banner
booknow

Book an Appointment

Blogs mathrutva


Clinical Recommendations for pregnancy during Coronavirus Pandemic

2020-04-01

pregancy protection tips during coronavirus

 

As the novel coronavirus disease (COVID-19) spreads around the world it is important for the patients to know how this virus is going to affect their infertility treatments and to the ones who are desiring to get pregnant. Currently, very little is known about the impact of COVID-19 on reproduction and pregnancy. There are reports of women who have tested positive for COVID-19 delivering babies free of the disease.

For the patients who are currently undergoing their treatment in the fresh cycle, their embryos should be frozen rather than new ones being transferred and once the situation is settled then naturally or by medication a Frozen Embryo Transfer cycle can be undertaken. 

Some guidelines that should be followed during the time was this pandemic-

            1.Suspension of the initiation of the new treatment cycle

            2.Cancellation of embryo transformation

            3. Suspend elective surgeries and non-urgent diagnostic procedures.

            4. Minimize in-person interactions and increase the utilization of telehealth.

Nonetheless, patients who have high chances of having COVID-19  (fever and/or cough, shortness of breath, and either exposure within 6 feet of a confirmed COVID-19 patient and within 14 days of onset of symptoms, or a positive COVID-19 test result), should strive to avoid pregnancy at this stage. If these patients are undergoing active infertility treatment, we suggest that they consider freezing all oocytes or embryos and avoid an embryo transfer until they are disease-free.

Along with others in the medical community, the reproductive medical professionals are battling unprecedented viral pandemic. The guidance mentioned only serves as a guideline keeping in mind the current scenario of the world. The recommendations laid out are guided by COVID-19’s steep daily rise in incidence, the impact of the virus on patient health and fertility care providers, and the known and unknown impact of coronavirus on fertility, pregnancy, and transmission. These are to ensure the health and safety of the patients and providers. Also, to abide by the social responsibility and guidelines laid out for national security during such unprecedented time.

However, we also value and understand the patients’ time-sensitive aspiration to achieve a pregnancy and that’s why we reassess the recommendations with the hope to soon resume our comprehensive fertility care.

Recommendations

  1. Practice Management- Modifying or suspending the active in-person management of patients is considered with the principles of risk mitigation and resource conservation.
           
  • Suspending initiation of new treatment cycles, including ovulation induction, intrauterine insemination (IUIs), in vitro fertilization (IVF), and non-urgent gamete cryopreservation.
  • Cessation of embryo transfers, whether fresh or frozen, given the situation at hand and the data surrounding the impact and potential risk of COVID-19 on pregnancy, the fetus and child well-being.
  • Care would be continued to provide for those who have already initiated oral medication.
  • Suspension of any non-urgent diagnosis is advisable
    Currently, there is no data on the risk of pregnancy complications when COVID-19 is acquired during the first or early second trimester of pregnancy. However necessary physicians, anesthesia, nursing, and embryology team members are at disposal for urgent care. 

    2. Management Of The Embryology And Andrology Laboratories-

      A critical component of modern infertility therapy is the embryologists, andrologists, and their laboratories.

  • Staffing and Equipment- Laboratories are ensuring a minimum number of staff required to perform quality control activities for the ensuring survival of gamete and embryo. Training of lab members in the event of staff illness or the need for quarantine.
  • Handling Specimens from COVID-19 Infected Individuals- Patients with active COVID-19 should not undergo fertility treatment unless the urgent requirement of fertility preservation. Any laboratory spaces, cabinets or incubators used previously for handling specimens from infected individuals should be thoroughly decontaminated
  • Tissue Storage- emergency plans for tank storage and maintenance and ensure that tank maintenance continues without interruption.

3. Psychological Health And Well-Being Of Patients And Staff-

        Patients may suffer through several psychological concerns like anxiety and questions, patients’ concerns include cancellation of treatment cycles, fear of running out of time to achieve pregnancy, and the potential impact of coronavirus and COVID-19 on pregnancy. The following are some steps taken by us to tackle such distress.

  • Increased need for emotional and psychological support in both patients and staff. Mental health professionals are to be utilized to help support patients and staff at risk for serious psychological or emotional issues.
  • Telemental health practices used to increase accessibility to mental health professionals and to be consistent with social distancing practices.

Enquiry

Patient Experience mathrutva

Hospital Locations mathrutva


7338190382