 Mandya346 Tumakuru36 Uttara Kannada95 Vijayapura201 Chamarajanagara0 Chikkamagaluru19 Chitradurga14 Davangere204 Hassan205 Haveri24 Kodagu4 Kolar29 Koppal5 Raichur369 Ramanagara3 Shivamogga67 Udupi1176 Yadgir538 |
335928 8852 |
88110 1645 |
242229 7101 |
5589 106 |
|
DistrictCases North Goa57 South Goa69 |
17004 451 |
3635 |
13186 457 |
183 5 |
|
DistrictCases Chengalpattu1314 Chennai23324 Kanchipuram503 Madurai322 Namakkal83 Ranipet133 Thanjavur130 Thiruvallur774 Thiruvarur67 Tiruppur116 Vellore71 Virudhunagar185 Ariyalur444 Coimbatore188 Cuddalore477 Dharmapuri15 Dindigul175 Erode75 Kallakurichi324 Kanniyakumari110 Karur88 Nagapattinam99 Perambalur133 Pudukkottai53 Ramanathapuram119 Salem258 Sivaganga46 Tenkasi103 The Nilgiris17 Theni129 Tiruchirappalli119 Tirunelveli433 Tirupathur45 Tiruvannamalai496 Tuticorin333 Villupuram509 Krishnagiri43 |
422085 6495 |
52721 |
362133 6406 |
7231 94 |
|
DistrictCases Kannur357 Kottayam73 Alappuzha76 Idukki40 Kasaragod333 Kollam118 Kozhikode90 Malappuram119 Palakkad224 Pathanamthitta98 Thiruvananthapuram104 Thrissur106 Ernakulam60 Wayanad36 |
73855 2154 |
23719 377 |
49849 1770 |
287 7 |
|
DistrictCases Raipur46 Korba100 Balod41 Baloda Bazar85 Balrampur17 Bastar2 Bemetara21 Bijapur2 Bilaspur100 Dantewada0 Dhamtari6 Durg31 Gariyaband10 Janjgir-Champa56 Jashpur77 Kabirdham52 Kanker19 Kondagaon0 Korea39 Mahasamund54 Mungeli87 Narayanpur0 Raigarh47 Rajnandgaon52 Sukma0 Surajpur9 Surguja14 |
30092 1346 |
13520 854 |
16303 485 |
269 7 |
|
DistrictCases Hyderabad2475 MedchalMalkajgiri75 Ranga Reddy183 Suryapet87 Vikarabad40 Warangal Urban32 Adilabad22 Jagitial77 Jangoan8 Jayashankar Bhupalapally9 Jogulamba Gadwal40 Kamareddy11 Karimnagar17 Khammam26 Kumuram Bheem Asifabad8 Mahabubnagar30 Mancherial43 Medak11 Nalgonda33 Narayanpet3 Nirmal21 Nizamabad76 RajannaSircilla16 Sangareddy26 Bhadradri Kothagudem5 Mahabubabad10 Mulugu3 Nagarkurnool8 Peddapalli5 Siddipet7 Wanaparthy1 Warangal Rural4 YadadriBhuvanagiri40 |
124963 1873 |
31299 15 |
92837 1849 |
827 9 |
|
DistrictCases Baleshwar190 Bhadrak137 Jajapur322 Dhenkanal36 Kalahandi33 Kendrapara164 Khordha238 Koraput16 Sundargarh102 Anugul26 Balangir129 Bargarh16 Boudh34 Cuttack155 Deogarh33 Gajapati61 Ganjam581 Jagatsinghapur91 Jharsuguda8 Kandhamal28 Kendujhar34 Malkangiri20 Mayurbhanj73 Nabarangpur2 Nayagarh86 Nuapada69 Puri103 Rayagada2 Sambalpur16 Sonepur29 |
100934 3014 |
27219 483 |
73233 2519 |
482 12 |
|
DistrictCases Barwani60 Bhopal1880 Dewas140 Dhar132 East Nimar266 Gwalior211 Indore3839 Jabalpur276 Ujjain799 Agar Malwa15 Alirajpur3 Betul35 Burhanpur351 Chhindwara16 Dindori29 Harda4 Hoshangabad37 Khargone196 Mandsaur112 Morena109 Raisen71 Ratlam51 Sagar228 Shajapur39 Shandol14 Sheopur26 Tikamgarh18 Vidisha37 Anuppur22 Ashoknagar13 Balaghat9 Bhind87 Chhatarpur35 Damoh26 Datia12 Guna8 Jhabua14 Katni3 Mandla15 Narsinghpur17 Neemuch319 Niwari0 Panna20 Rajgarh31 Rewa39 Satna24 Sehore12 Seoni2 Shivpuri15 Sidhi17 Singrauli13 Umaria10 |
62433 1558 |
13592 475 |
47467 1054 |
1374 29 |
|
DistrictCases Ahmadabad17125 Anand107 Arvalli134 Banas Kantha147 Bhavnagar146 Gandhinagar410 PanchMahals107 Surat2311 Vadodara1555 Bharuch56 Botad55 Chhotaudepur37 Dang5 Dohad43 GirSomnath45 Jamnagar63 Kachchh99 Kheda98 Mahesana159 Mahisagar125 Narmada25 Naysari35 Patan105 Rajkot135 SabarKantha101 Surendranagar55 Tapi6 Valsad47 Amreli16 DevbhumiDwarka22 Junagadh31 Morbi4 Porbandar11 |
95009 1275 |
15272 163 |
76731 1095 |
3006 17 |
|
DistrictCases Ajmer379 Banswara91 Bharatpur563 Jaipur2177 Jhalawar329 Jodhpur1748 Kota503 Nagaur500 Alwar90 Barmer34 Bhilwara250 Bikaner112 Chittorgarh188 Churu81 Dausa61 Dholpur60 Dungarpur374 Hanumangarh31 Jaisalmer53 Jhunjhunu64 Karauli17 Pali352 Rajsamand140 SawaiMadhopur26 Sikar231 Tonk171 Udaipur724 Baran59 Bundi5 Ganganagar8 Jalore164 Pratapgarh14 Sirohi130 |
80227 1450 |
14091 |
65093 2122 |
1043 13 |
|
DistrictCases Faridabad867 Sonipat404 Ambala93 Bhiwani60 CharkiDadri43 Fatehabad38 Gurugram2950 Hisar98 Jhajjar114 Jind38 Kaithal48 Karnal104 Kurukshetra55 Nuh68 Palwal120 Panchkula39 Panipat78 Rohtak145 Sirsa50 Yamunanagar19 Mahendragarh47 Rewari56 |
63282 1295 |
10980 374 |
51620 909 |
682 12 |
|
DistrictCases Agra933 Aligarh215 Amroha80 Bareilly17 Bijnor157 Bulandshahr166 Firozabad190 Gautam Buddha Nagar1119 Kanpur Nagar286 Lucknow386 Mathura129 Meerut504 Moradabad252 Muzaffarnagar117 Rae Bareli78 Rampur203 Saharanpur298 Sant Kabeer Nagar132 Varanasi243 Auraiya37 Ayodhya120 Azamgarh138 Baghpat68 Bahraich73 Balrampur49 Banda27 Basti214 Bhadohi60 Budaun23 Etah52 Etawah46 Ghaziabad794 Ghazipur159 Gonda59 Gorakhpur166 Hapur225 Hardoi49 Jalaun41 Jaunpur194 Jhansi41 Kannauj69 Kasganj16 Kaushambi6 Mainpuri46 Mau48 Mirzapur22 Pilibhit15 Pratapgarh15 Prayagraj30 Sambhal116 Shamli40 Shravasti23 Sitapur32 Sultanpur97 Unnao42 Ambedkar Nagar92 Amethi206 Ballia60 Barabanki168 Chandauli38 Chitrakoot4 Deoria143 Farrukhabad36 Fatehpur3 Hamirpur3 Hathras43 Kanpur Dehat4 Kheri72 Kushi Nagar67 Lalitpur3 Maharajganj85 Mahoba3 Shahjahanpur25 Siddharth Nagar159 Sonbhadra10 |
225632 6175 |
54666 1306 |
167543 4802 |
3423 67 |
|
DistrictCases Central4817 East2472 New Delhi3405 North3059 North East1914 North West5463 Shahdara1580 South2329 South East2446 South West2391 West4768 |
173390 2024 |
14793 753 |
154171 1249 |
4426 22 |
|
DistrictCases Dhubri30 Goalpara19 Marigaon50 Baksa14 Barpeta28 Biswanath16 Bongaigaon12 Cachar80 Charaideo29 Chirang6 Darrang20 Dhemaji47 Dibrugarh61 Dima Hasao86 Golaghat203 Hailakandi57 Hojai89 Jorhat24 Kamrup42 Kamrup Metro276 KarbiAnglong13 Karimganj85 Kokrajhar37 Lakhimpur57 Majuli2 Nagaon143 Nalbari23 Sivasagar20 Sonitpur27 South SalmaraMancachar4 Tinsukia84 Udalguri28 West KarbiAnglong5 |
105774 1980 |
21551 556 |
83927 1417 |
296 7 |
|
DistrictCases East District3 North District0 South District3 West District0 |
1627 25 |
404 |
1220 25 |
3 |
|
DistrictCases Buxar134 Gaya115 Munger188 Patna279 Rohtas256 Arwal52 Aurangabad75 Banka134 Begusarai243 Bhagalpur266 Bhojpur103 Darbhanga143 Gopalganj123 Jehanabad178 Kaimur (bhabua)105 Lakhisarai72 Madhepura82 Madhubani199 Nalanda123 Nawada122 PurbiChamparan138 Purnia135 Saran101 Siwan139 Vaishali87 Araria68 Jamui47 Katihar175 Khagaria253 Kishanganj75 Muzaffarpur96 Pashchim Champaran57 Saharsa88 Samastipur139 Sheikhpura118 Sheohar20 Sitamarhi73 Supaul87 |
135035 2032 |
17333 |
117124 2352 |
578 17 |
|
DistrictCases 24 Paraganas North1031 24 Paraganas South281 Darjeeling97 Howrah1435 Jalpaiguri88 Kalimpong18 Kolkata2777 Maldah235 Medinipur East153 Medinipur West159 Hooghly604 Murshidabad125 Nadia139 Paschim Bardhaman70 Purba Bardhaman130 Alipurduar39 Bankura116 Birbhum206 Coochbehar210 Dinajpur Dakshin50 Dinajpur Uttar216 Jhargram9 Purulia66 |
159785 3019 |
25657 |
130952 3308 |
3176 50 |
|
DistrictCases South Andamans33 Nicobars1 North And Middle Andaman1 |
3104 23 |
473 |
2586 67 |
45 1 |
|
DistrictCases Pondicherry111 Karaikal2 Mahe4 Yanam0 |
14127 571 |
4938 104 |
8968 457 |
221 10 |
|
DistrictCases Anjaw0 Changlang31 Dibang Valley0 East Kameng0 East Siang1 Kamle0 KraDaadi0 KurungKumey0 Leparada0 Lohit3 Longding0 Lower Dibang Valley0 Lower Siang0 Lower Subansiri0 Namsai2 PakkeKessang1 Papum Pare8 Shi Yomi0 Siang0 Tawang1 Tirap0 Upper Siang1 Upper Subansiri0 West Kameng0 West Siang1 |
4034 157 |
1205 87 |
2822 68 |
7 2 |
|
DistrictCases Dimapur20 Kiphire3 Kohima7 Longleng0 Mokokchung0 Mon8 Peren2 Phek1 Tuensang3 Wokha0 Zunheboto0 |
3922 71 |
887 |
3026 109 |
9 |
|
DistrictCases Dadra And Nagar Haveli20 |
2340 34 |
296 |
2042 44 |
2 |
|
DistrictCases Ranchi148 Bokaro16 Deoghar5 Dhanbad32 Garhwa80 Giridih19 Hazaribagh110 Jamtara2 Koderma58 Simdega48 Chatra1 Dumka5 East Singhbum170 Godda2 Gumla28 Khunti10 Latehar14 Lohardaga8 Pakur4 Palamu27 Ramgarh75 Sahebganj0 SaraikelaKharsawan20 West Singhbhum21 |
38435 1578 |
11577 220 |
26448 1345 |
410 13 |
|
DistrictCases Gomati74 North Tripura14 Dhalai196 Khowai24 Sepahijala174 South Tripura53 Unakoti49 West Tripura45 |
11644 337 |
4108 131 |
7433 201 |
103 5 |
|
DistrictCases Kargil77 LehLadakh43 |
2638 35 |
847 21 |
1757 12 |
34 2 |
|
DistrictCases Anantnag395 Bandipora175 Shopian255 Srinagar300 Baramulla271 Budgam110 Ganderbal37 Jammu138 Kathua53 Kulgam295 Kupwara231 Rajouri39 Ramban151 Reasi26 Samba25 Udhampur155 Mirpur0 Muzaffarabad0 Doda27 Kishtwar10 Poonch35 Pulwama108 |
37163 786 |
7959 287 |
28510 490 |
694 9 |
|
DistrictCases Chamba29 Hamirpur117 Kangra105 Sirmaur11 Solan32 Una41 Bilaspur21 Kinnaur2 Kullu4 Lahaul And Spiti0 Mandi21 Shimla10 |
5945 164 |
1460 21 |
4450 142 |
35 1 |
|
DistrictCases Jalandhar297 Ludhiana293 Patiala132 Amritsar485 Barnala25 Faridkot74 Firozepur50 Gurdaspur154 Hoshiarpur140 Kapurthala44 Mansa31 Moga65 Pathankot86 S.A.S Nagar137 Sangrur107 Shahid Bhagat Singh Nagar (Nawanshahr)99 Sri Muktsar Sahib71 Tarn Taran163 Bathinda60 Fatehgarh Sahib57 Fazilka53 Rupnagar (Ropar)74 |
52526 1678 |
15375 |
35747 1656 |
1404 56 |
|
DistrictCases Haridwar94 Dehradun370 Nainital323 Almora71 Bageshwar31 Chamoli36 Champawat45 PauriGarhwal36 Pithoragarh43 Rudraprayag30 Tehri Garhwal110 Udam Singh Nagar83 Uttar Kashi24 |
19235 664 |
5912 177 |
13066 480 |
257 7 |
|
DistrictCases Bishnupur7 Chandel5 Churachandpur32 Imphal East10 Imphal West21 Jiribam3 Kakching2 Kamjong5 Kangpokpi26 Noney1 Pherzawl3 Senapati6 Tamenglong2 Tengnoupal9 Thoubal18 Ukhrul4 |
6112 152 |
1845 99 |
4239 53 |
28 |
|
DistrictCases Chandigarh313 |
4155 170 |
1807 115 |
2296 48 |
52 7 |
|
DistrictCases East Khasi Hills22 East Garo Hills0 East Jaintia Hills0 North Garo Hills1 Ribhoi0 South Garo Hills0 South West Garo Hills4 South West Khasi Hills0 West Garo Hills5 West Jaintia Hills1 West Khasi Hills1 |
2343 60 |
1284 46 |
1049 14 |
10 |
|
DistrictCases Aizawl10 Champhai0 Hnahthial0 Khawzawl0 Kolasib11 Lawngtlai2 Lunglei2 Mamit8 Saiha0 Saitual1 Serchhip0 |
1011 3 |
422 |
589 5 |
0 |
|
DistrictCases Lakshadweep District0 |
0 |
0 |
0 |
0 |
