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COVID-19 in pregnant women: a systematic review and meta-analysis on the risk and prevalence of pregnancy loss.
Hum Reprod Update
March 2024
Department of Obstetrics and Gynaecology, Center for Reproductive Medicine, Amsterdam UMC, Amsterdam, The Netherlands.
Article Synopsis
- Pregnant women infected with SARS-CoV-2 face increased risks, including preterm birth and higher rates of stillbirth or neonatal admissions, highlighting ongoing concerns even after the WHO declared an end to the COVID-19 pandemic in May 2023.
- A systematic review was performed to analyze the prevalence of early pregnancy loss in women with SARS-CoV-2 and compare these results to those of non-infected pregnant women.
- The review included various studies that reported pregnancy losses before 20 weeks, as well as data on ectopic pregnancies and pregnancy terminations, ensuring a comprehensive examination of the impact of SARS-CoV-2 on early pregnancy outcomes.
Medication abortion and uterine aspiration for undesired pregnancy of unknown location: A retrospective cohort study.
Contraception
June 2023
Planned Parenthood North Central States, 671 Vandalia Street, Saint Paul, MN, USA.
Objective: To compare days to diagnosis of pregnancy location for same-day medication abortion and same-day uterine aspiration with delayed treatment (expectant management) in patients with undesired pregnancy of unknown location (PUL).
Study Design: We conducted a retrospective cohort study at a single Planned Parenthood health center in Minnesota. We reviewed electronic health records and included patients presenting for induced abortion diagnosed with PUL (positive high-sensitivity urine pregnancy test and no evidence of intrauterine or extrauterine pregnancy on transvaginal ultrasonography) without symptoms or ultrasonographic imaging concerning for ectopic pregnancy (low risk).
Background: A striking number of national and subnational governments that previously allowed legal abortion in cases of severe fetal anomaly have passed new legislation to explicitly remove these allowances. However, we know little about the maternal health implications of such restrictions.
Objective: This study aimed to examine the health outcomes of pregnant individuals in El Salvador whose fetuses were diagnosed with a fatal congenital malformation and who were legally required to carry these nonviable pregnancies to term under the nation's absolute abortion ban.
[Membranous dysmenorrhea or passage of a decidual cast - forgotten phenomenon but not rare? Case report and summary of the literature].
Lakartidningen
November 2022
med dr, specialistläkare, Tema Kvinnohälsa, Karolinska universitetssjukhuset Huddinge; institutionen för kvinnors och barns hälsa, Karolins-ka institutet.
Membranous dysmenorrhoea is present when the decidualized endometrium sheds in one piece, a decidual cast, which remains the shape of the uterine cavity. It has often been associated with initiation or cessation of hormonal treatments. Cases with extrauterine pregnancy, miscarriage, abortion, pregnancy in uterus didelphys/bicornis, and following post partum haemorrhage, as well as a few spontaneous cases, have also been described.
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