{"id":2635,"date":"2020-04-29T15:58:13","date_gmt":"2020-04-29T10:28:13","guid":{"rendered":"https:\/\/yashivf.com\/blog\/?p=2635"},"modified":"2020-04-29T15:58:27","modified_gmt":"2020-04-29T10:28:27","slug":"coronavirus-positive-in-pregnancy-what-steps-to-take","status":"publish","type":"post","link":"https:\/\/yashivf.com\/blog\/coronavirus-positive-in-pregnancy-what-steps-to-take\/","title":{"rendered":"Coronavirus Positive in Pregnancy &#8211; What Steps To Take"},"content":{"rendered":"\n<p>There are 3 scenarios that need to be taken into account as far as pregnant women are concerned. Response of the lady should depend upon the scenario facing her and her family.<\/p>\n\n\n\n<p>&#8211; First case is one in which the pregnant lady is suspected to be positive, awaiting results of investigations.<\/p>\n\n\n\n<p>&#8211; Second case is &#8211; the pregnant woman is confirmed positive for Covid-19, the infection caused by the Novel Coronavirus.<\/p>\n\n\n\n<p>&#8211; third case is &#8211; Someone in close proximity, to whom the pregnant woman has been exposed, is positive. She herself is asymptomatic.<\/p>\n\n\n\n<p>Given the prevailing Coronavirus pandemic situation, it is vitally important that each and every case of COVID-19 (infection caused by Coronavirus), <strong>whether suspected or confirmed &#8211;<\/strong><\/p>\n\n\n\n<ol><li>Cooperates in getting herself isolated and appropriately treated. The isolation and treatment may be done either at a Govt. hospital or at a Govt. authorised private institution.&nbsp;<\/li><li>Assists in exhaustive contacts tracing at the earliest. This is critical to snap the chain of transmission.&nbsp;<\/li><li>Enables the Private Institution where tested, to Notify the Government, as this is mandatory by law.&nbsp; Specific Guidelines have been issued by the Govt of India governing the notification of COVID-19 positive cases by Private organisations, to the concerned district surveillance unit.&nbsp;<\/li><li>Those with a travel history of COVID-19 affected areas also need to assist their health provider submit the <strong>self-declaration forms <\/strong>related to their travel history.&nbsp;<\/li><li>If Pregnant women with such a travel history in the last 14 days are showing symptoms of COVID-19, they are required to be isolated in a hospital and get tested for COVID-19 as per protocol. They will be required to ensure that the institution forwards Information of their cases to the State helpline number,&nbsp; the national helpline 1075 and&nbsp; an Email to be sent to <a href=\"mailto:ncov2019@gov.in\" target=\"_blank\" rel=\"noreferrer noopener\">ncov2019@gov.in<\/a>.&nbsp;<\/li><\/ol>\n\n\n\n<h4><strong>Quarantine for pregnant women exposed to a COVID-19 patient<\/strong><\/h4>\n\n\n\n<p>Quarantine may be at home or in a facility designated by the state which includes hotels, hostels, guesthouses or hospitals. This has been shown to be an effective measure against the spread of infection. On the other hand, <strong>Isolation <\/strong>refers to the separation and restriction of movements of <strong>ill <\/strong>persons who have a contagious disease in order to prevent its transmission to others. It typically occurs in a hospital setting or a special facility. At present, in India, all symptomatic patients who have a positive test for COVID19 are being isolated.&nbsp;<\/p>\n\n\n\n<p>The criteria for quarantine are the same for pregnant women and the general population. These criteria, duration and measures may be changed with the passage of time as per advice of the Government of India.&nbsp;<\/p>\n\n\n\n<p>A contact in the context of COVID-19 is:&nbsp;<\/p>\n\n\n\n<p>&#8211; A person living in the same household as a COVID-19 case&nbsp;<\/p>\n\n\n\n<p>&#8211; A person having had direct physical contact with a COVID-19 case or his\/her infectious secretions without recommended personal protective equipment (PPE) or with a possible breach of PPE&nbsp;<\/p>\n\n\n\n<p>&#8211; A person who was in a closed environment or had face to face contact with a COVID-19 case at a distance of less than 1 meter, including during air travel.&nbsp;<\/p>\n\n\n\n<p>The term Quarantine&nbsp;<strong>is employed&nbsp;in the case of healthy persons who are required <\/strong>to be separated and whose movement&nbsp; needs to be restricted.&nbsp; It is done for those who are known to be directly or indirectly exposed, or suspected to be exposed to a&nbsp;<strong>disease,&nbsp;in this case Covid-19, to ascertain&nbsp;<\/strong>if they will become ill.&nbsp;<\/p>\n\n\n\n<p>These are women who are asymptomatic despite exposure to Covid-19, but may develop the disease subsequently up to 11 days of exposure. Quarantine&nbsp;<strong>could be&nbsp;at home <\/strong>or&nbsp;<strong>at a&nbsp;<\/strong>state designated facility,&nbsp;<strong>which could be a&nbsp;<\/strong>hotel, hostel, guesthouse or hospital.&nbsp;<\/p>\n\n\n\n<p>This method has been shown to be&nbsp;<strong>an efficient&nbsp;<\/strong>measure against the spread of infection.&nbsp;<\/p>\n\n\n\n<h4><strong>What Is The Difference Between Quarantining And Isolation<\/strong><\/h4>\n\n\n\n<p>As opposed to Quarantine at home or designated facility, Isolation refers to the separation and restriction of movements of <strong>ill persons <\/strong>who have a&nbsp;<strong>contagion,&nbsp;so as&nbsp;to stop&nbsp;<\/strong>its transmission to others.&nbsp;<\/p>\n\n\n\n<p>Isolation typically requires<strong> a&nbsp;<\/strong>hospital setting or a specially designated facility.&nbsp;<\/p>\n\n\n\n<p><strong>Presently<\/strong> in India, all symptomatic patients who have a positive test for COVID19 are being isolated.<\/p>\n\n\n\n<p>The criteria for quarantine are&nbsp;<strong>the same&nbsp;<\/strong>for both pregnant women&nbsp;<strong>as well as normal women<\/strong>. These criteria, duration and measures&nbsp;<strong>could also be&nbsp;<\/strong>changed with the passage&nbsp;<strong>of time,&nbsp;<\/strong>as per advice of&nbsp;<strong>the govt&nbsp;<\/strong>of India.&nbsp;<\/p>\n\n\n\n<p>A contact&nbsp;<strong>within the&nbsp;<\/strong>context of COVID-19 is:<\/p>\n\n\n\n<p>&#8211; A person living&nbsp;<strong>within the&nbsp;<\/strong>same household as a COVID-19 case<\/p>\n\n\n\n<p>&#8211; A person having had direct physical contact with a COVID-19 case or his\/her infectious secretions without recommended personal protective equipment (PPE) or with a possible breach of PPE<\/p>\n\n\n\n<p>&#8211; A person who was&nbsp;<strong>in a&nbsp;<\/strong>closed environment or had face to face contact with a COVID-19 case at a distance of under 1 meter, including&nbsp;during <strong>air travel<\/strong>.<\/p>\n\n\n\n<h4><strong>Instructions for home quarantine of Contacts<\/strong><\/h4>\n\n\n\n<p>The home quarantined person should:<\/p>\n\n\n\n<p>\u00b7 Set herself up in a properly ventilated single-room, which should ideally have an attached toilet or access to a separate toilet.<\/p>\n\n\n\n<p>\u00b7 If another&nbsp;family member<strong>&nbsp;must&nbsp;<\/strong>stay&nbsp;<strong>within the&nbsp;<\/strong>same room, it&#8217;s advisable&nbsp;<strong>to arrange to maintain&nbsp;<\/strong>a distance of&nbsp;<strong>a minimum of&nbsp;<\/strong>1 meter between&nbsp;<strong>the two<\/strong>.<\/p>\n\n\n\n<p>\u00b7&nbsp;<strong>must&nbsp;avoid contact within the household with&nbsp;&#8211; <\/strong>elderly people, pregnant women, children and persons with co-morbidities.<\/p>\n\n\n\n<p>\u00b7 Restrict his\/her movement within the house.<\/p>\n\n\n\n<p>Under no circumstances attend any social\/religious gathering e.g. wedding, condolences, etc.&nbsp;<\/p>\n\n\n\n<p>General health measures to be followed in quarantine include hand washing, avoiding sharing fomites, wearing a surgical mask and changing it every 6&nbsp;<strong>to eight&nbsp;<\/strong>hours with correct disposal in 1% hypochlorite solution.&nbsp;<\/p>\n\n\n\n<p>If symptoms appear during quarantine, the pregnant woman should contact a&nbsp;<strong>clinic&nbsp;<\/strong>by telephone and follow the given advice.&nbsp;<\/p>\n\n\n\n<p><strong>relations&nbsp;<\/strong>of the pregnant woman quarantined&nbsp;<strong>reception&nbsp;<\/strong>should keep a distance from her&nbsp;<strong>in the least&nbsp;<\/strong>times and avoid direct contact&nbsp;<strong>together with her&nbsp;<\/strong>and her fomites. Disposable gloves should be&nbsp;<strong>utilized in&nbsp;<\/strong>case soiled linen&nbsp;<strong>has got to&nbsp;<\/strong>be handled. Visitors&nbsp;<strong>shouldn&#8217;t&nbsp;<\/strong>be allowed. Clothes should be washed separately. The duration of home quarantine is 14 days from the time of exposure to a con\uf001rmed case or earlier if a test is performed on a suspect case and&nbsp;<strong>it&#8217;s&nbsp;<\/strong>negative.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>There are 3 scenarios that need to be taken into account as far as pregnant women are concerned. Response of the lady should depend upon the scenario facing her and her family. &#8211; First case is one in which the pregnant lady is suspected to be positive, awaiting results of investigations. &#8211; Second case is [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":2641,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[53],"tags":[],"_links":{"self":[{"href":"https:\/\/yashivf.com\/blog\/wp-json\/wp\/v2\/posts\/2635"}],"collection":[{"href":"https:\/\/yashivf.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/yashivf.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/yashivf.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/yashivf.com\/blog\/wp-json\/wp\/v2\/comments?post=2635"}],"version-history":[{"count":2,"href":"https:\/\/yashivf.com\/blog\/wp-json\/wp\/v2\/posts\/2635\/revisions"}],"predecessor-version":[{"id":2643,"href":"https:\/\/yashivf.com\/blog\/wp-json\/wp\/v2\/posts\/2635\/revisions\/2643"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/yashivf.com\/blog\/wp-json\/wp\/v2\/media\/2641"}],"wp:attachment":[{"href":"https:\/\/yashivf.com\/blog\/wp-json\/wp\/v2\/media?parent=2635"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/yashivf.com\/blog\/wp-json\/wp\/v2\/categories?post=2635"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/yashivf.com\/blog\/wp-json\/wp\/v2\/tags?post=2635"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}