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Pregnant women admitted to intensive care face significant risks to their own lives as well as a 12-times higher rate of having a stillbirth, research showed. ....
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Objective: Pregnant women with autoimmune rheumatic diseases are considered to have a high risk of obstetric complications with the emergence of the Coronavirus disease (COVID-19) pandemic. Therefore, we aimed to assess the impact of COVID-19 on this high-risk group.
Methods: This cross-sectional cohort study (March to December 2020) was conducted at the largest tertiary center in Qatar (Hamad Medical Corporation). Eighty consecutive patients following up at the center during pregnancy were surveyed through telephonic interviews. Data on COVID-19 and pregnancy outcomes were extracted from electronic hospital records.
Results: Eighty pregnant women with autoimmune rheumatic diseases were included. Among them, 17 (21.3%) (95% confidence interval [CI]: 12.9-31.8%) were diagnosed with COVID-19, five were hospitalized, and only one required intensive care unit admission. The proportion of adverse obstetric outcomes in the cohort was 29.5% (n = 23; 95% CI: 19.7-40.9%). Prem ....
We were told not to speak out, but i will do it and take the consequences because it has the right thing to do. i am clear that there is no support for those that speak up. the trust has more than 60 local actions for learning arising from this final report. our review team examined every area of maternity care at the trust including antenatal, labour, postnatal, neonatal, mothers who have died and obstetric anaesthesia and find that improvements were needed for staffing levels, training, investigation and learning as well as listening to families. in addition we have actions for governance for maternity services at the trust as well as how it supports families, particularly the bereaved. in addition, they must improve how they support its own staff and shows that staff can raise concerns ....