As the entire world has seen dramatic changes during the past months, it seems only fair to start the second issue, in 2020, of the Ginecologia.ro journal with a series of information pertaining SARS-CoV-2 infection in pregnancy. Even though limited data are available at the moment on the impact of the current COVID-19 on women affected while being pregnant, the clinical symptoms of the infection appear to be the same as in non-pregnant adults, and also no evidence of a higher mortality has been noted.
The main studies concluded that no vertical transmission of SARS-CoV-2 was proven from amniotic fluid, cord blood, placenta or neonatal nasopharyngeal swab samples. The diagnosis gold standard is currently based on virus RNA unique sequence by real time reverse-transcription polymerase chain reaction (rRT-PCR). In case of a positive test, the management of the patient should be mainly symptomatic and supportive, with the equilibration of fluid and electrolyte balance, fetal monitoring and individualized time and method of delivery. Antibacterial, antiviral and oxygen supply treatment should be offered only in selected cases. It is also very important to focus on the prevention of thromboembolism, LMWH treatment being offered to all positive COVID-19 pregnant patients. Antenatal check-ups should be reduced to minimum for low-risk pregnancy, but pregnancy-associated pathology should not be forgotten.
The articles in this journal approach both obstetrics and gynecology themes, such as pityriasis rosea, rare compound thrombophilias, preeclampsia, molecular profile of utopic and ectopic endometrium in endometriosis, adenomyosis, pregnancy-related cervical spinal cord tumor, STUMP uterine tumors, and IVF.
In the interdisciplinary section, a national premiere is presented: laparoscopic nephrectomy with transvaginal extraction of the kidney. The case report goes to show a feasible, cosmetically attractive technique, especially for young female patients.
The entire editorial board would like to thank each and every single doctor for the dedication and hard work proven during this pandemic. Hope to see you all in good health at our scheduled congresses!