Experiences in Reproductive Health Services in COVID-19 Era: A Nightmare

With consistent efforts for the last four decades in the area of family planning, it had been a rare instance to receive emergencies with uterine perforation, gut injury, septicaemia, and multiorgan failure with unsafe surgical intervention. But Coronavirus Disease 2019 (COVID-19) pandemic has cause...

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Main Authors: Surinder Kaur, Preet Kamal, Sangeeta Pahwa, Ripan Bala
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2022-05-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://www.jcdr.net/articles/PDF/16375/52884_CE[Ra1]_F(KR)_PF1(AG_SS)_PFA(AG_KM)_PN(KM).pdf
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author Surinder Kaur
Preet Kamal
Sangeeta Pahwa
Ripan Bala
author_facet Surinder Kaur
Preet Kamal
Sangeeta Pahwa
Ripan Bala
author_sort Surinder Kaur
collection DOAJ
description With consistent efforts for the last four decades in the area of family planning, it had been a rare instance to receive emergencies with uterine perforation, gut injury, septicaemia, and multiorgan failure with unsafe surgical intervention. But Coronavirus Disease 2019 (COVID-19) pandemic has caused major disruption to the family planning information and services globally. These gaps have been due to breakdown in contraceptive supply chains, closure of primary healthcare and abortion clinics, diversion of staff from family planning services to COVID-19 response team and the poor response was also due to fear of infection in hospital. As a result, many unsafe abortions in the form of near-miss mortality nightmares were revisited. The present series is of five cases, done at a tertiary care teaching hospital wherein there was mismanagement of the abortion due to lack of expert services during the COVID-19 pandemic. Uterine perforation with sepsis was observed in all the patients with bowel injury in three and broad ligament haematoma in one patient. A comprehensive, women’s sexual health system response to address family planning services provision during pandemics is the need of the hour for India to avoid unwanted pregnancies and prevent additional mortality and morbidity in women.
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spelling doaj.art-809639a9f0284f499fbfa976c45298cf2023-02-13T04:58:10ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2022-05-01165QR05QR0810.7860/JCDR/2022/52884.16375Experiences in Reproductive Health Services in COVID-19 Era: A NightmareSurinder Kaur0Preet Kamal1Sangeeta Pahwa2Ripan Bala3Assistant Professor, Department of Obstetrics and Gynaecology, SGRDIMSR, Amritsar, Punjab, India.Associate Professor, Department of Obstetrics and Gynaecology, SGRDIMSR, Amritsar, Punjab, India.Professor, Department of Obstetrics and Gynaecology, SGRDIMSR, Amritsar, Punjab, India.Professor, Department of Obstetrics and Gynaecology, SGRDIMSR, Amritsar, Punjab, India.With consistent efforts for the last four decades in the area of family planning, it had been a rare instance to receive emergencies with uterine perforation, gut injury, septicaemia, and multiorgan failure with unsafe surgical intervention. But Coronavirus Disease 2019 (COVID-19) pandemic has caused major disruption to the family planning information and services globally. These gaps have been due to breakdown in contraceptive supply chains, closure of primary healthcare and abortion clinics, diversion of staff from family planning services to COVID-19 response team and the poor response was also due to fear of infection in hospital. As a result, many unsafe abortions in the form of near-miss mortality nightmares were revisited. The present series is of five cases, done at a tertiary care teaching hospital wherein there was mismanagement of the abortion due to lack of expert services during the COVID-19 pandemic. Uterine perforation with sepsis was observed in all the patients with bowel injury in three and broad ligament haematoma in one patient. A comprehensive, women’s sexual health system response to address family planning services provision during pandemics is the need of the hour for India to avoid unwanted pregnancies and prevent additional mortality and morbidity in women.https://www.jcdr.net/articles/PDF/16375/52884_CE[Ra1]_F(KR)_PF1(AG_SS)_PFA(AG_KM)_PN(KM).pdfcoronavirus disease-2019hysterectomyileostomylaparotomyunsafe abortion
spellingShingle Surinder Kaur
Preet Kamal
Sangeeta Pahwa
Ripan Bala
Experiences in Reproductive Health Services in COVID-19 Era: A Nightmare
Journal of Clinical and Diagnostic Research
coronavirus disease-2019
hysterectomy
ileostomy
laparotomy
unsafe abortion
title Experiences in Reproductive Health Services in COVID-19 Era: A Nightmare
title_full Experiences in Reproductive Health Services in COVID-19 Era: A Nightmare
title_fullStr Experiences in Reproductive Health Services in COVID-19 Era: A Nightmare
title_full_unstemmed Experiences in Reproductive Health Services in COVID-19 Era: A Nightmare
title_short Experiences in Reproductive Health Services in COVID-19 Era: A Nightmare
title_sort experiences in reproductive health services in covid 19 era a nightmare
topic coronavirus disease-2019
hysterectomy
ileostomy
laparotomy
unsafe abortion
url https://www.jcdr.net/articles/PDF/16375/52884_CE[Ra1]_F(KR)_PF1(AG_SS)_PFA(AG_KM)_PN(KM).pdf
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AT ripanbala experiencesinreproductivehealthservicesincovid19eraanightmare