Publications by authors named "Amala Sunder"

Heterotopic pregnancy is a rare condition with an intrauterine pregnancy coexisting with extrauterine pregnancy. It is considered a rare condition, with an incidence of one in 30,000 spontaneous pregnancies. Because of its rarity, there are no international management guidelines.

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Uterine malformations significantly affect the reproduction process, and such anomalies can affect the progression and prognosis of a pregnancy. A bicornuate uterus is a rare congenital uterine anomaly that occurs due to a defect in the fusion of Müllerian ducts. It is associated with severe maternal and fetal complications, such as uterine rupture, vascular-related pathologies, preterm labor and birth, recurrent early or late loss of pregnancy, and fetal growth restriction.

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Article Synopsis
  • The COVID-19 pandemic severely impacted maternity services globally, leading to increased psychological distress among pregnant women, as restrictions and regulations changed their healthcare experiences.
  • A study conducted at Bahrain Defense Force Hospital evaluated the mental health of 111 women who delivered during the pandemic using the Hospital Anxiety and Depression Scale (HADS), comparing their scores with those from women who were pregnant before the pandemic.
  • Results showed significantly higher anxiety and depression levels during the pandemic, with 100% of participants exhibiting abnormal anxiety and a large percentage showing depressive symptoms, indicating a substantial negative impact on mental health due to the pandemic.
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Objective: The current study investigated the immune response of maternal coronavirus disease 2019 (COVID-19) vaccination and vertical transmission of anti-severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) spike (S) and nucleocapsid (N) proteins.

Study Design: This retrospective study included pregnant women in Bahrain Defense Force Hospital from March 2021 to September 2021 who were vaccinated with Sinopharm or Pfizer/BioNTech. Testing of anti-N and -S levels from paired samples of maternal and umbilical cord blood was performed at the time of delivery.

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  • This study assessed the risks related to maternal obesity (BMI ≥30) during pregnancy and the postpartum period among 2972 pregnant women at a hospital in Bahrain.
  • Key findings indicate that higher BMI is linked to increased age, high parity, a history of miscarriages, and a greater risk of developing conditions like hypertension and antepartum hemorrhage.
  • Despite these risks, high BMI patients did not show an increased likelihood of gestational diabetes, induction of labor, or cesarean births, but they faced longer hospital stays after delivery.
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  • The study examined how vaccinated pregnant women respond immunologically to COVID-19 compared to unvaccinated women who had recovered from the virus, focusing on antibody transmission to their newborns.
  • Conducted at Bahrain Defense Force Hospital, the retrospective study analyzed paired maternal and umbilical cord blood samples from 180 women to compare levels of anti-SARS antibodies and assess complications such as preterm labor and preeclampsia.
  • Results showed that vaccinated women had higher levels of protective antibodies (anti-S) in both mother and cord blood, while unvaccinated recovered women had higher levels of anti-N antibodies, with various correlations observed between antibody levels, maternal age, and gestational age.
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Objectives: To explore the trimester wise significance of the primary outcome in pregnant women during coronavirus disease-19 (COVID-19) pandemic.

Methods: Retrospective observational study of pregnant women who were infected with COVID-19 from April 2020 until March 2021 at Bahrain Defense Force Hospital, Riffa, Bahrain. The study focused on the effects in relation to gestational age (GA), association with variables, severity, and treatment.

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