Informative pandemic has affected every corner of life what to talk of health and health of all categories not only of maternal perinatal etc basically such a dreaded disease related to health services which had crumbled up in front of huge problem
Nice updates but I think there is direct effect of covid infection if pregnant lady is affected.I knew two case one had abortion after covid inf and one had still birth 1 month after covid infection and mother also died perhaps due to heart attack.
NICE ILLUSTRATION IT HAS BEEN POSTULATED THAT COVID PANDEMIC ISSUE DIES NOT HAVE MUCH EFFECT ON CHILDREN AND DUE TO THEIR HIGH IMMUNITY HOWEVER PREGNANCY ITSELF IS A KIND OF REFERING LOW IMMUNITY TO MORHER SO NEW BIRN MAY BE AFFECTD TGATS WHY NOW VACCINATATION HAS BEEN ADVOCATED IN PREGNANCY TO BOOST IMMUNITY
Very important topic discussed today . Thanks for your initiative and knowledge sharing with us . But pandamic was unpresidented in nature affecting the mother child care system of whole world . India is a traditional country .. delivery of pregnant women was big challenge but managed any how as it a natural phenomenon .It discloses the unnecessary C -section Caesarean section done in India as many birth were done in normal delivery. Immunization was hampered since March 2020 after Lockdown . Again it was in big trouble in second wave .It was threat to our immunization system and child health care system .But now in second wave both immunization for children and vaccination for children Covid 19 should be managed carefully . Pandamic was the biggest challenge for pregnant women and kids .
Nice information of covid 19 pandemic On Maternal and child health Service's.. Challenge in health care.. Parenatal care... Effects..of all above Mental effects.. nice information Uploaded....
Very significant & practical post on effect of COVID-19 pandemic on MCH services. As per UNICEF data India was projected to record the highest number of births since March 2020 when COVID-19 declared as Pandemic. Really routine ANC care could be followed due to this Pandemic .Pregnant mothers & their care takers are in stress in this Corona era.
Pregnancy should be postponed
Maternal and child health are affected by covid which can be prevented with vaccination of mother
Of course due to covid all other aspects of health care are directly or indirectly affected. And on top of that the mental health of many people who are not sick physically is also affected.
Very informative update ! Sir
Cases that would interest you
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A 15 years girl suffering with mild fever and cough for 3 months. Lean, thin , tall Chilly pt. Appetite-less Craving- cold foods Thirst-profuse Perspiration-profuse, during sleep Stool-unsatisfactory Urine-normal Mind- Memory good Fear of crowds Nervous Please respected doctors share your views on this caseDr. Debasish Sasmal3 Likes22 Answers
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without saying right left,it is clear that either Ayush Ministry is fearing to adopt the Ayurveda to co oprate with corona fight or govt hesitate to adopt the Ayurveda treatment .If any one expired in Govt hospital by corona,no tips will be stand,but if will die with in or by the treatment , thousands of vices will cry to abused the AYUSH pathy. here it is clear that at present Allopathy is also Sympotamatic treatment.Ayurveda already keeps a several med.for this bloody Corona desease as example. in case of Phenumonic sympotems Br.Kasturi Bherav ras,Shring Bsm,Abhrak bsm,Samirpannag ras,Trilokaychintamani ras,Shubhra bsm,Laxmivilas ras,Mall bsm,,Hartal godanti bsm. In Acute emergency cases Like Sannipats,Mahamritunjay ras,Malsindur,kalkut ras,Jaymangal ras,Swaskuthar ras. Heat faliours during fever: Trilok ya ch.ras,Puranchanderodya,M.luxmivilas ras,Swaskuthar ras etc. Kafan Sannipats;Tribhuvan kirti ras,Malsindur. Infection type: Tribhuvan kirti ras,Maritunjay RAS. Due to DUSHT Jalavayu: Durbal jeta ras,Jaymangal,T.k.c.m.ras,Amarsundri vati,A R V vati,Sanjivani vati,M.Sd.Churan. Avery long list of true &Tested med.are available with Ayurveda to fight with any type of fever. Fogging is going on,but Maheshvar Dhoop ,Aparajita Doop can play major roll. my thought is that govt may adopt every Pathy to save the precious life of our citizen.O ne Ayurvedic med keeps multi effects to cure the effective persone without any re actions. Homeyopathy also claiming to cure Corona,so many Practioners are showing the treatment through media to adopt med. I hope Desk will forward the vice to the Ayush Ministry. appoint Ahush Doc ,as very 2 expert Vaidya's are in our country. God may save the country by any type of "Mahamari".Dr. S.k. Mudgal16 Likes17 Answers
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Dear Doctor Friends, Suggest me Dx and Rx, 60 years old, Female patient suffering from Depression for last 15-20 years, but it has increased to SEVERE DEPRESSION during Corona Lock down timings, and it's so till today. Shocked by her husband's death (4 months before) and her daughter in law's death ( 3 months before, who has 2 children ) Anxiety about her sons (one is smoker and one is drunker ) and her grandson. Anxiety about her health. Sleeplessness Weeping aggravates Consolation ameliorates Continually thoughts run in her mind and feels as she is mad. Cold patient, can't bear cold air. *Chief Complaints* Chest pain Fatigue Vertigo on seeing downward Frequent Urination Frequent motion Numbness over the whole scalp Backache while bending Cough Appetite decreased Belching on Eating while she is Depressed Burning in lowest back portion while much motion Profuse perspiration *History* 3 normal delivery Heavy Mensuration during her life Ear operated Nose operated Typhoid Pneumonia Malaria Urine Infection FAMILY HISTORY Coma Paralysis Heart Attack Asthma Smoking Tumor *Vitals* BP 110/70 Pulse 76/min Sp O2 92 Weight 63kg *Physical Examination* Pale light blackish tongue *Investigations* ECG, X-ray *Diagnosis* Depression *Management* Sensival 25 Mirtazapine Multivitamin Lactic Acid + Bacillus Zincovit R-6 R-27 Ignatia 30 Berberis vulg Q Arnica mont 200Chetna Vora3 Likes13 Answers
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Ginkgo biloba has many health benefits. It’s often used to treat mental health conditions, Alzheimer’s disease , and fatigue . It’s been used in traditional Chinese medicine for about 1,000 years. It came on the Western culture scene a few centuries ago, but has enjoyed a surge of popularity over the last few decades. ADVERTISEMENT USES Uses of ginkgo biloba Ginkgo is used as an herbal remedy to treat many conditions. It may be best known as a treatment for dementia , Alzheimer’s disease, and fatigue. Other conditions it’s used to treat are: • anxiety and depression • schizophrenia • insufficient blood flow to the brain • blood pressure problems • altitude sickness • erectile dysfunction • asthma • neuropathy • cancer • premenstrual syndrome • attention deficit hyperactivity disorder (ADHD) • macular degeneration Like many natural remedies, ginkgo isn’t well-studied for many of the conditions it’s used for. HEALTH BENEFITS Health benefits of ginkgo biloba Ginkgo’s health benefits are thought to come from its high antioxidant and anti-inflammatory properties. It may also increase blood flow and play a role in how neurotransmitters in the brain operate. Some studies support the effectiveness of ginkgo. Other research is mixed or inconclusive. In 2008, results of the Ginkgo Evaluation of Memory (GEM) study were released. The study sought to find out if ginkgo would reduce the occurrence of all types of dementia, including Alzheimer’s disease. It also looked at ginkgo’s impact on: • overall cognitive decline • blood pressure • incidence of cardiovascular disease and stroke • overall mortality • functional disability The GEM study, the largest of its kind to date, followed 3,069 people age 75 or older for 6 to 7 years. Researchers found no effect for preventing dementia and Alzheimer’s disease in study participants who either took ginkgo or a placebo. And a 2012 meta-analysis found ginkgo had no positive effects on cognitive function in healthy people. Still, a 2014 study showed ginkgo supplementation may benefit people who already have Alzheimer’s and take cholinesterase inhibitors, common medications used to treat the condition. The GEM study also found ginkgo didn’t reduce high blood pressure . There was also no evidence ginkgo decreases the risk of heart attack or stroke. It may, however, reduce the risk of peripheral artery disease caused by poor blood circulation. According to a 2013 systematic review , ginkgo can be considered an adjuvant therapy for schizophrenia. Researchers found ginkgo seemed “to exert a beneficial effect on positive psychotic symptoms” in people with chronic schizophrenia who take antipsychotic medication. Researchers in that study also found positive study results for ADHD, autism, and generalized anxiety disorder, but indicated more research is needed. According to an older review of evidence study, ginkgo may improve erectile dysfunction caused by antidepressant medications. Researchers believe ginkgo increases the availability of nitric oxide gas which plays a role in increasing blood flow to the penis. Ginkgo may help relieve premenstrual syndrome (PMS) symptoms, according to a 2009 study . During the study, participants taking either ginkgo or a placebo experienced a reduction in symptoms. Those taking ginkgo had significantly more relief. ADVERTISEMENT RISKS Ginkgo biloba risks Ginkgo is generally safe for healthy people to use in moderation for up to six months. Severe side effects are rare. Still, the Food and Drug Administration (FDA) doesn’t regulate ginkgo and other over-the-counter herbal supplements as strictly as other drugs. This means it’s hard to know exactly what’s in the ginkgo you buy. Only buy a brand of supplement you trust. Ginkgo may cause an allergic reaction in some people. Your risk may be higher if you’re allergic to urushiols, an oily resin found in poison ivy, sumac, poison oak, and mango rind. Ginkgo may increase bleeding. Don’t use ginkgo if you have a bleeding disorder or take medications or use other herbs that may increase your risk of bleeding. To limit your bleeding risk, stop taking ginkgo at least two weeks before undergoing a surgical procedure. Don’t take ginkgo if you’re on any medications that alter clotting. Don’t take it if you’re taking NSAIDS like ibuprofen, too. Ginkgo can have serious side effects. If you’re on any medication, let your doctor know the dose you plan on taking. Ginkgo may lower blood sugar. Use with caution if you have diabetes or hypoglycemia or if you take other medications or herbs that also lower blood sugar. Don’t eat ginkgo seeds or unprocessed ginkgo leaves; they’re toxic. Due to the potential bleeding risk, don’t use ginkgo if you’re pregnant. Ginkgo hasn’t been studied for use in pregnant women, breastfeeding women, or children. Other potential side effects of ginkgo are: • headache • vomiting • diarrhea • nausea • heart palpitations • dizziness • rash TAKEAWAY Takeaway There was a time ginkgo seemed like a magic bullet for preventing age-related memory loss and other health conditions. But research to date doesn’t support much of the enthusiasm. Most evidence for ginkgo is anecdotal or decades old. Still, research has shown ginkgo may slow the progression of Alzheimer’s disease, help treat some common mental health conditions, improve sexual function, and improve blood flow to the peripheral arteries. Don’t replace a current medication with ginkgo or start taking ginkgo to treat a serious condition without consulting youDr. Tapan Kumar Sau6 Likes10 Answers
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The COVID-19 pandemic is likely to be the defining global health crisis of our generation. As the United Nations Development Programme highlighted in their recent call to action, the impact of this pandemic will extend beyond the immediate medical consequences to have far-reaching and long-lasting social and economic impacts, threatening to disproportionately affect poorer people in poorer countries. Income losses are anticipated to exceed $220 billion in developing countries, where many people live day-to-day without access to social protection, and food security is precarious. Strikingly, a recent United Nations study suggests that the social and economic consequences of the COVID-19 pandemic could increase the number of people living in poverty by as much as half a billion, with the majority of these newly poor people living in Africa, South-East Asia, and Central and South America It is no coincidence that the areas of the world predicted to be most affected by the social and economic consequences of COVID-19 are also the areas with the highest tuberculosis burden. This is because tuberculosis is a social as well as infectious disease – poorer, undernourished people living in densely populated areas are at higher risk of tuberculosis, and tuberculosis entrenches poverty by increasing costs, reducing income, and causing stigma and discrimination. Indeed, poverty is the key driver of the tuberculosis pandemic, with several studies demonstrating how tuberculosis incidence rates rise and fall in association with measures of socioeconomic development and social protection. COVID-19 and tuberculosis diagnosis The COVID-19 pandemic is also likely to have a significant impact on the provision of biomedical care for tuberculosis-affected households. Access to diagnostic testing is likely to be reduced, partly because of limited human and material resources, but also because of the social stigma of having a cough or being unwell. This stigma has always been important for tuberculosis and has been exacerbated by the COVID-19 pandemic, potentially driving people with tuberculosis to hide their illness from others and delay accessing healthcare until disease and infectiousness are advanced. COVID-19 and tuberculosis treatment and prevention Provision of appropriate treatment for people who are diagnosed with tuberculosis might also be affected, particularly for people with drug resistant tuberculosis, due to disruptions in the production and transportation of medicines and supplies, reduced nutritional and mental health support, limited access to healthcare facilities, and reduced clinical care to manage adverse drug reactions and comorbidities, such as HIV, diabetes, and cancer. Furthermore, impaired management of these comorbidities is also likely to significantly increase the risk of progression from latent tuberculosis infection to active disease in the general population. To read more-https://erj.ersjournals.com/content/early/2020/05/19/13993003.01348-2020Dr. Pushker Mehra8 Likes9 Answers