Pregnancy and COVID 19- care in need cesarean section emerging scenarios

Pregnant women are one of the vulnerable group of population and are susceptible to community spread of covid19, moreso have serious pregnancy complications are with moderate or severe symptoms. Co-morbidity (DM, hypertension, immunosuppression PET, BMI, asthma) increases the risk of severe illness Complications like COVID-19 induced coagulopathy in pregnancy, cardiomyopathy in pregnancy pneumonia, ARDS also Maternal mortality. So Key considerations include identification of risk cases and preventive strategies. Counseling regarding the importance of routine hygiene practices such as washing hands often, wearing mask, maintaining physical distancing, and limiting contact. Symptom-based strategy, hospitalization need , ICU admissions, intrapartum, postnatal care of mother and infant, breast feeding practices, contraception, follow up along with antiviral drugs and supportive care to decrease cesarean sections and prematurity will be discussed. Preventive care includes mandatory maternal immunizations and Covid 19 Vaccination, psychological support with needed Obstetric care Audience Take Away: • Nursing personnel are first contacts to receive and treat covid positive pregnant women as a Team approach along with doctors. So should be tainned to identify the risk complications and treatment strategies. • Feto maternal care. • Yes it is a Team approach with prevention, diagnosis and treatment the patient and infant care will be practiced • Vaccination is a preventive strategy. • Risk factor identification treatment of co morbidities can prevent mortality. Barrier nursing can prevent fetal transmission.