The COVID-19 pandemic continues to be a rapidly evolving situation with limited data on its impact on pregnancy. The study was conducted to evaluate the maternal and perinatal outcomes of pregnant women in the first wave of COVID-19 infection Materials and Methods: Clinical records were retrospectively reviewed for 129 pregnant women with laboratory confirmed COVID-19 infection admitted in the Department of Obstetrics and Gynecology, Regional Institute of Medical Sciences, Imphal (Manipur, India) from 27 th July to 27 th November 2020. The maternal and perinatal outcomes were collected and analyzed. Evidence of perinatal transmission of the virus was assessed with SARS-Cov-2 Reverse transcriptase polymerase chain reaction testing done on oropharyngeal swab of neonate taken 24 to 48 hours after delivery. Results: Of the 129 cases, 119 (92.24%) were asymptomatic and two (1.55%) had severe symptoms with one necessitating intensive care unit (ICU) admission and ventilatory support, subsequently causing maternal death. There were three cases (2.33%) of abortion, two ectopic pregnancies (1.55%) and ten preterm deliveries (8.54%). Two cases of neonatal asphyxia were observed, both requiring admission with one resulting in neonatal death. Furthermore, two out of 83 neonates were tested positive for COVID-19 on oropharyngeal swab. Conclusion: Majority of the COVID-19 positive pregnant women were asymptomatic in the first wave and associated with good obstetric and perinatal outcome, however, severe case was associated with increased risk of ICU admission and mechanical ventilation ultimately leading to maternal death. Probable chances of vertical transmission of COVID-19 infection could not be ruled out at present.
Objective:- To compare the effectiveness between the radiofrequency ablation of articular branches of obturator and femoral nerves and intraarticular steroid injection for treatment of chronic hip pain secondary to Osteoarthritis(OA)
Methods:- Forty two patients with hip OA were included in a prospective, randomised controlled trial, which were distributed in two group. The
study group (group A) received radiofrequency ablation(RFA) of sensory branches of femoral and obturator nerve, while the control group(group
B) received intra-articular steroid. Outcome measures used were VAS and WOMAC, assessment were done at baseline, 4 weeks, 12 weeks and 24
weeks post procedure. All analyses were based on intention-to-treat using SPSS, version 21. There was signicant improvement of VAS Results:-
score in both groups (p<0.05) in all follow-up period. However at 12 weeks and 24 weeks group A showed more signicant improvement when
compared to Group B. The WOMAC score at 4 weeks follow-up shows no signicant difference in improvement for both pain and function in both
group. However at 12 weeks and 24 weeks, group A showed a signicant improvement (p<0.05) compared to group B.
Conclusions: Both RFA and intra-articular steroid injection reduces pain in hip OA. However, results of radiofrequency ablation in this study
provides longer duration of pain reduction and functional improvement. Hence RFA can be preferred over intra-articular steroid injection for
treatment modality.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.