Purpose To determine the feto-maternal outcome in pregnant women infected with SARS-CoV-2 in comparison to non-infected pregnant women and plan management strategies. Patients and Methods A retrospective review of case records in the Department of Obstetrics and Gynecology for 1 year was conducted. A total of 6468 case files fulfilling the inclusion criteria were enrolled in the study. Patients who tested positive for SARS CoV-2 and fulfilled inclusion criteria were labeled as cases, whereas patients who tested negative were labeled as controls. Outcome measures including lower segment cesarean section (LSCS) rate, maternal and neonatal intensive care admission and feto-maternal mortality were compared between the two groups. Results Our hospital was not an exclusive COVID-19 designated center, and 117 patients infected with SARS-CoV-2 fulfilling the inclusion criteria were enrolled in the study. Fever (67.52%), cough (56.41%), and altered smell (45.29%) were the frequently reported symptoms. Pneumonia affected 16.23% of the cases. LSCS rate was significantly higher in the COVID-19-infected patients (72.41%; OR 2.19; 95% CI 1.46–3.34; p<0.001). The rate of maternal ICU admission in COVID-19-infected pregnant women was 11.96% as compared to 0.8% in the non-infected women (OR 16.76; 95% CI 8.72–30.77; p<0.001). We observed a significantly higher maternal mortality in COVID-19-infected women (2.56%) [OR 41.61; 95% CI 7.65–203.5; p<0.001]. Viral RNA was detected in cord blood and nasopharyngeal swab of one neonate. The neonatal death ratio was high in infected mothers (2.6%) [OR 8.6; 95% CI 1.99–27.23; p<0.001]. Conclusion Significant maternal morbidity, mortality, and neonatal mortality were observed in COVID-19-positive patients.
Worldwide, approximately 17.7 million people died from cardiovascular diseases (CVDs) in 2015 (31% of all global deaths) according to the World health organization (WHO); among these, 7.4 million deaths were due to coronary heart disease (CHD). A cross-sectional study was conducted among 200 medical students, belonging to 18-25 years age group, who were randomly enrolled in the study from Government Medical College, Jammu over a period of one year from November 2019 to October 2020 with the objectives: 1.To determine anthropometric measures, blood pressures, personal and family history of cardiovascular risk factors/disease among medical students. 2. To determine the prevalence of some adverse lifestyle choices that may predispose to an increased CVD risk among medical students. The study results showed that out of 200 students, 30 females and 9 male study subjects reported with inconsistent or no physical activity had high-risk of obesity (high waist hip ratio) and also reported high (pre-hypertension) systolic BP was 47 and high (pre-hypertension) diastolic BP was 43. The study results also revealed that the majority of the study subjects113 (56.5%) were Females.
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