Please allow me call you mum,Inside or outside of the uterus,It is not my choice.My home located at the Fallopian tube,Not the uterus where I have been expecting,It is not my choice.The small room I am living,The pressure I am confronting,The poor nutrition I am absorbing,Mum, mum…I am so painful.I don’t want to live here.Mum, mum…I can’t breathe.But I can’t go away this way.Mum, mum…I am still alive.But who ever heard me crying?Mum, mum…What you may lose is not only your hope for the future,But also, the fertility for my future sisters and brothers,But it is not my choice.I also have the right to life,I also ever imagined the rich and colorful of the outside world,But I don’t know if I have the opportunity to see it.Though I live in such tragic,I still believe everyone is created equal,What makes me dangerous to life is not life itself,But the environment I am living.Who to be blamed is you–my mum,Sometimes you are innocent,But sometimes you could have done something to avoid it happening,But keeping silence.At the end,Together with the Fallopian tube,I was removed from your body.You are safe now,But will never be perfect.Painful,Not only at present,But may last a lifetime.
Sir, We read with interests the article by Lorraine S Kasaven and collegues, entitled “Implications for the future of Obstetrics and Gynaecology following the COVID‐19 pandemic: A commentary”. They discussed the impact of COVID-19 on practice of Obstetrics and Gynaecology, and summarized detailed suggestions. We would like to emphasize the importance of prevention in pregnancy.Though the management guidelines during pregnancy are evolving continuously, pregnant women suffered with COVID-19 mean worse pregnancy outcomes, both physically and mentally, especially during the first or second trimester, both the patient and doctor may stuck in the middle. What is worse, no drug or vaccine has been proved to be effective and safe enough to prevent COVID-19 until now.Physical distancing, face masks, and eye protection have been proved to be effective in preventing person-to-person transmission of SARS-CoV-2 and COVID-19. As confirmed that public health interventions could temporally improve control of the COVID-19 outbreak.“Don’t wait to lose to know how to cherish”, so as to health. After all, it could not be regarded as common flu, COVID-19 has a strong contagion effect and could cause significant morbidity and mortality. In the 1902 paper, Ballantyne said, “as with the premature, the ideal plan of procedure is prevention”, so with the COVID-19. With strong awareness of prevention and effective measures to be taken among the non-infected population, the current situation will gradually get better, and people will definitely defeat the epidemic at the end.Rui-hong Xue,1 He-feng Huang11International Peace Maternity and Child Health Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
Sir, We read with interests the article by Kate F Walker and colleagues, entitled ”Maternal transmission of SARS-COV-2 to the neonate, and possible routes for such transmission: A systematic review and critical analysis”. In the article, the authors systematically analyzed the mode of delivery on the infection rates of COVID-19 in the newborn. Despite the limitations, especially the retrospective nature of studies examined, this study provided important information about the selection of mode of delivery of women with COVID-19. It suggests that neonatal infection rates are not different after Caesarean birth or vaginal delivery. However, the severity of the COVID-19 infection of the mothers was not considered. Clinically, pregnant women with the more severe COVID-19 infection appear to prefer delivery by Caesarean delivery rather than vaginal birth. Therefore, it is possible that any beneficial effects of Caesarean birth in reducing transmission of COVID-19 might not be apparent because the severity of COVID-19 infection was greater in these women. This selective bias would weaken the conclusions of current studies. We feel that prospective evaluation the safety of mode of delivery with COVID-19 is required.Rui-hong Xue11Department of Obstetrics and Gynecology, International Peace Maternity and Child Health Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
Sir, We read with interests the article by Kate F Walker and colleagues, entitled ”Maternal transmission of SARS-COV-2 to the neonate, and possible routes for such transmission: A systematic review and critical analysis”. We would like to discuss some points that merit further.In the article, the authors systematically analyzed the mode of delivery on the infection rates of COVID-19 of newborn, they found that the infection rate is no greater when the baby is born vaginally, breastfed or allowed contact with the mother, compared with those performed with Caesarean sections.Despite the limitations, especially the retrospective feature, this study provided important information for the selection of mode of delivery with COVID-19, that Caesarean birth was not better than virginal delivery on neonatal infection outcomes.However, the main defect was the lacking severity evaluation of COVID-19 of the mothers, which may result in selective bias, or even alter the conclusion. Clinically, pregnant women combined with more severe degrees of COVID-19 always prefer Caesarean delivery than virginal delivery. Possibility was that the protective effects of Cesarean birth might have been neutralized by the severity of COVID-19.COVID-19 is a kind of highly contagious respiratory virus, Both the patients and doctors feel anxious about the possible increased infection risk during the second stage of the labor, for the virginal labor usually takes longer than Caesarean.Considering the above, prospective evaluation the safety of mode of delivery with COVID-19 would have important significance for clinical practice.Rui-hong Xue11Department of Obstetrics and Gynecology, International Peace Maternity and Child Health Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China