Post-COVID-19 and reproductive health (data from the survey and analysis of the results)

The article presents the data of a survey and analysis of the results of the studies «Post-covid syndrome in obstetrics and reproductive medicine» and «COVID-19 and reproductive health outside and during pregnancy» of 1000 patients of the obstetric department of the Filatov City Clinical Hospital No.15 of the Moscow Departament of Health for the period of the COVID-19 pandemic from March 27, 2020 to March 26, 2022. The state of the cardiovascular system of a group of patients after COVID-19 was separately assessed, a number of important parameters of myocardial function were identified to identify groups at high risk of cardiac complications and their long-term individual rehabilitation after infection. The importance of vaccination at the preconception stage in women and men, during pregnancy and lactation was noted. © 2023, Media Sphera Publishing Group. All rights reserved.

Post-COVID-19 consequences in Obstetrics and Reproductive Medicine

Post-COVID-19 syndrome is an urgent and acute problem with a diverse clinical picture, including reproductive disorders. The key to minimizing Post-COVID-19 complications is timely vaccination, active treatment of covid-associated inflammation and hypercoagulation syndrome, an individual rehabilitation program to maintain gynecological health and reproductive potential of each woman. The article presents the results of the work of the of the obstetric department of the Filatov City Clinical Hospital No.15 for the period of the COVID-19 pandemic from 03/27/2020 to 03/26/2022 (inclusive). The results of the study «Post-COVID-19 syndrome in Obstetrics and Reproductive Medicine» are presented. Issues of the impact of COVID-19 on the reproductive and sexual health of women and men were brought up for discussion. A clinical case with an effective multidisciplinary treatment and diagnostic tactics of management and a personalized rehabilitation program is demonstrated. © 2022, Media Sphera Publishing Group. All rights reserved.

Post-COVID-19 syndrome in Obstetrics and Reproductive Medicine

The article provides information on the Post-COVID-19 syndrome that is relevant today. Post-COVID-19 syndrome is systemic in nature and is manifested, as a rule, by persistent asthenia and neurocognitive impairment in patients. Possible mechanisms of prolonged pro-longation or the occurrence of various multiple organ complications in patients undergoing COVID-19 are considered. The ways of supporting patients with Post-COVID-19 syndrome is proposed, including for reducing significant socio-economic consequences. The analysis of the world literature was carried out, the lack of studies with a comprehensive and objective assessment of the quality of life of pregnant women and those who gave birth with COVID-19 was revealed. In order to understand the immediate and long-term consequences of the transferred new coronavirus infection in 1510 patients of the obstetric department of the Filatov City Clinical Hospital No.15 a questionnaire has been drawn up, the collection and analysis of the data obtained is being carried out. © 2021, Media Sphera Publishing Group. All rights reserved.

Labor outcomes and inpatient medical rehabilitation of patients with the novel coronavirus infection covid-19 (Data of the of the obstetric department of the filatov city clinical hospital no.15)

Presented are two clinical cases of pregnancy, childbirth and the postpartum period in patients with a new coronavirus infection COVID-19 of the obstetric department of the Filatov City Clinical Hospital No.15. Despite the severe course of the disease, an extremely high risk of fatal complications, thanks to clear routing, a multidisciplinary approach and effective treatment tactics, it was possible to successfully solve the most difficult medical and diagnostic problems, save the lives and preserve the health of patients and newborns. © 2021, Media Sphera Publishing Group. All rights reserved.

Vaccination against COVID-19 in pregnancy is safe and effective (Literature review)

This review provides current information on safety and effectiveness of COVID-19 vaccines for pregnant and lactating patients. Various vaccine types, information regarding reproductive toxicology studies and vaccines efficacy against variants of concern are described in the article. The review also reflects practice guidelines of international professional communities on the use of COVID-19 vaccines in pregnancy, including the World Health Organization, RCOG (Royal College of Obstetricians and Gynecologists), ACOG (American College of Obstetricians and Gynecologists), RANZCOG (Royal Australian and New Zealand College of Obstetricians and Gynaecologists), etc. Currently, there is no evidence of a negative impact of COVID-19 vaccines on male and women’s reproductive health. On the other hand, the negative consequences of COVID-19 infection are well known both on the reproductive health of men and on the course and outcomes of pregnancy. Results of analysis of data on the course of pregnancy, childbirth, the postpartum period and the condition of newborns in 891 patients with coronavirus infection and in 1694 patients without coronavirus infection of the obstetric department of the Filatov City Clinical Hospital No. 15 for the period from January 1, 2020 to April 25, 2021. It was revealed that patients with coronavirus infection have a higher risk of preterm birth, a higher probability of having premature babies, and a higher percentage of operative delivery, than in patients without coronavirus infection. Newborn children in patients with coronavirus infection were more often admitted to the intensive care unit, than children of patients without coronavirus infection. Patients with coronavirus infection have a higher perinatal mortality rate than patients without coronavirus infection. No data has been received to support vertical transmission of the virus from a mother infected with COVID-19 to her fetus. There were no specific changes in placental tissue in patients with coronavirus infection. Based on the available results of clinical studies on the safety and efficacy of COVID-19 vaccines, all mentioned professional communities (WHO, CDC, ACOG, RCOG, RANZCOG, etc.) strongly recommend getting COVID-19 vaccine for women who are pregnant or breastfeeding. © 2021, Media Sphera Publishing Group. All rights reserved.

Maternity care during coronavirus epidemic

The paper describes the healthcare service at the maternity hospital in the setting of an infectious hospital;describes the reception and sorting of pregnant women, women in labor, obstetric patients and newborns;analyzes indications for early and operative delivery, and provides the main results of maternity obstetric service in the presence of the pandemic. © 2020, Media Sphera Publishing Group. All rights reserved.

Restoration of reproductive health in women who recover from COVID-19. Several aspects

This review provides current information on the different aspects of restoration of reproductive health in women who recover from COVID-19. The article addresses various issues such as pregnancy management in women who recover from COVID-19, prevention of complications, recommendations for pregnancy planning, contraception and the use of assisted reproductive technologies in women who recover from COVID-19. The review reflects practice guidelines of international professional communities, including the RCOG (Royal College of Obstetricians and Gynecologists) and ESHRE (European Society of Human Reproduction and Embryology). The relationship between the psychological state of women who recover from COVID-19 and reproductive health is also considered. © 2020, Media Sphera Publishing Group. All rights reserved.