COVID-19 and Pregnancy.

It is of greatest concern how COVID-19 is affecting pregnancy, mothers, and babies. Scientists are studying the impact of COVID-19 on pregnant women and babies and are understanding a little more every day. Reports show that there is an increased risk in pregnant women compared to nonpregnant women to get more serious illness due to COVID-19. Researchers are also investigating COVID-19 and its potential impact on a fetus. There are exceedingly rare cases of COVID-19 transmission to the fetus, and newborns can pick up COVID-19 when exposed. Vaccines are proved to be safe for pregnant women and help prevent both mother and the fetus from getting COVID-19 and are also highly effective to prevent COVID-19 infection, critical sickness, and fatalities in general. There are specific guidelines for labor and delivery during the COVID-19 pandemic which are to be imposed and followed to achieve safer and healthier childbirth. In this article, the overall influence of COVID-19 in pregnancy, its pathophysiology, effects on placenta and neonates, maternal and perinatal features and outcomes, the role of vaccination, available treatment options, and the guidelines to be followed during the pandemic are discussed based on the available scientific evidence.

Bilateral Adrenal Hemorrhage Following Femoral Hip Hemiarthroplasty: A Case Report.

Bilateral adrenal hemorrhage (BAH) is a rare and potentially fatal complication following total hip arthroplasty and low-molecule heparin use for DVT-prophylaxis. We present a case of a 64-year-old woman who sustained a femoral neck fracture, which was addressed with hip hemiarthroplasty. Twelve days postoperatively DVT was diagnosed and therapeutic doses of low-molecule-heparin were administered. The next day, CTPA was done searching for pulmonary embolism but BAH was shown and a short synacthen test confirmed the diagnosis of adrenal insufficiency. A therapeutic protocol with hydrocortisone was followed.

Axillary Artery Injury and By-Pass Restoration After Open Reduction of a Chronic Shoulder Dislocation: A Case Report.

Injury of the axillary artery after open reduction of a chronic shoulder dislocation is a rare and life-threatening condition. We present a case of an elderly woman suffering from a chronic shoulder dislocation which was addressed initially with close reduction and secondarily, after re-dislocation, with open reduction. Intraoperatively axillary artery rupture was established. By-pass restoration with a saphenous vein graft successfully managed the complication. The humeral head was immobilized in the glenoid with temporary K-wires. A CT-angiography was performed on the first and second days postoperatively.