Early toxicosis: a review of current data

This article contains information from modern sources on the topic of early toxicosis, which most often occurs in the trimester, and in some cases can continue until the third trimester of pregnancy. On the occurrence of literature data, it can be said that diseases such as early toxicosis, the appearance of vomiting and nausea in pregnant women, the threat of diseases in pregnant women, neurological disorders, fetal asphyxia, rupture of the esophagus and retinal hemorrhage in the mother, as well as other complications. The pathogenesis of early toxicosis has many theories, for example, the theory of the influence of chorionic gonadotropin or the mechanical theory of the development of vomiting during pregnancy, but none of them can fully explain all cases of the disease. In this case, we can conclude that early toxicosis is multifactorial.Clinically, vomiting of pregnant women can occur in mild, moderate and severe severity, and in the latter case, the so-called vicious circle is often formed, which includes severe electrolyte disorders, neurological disorders, and alkalosis. Treatment of a mild form of  vomiting of  pregnant women is carried out on an outpatient basis, and moderate and severe  – in  a hospital. Conclusion. Based on the sources, the treatment of early toxicosis is based on an integrated approach. Undoubtedly, the basis for each degree will be diet, replenishment of water and electrolyte balance, as well as symptomatic treatment. Data are given on the use of both homeopathic remedies and drug therapy, as well as psychotherapeutic assistance to pregnant women

A novel coronavirus infection COVID-19 in practice of obstetrician-gynecologist: a review of current data and guidelines

In December 2019, a new type of coronavirus was identified in China, called SARS-CoV-2 (COVID-19) that quickly spread not only within the People’s Republic of China, but also far beyond its borders. On March 11, 2020, the World Health Organization announced that the infection caused by novel coronavirus SARS-CoV-2 became a pandemic. Prior to this, two global epidemics were caused by pathogenic coronaviruses: in 2002 – by SARS-CoV that caused severe acute respiratory syndrome (SARS), and in 2012 – by MERSCoV that resulted in the Middle East respiratory syndrome (MERS). All coronavirus infections in humans are characterized by damage of lower respiratory tract with development of severe pneumonia and respiratory distress syndrome. According to reports, males become sick more often than females. It is known that due to developing immunological suppression pregnant women are at higher risk of contracting infectious diseases. However, the clinical course of SARS-CoV-2 infection during pregnancy, its effect on outcome of gestation, and the likelihood of vertical transmission to the fetus still remain unanswered. In this review, we present data on cases of SARS-CoV-2 disease during pregnancy published globally, its effect on outcome of gestation, as well as data on potential routes of infection for fetus and neonates. In addition, we also provide currently available clinical recommendations released by the Royal Society of Obstetricians and Gynecologists (UK), the American Society of Obstetricians and Gynecologists (USA), and the National Institute for Reproductive Health Research (India) on the management of pregnant patients infected with SARS-CoV-2