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With widespread community transmission, women in particular face a risk ; a health advisory is essential. In our preconception with managing the COVID-19 pandemic,we should not lose sight of special issues that may pose problems for women in the reproductive age group.The special issues are of two kinds: one that relates to medical management of pregnancy and new born care. The second relates to the advisability of deliberately delaying pregnancy until the epidemic wanes and the disease becomes endemic.

NEED FOR PROTOCOLS ,FOLLOW-UP:

The Placenta is a special kind of organ that provides nourishment to the growing foetus- is highly vascular. It has been clearly demonstrated that in mothers infected close to the time of delievery, the virus can infect the placenta.A small percentage of newborn babies (1.4%) of such mothers have neonatal infection acquired from the mother.

If the virus infect the placenta in term pregnancy,can it not affect the placenta in the first three months of pregnancy? The important question that comes to mind , therefore is whether infection of the mother during the first trimester of pregnancy, the crucial period for the development of organ systems in the foetus, can cause congenital abnormalities.

ISSUE OF CONTRACEPTION:

There is a need to anticipate this eventuality and be prepared for it in the epidemic context, it is wiser to be cautious and advise effective contraception to postpone pregnancies till the probability of maternal viral infection minimal.

CUTTING INFECTION THREAT:

The lower birth rate till the epidemic wanes will ensure that there will be fewer children in the post pandemic phase for economically distressed families to care for and curtail disease transmission through children.\

The ICMR and governments globally evidence would do well to assess the situation review all available scientific and formulate and circulate an appropriate health advisory . India has the challenge and opportunity of adopting this policy and voicing its opinion in WHO.

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20 Oct 2020, 10:45 AM (GMT)

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