COVID-19 and Assisted Reproduction: A Point of View on the Brazilian Scenario

COVID-19: Uncertainties from Conception to Birth

“…Since the deleterious effect of postponing pregnancy by a few months may not be significant, [61][62][63][64][65] even for women of advanced reproductive age or with diminished ovarian reserve, 64 such a decision has been encouraged by some authors. 65,66 In a very recent retrospective cohort study on in vitro fertilization treatment for women with diminished ovarian reserves, Romanski et al 65 observed that a delay of up to 180 days did not seem to negatively affect live birth rates, even for women with anti-Mullerian hormone levels < 0.5ng/mL, or those older than 40 years of age. The authors recognized a potential selection bias in their study, but considered the results sufficient to reassure that shortterm delay in the treatment will not affect its outcomes, in situations that such a delay is deemed necessary or prudent, like the current COVID-19 pandemic.…”

“…Since the deleterious effect of postponing pregnancy by a few months may not be significant, 61 62 63 64 65 even for women of advanced reproductive age or with diminished ovarian reserve, 64 such a decision has been encouraged by some authors. 65 66 …”

“…Advice on whether or not to postpone treatment includes information on the lack of knowledge of the effects of COVID-19 on pregnancy, as well as the possible risks of vertical transmissibility and transmission via the gametes, as well as risks of the virus being stored in the gametes and the embryo. 26 66 It should be emphasized that the treatment per se lasts several days, and requires several return visits, and, depending on the region's epidemiological situation, it may be inadvisable for patients to move and expose themselves to medical environments. Besides that, the infection can occur during the treatment period, causing suspension at any stage, which can generate significant emotional distress.…”

Percepção Discente Frente À Estratégia De Telemonitoramento Em Tempos De Pandemia, 2020

“…Em relação aos sintomas apresentados no caso do novo coronavírus, indivíduos infectados podem ser assintomáticos (CARVALHO et al, 2020) ou terem sintomas mais brandos, como os apresentados em um resfriado comum, podendo evoluir para falta de ar e dificuldade de respirar, pneumonias e a síndrome do desconforto respiratório agudo (SDRA) (YANG et.al, 2020). Fadiga, dores musculares ou corporais, dor de cabeça, perda do paladar e/ou olfato, náusea ou vômito, diarreia, estão entre os sintomas vistos em pessoas que podem ter o COVID-19.…”

Shortcomings in the training program of medical residency during the COVID-19 pandemic in Brazil. How will they be repaired?

“…Hundreds of thousands of surgeries were postponed or canceled as a result of this pandemic, causing delay in the diagnosis and treatment of thousands of surgical/oncological cases in this period. [3][4][5][6] Despite the negative impact on the training of residents, by mid-2020, a reduction in the course of the pandemic was expected, with progressive return of clinical and surgical activities to normal in the second half of that year. In July 2020, the National Medical Residency Commission made a consultation through a specific questionnaire applied to more than 10,000 medical residents from all Brazilian states and regions.…”