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Fertility Preservation Through Oocyte Vitrification: Clinical and Laboratory Perspectives
Published on: September 16, 2021
COVID-19 Pandemic and Infertility: Gynecological Dilemma from an Indian Perspective
Avir Sarkar1, Pradip Kumar Saha2, Aashima Arora1
1Department of Obstetrics and Gynecology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Insights
The COVID-19 pandemic has strained healthcare systems globally, particularly in India. Non-essential services, including infertility treatments, are suspended to prioritize pandemic response, impacting patient care.
Area of Science:
- Public Health
- Epidemiology
- Healthcare Management
Background:
- The COVID-19 pandemic has severely impacted global healthcare systems, with a disproportionate burden on developing nations like India.
- India is facing peak COVID-19 incidence, leading to the suspension of non-emergency services, including Outpatient Departments (OPDs), for nine months.
- This diversion of resources impacts patient care, especially for those with critical conditions like malignancy and infertility.
Purpose of the Study:
- To analyze the impact of COVID-19 pandemic response measures on non-emergency healthcare services in India.
- To evaluate the consequences of suspending infertility treatments and assisted reproductive technologies (ART) during the pandemic.
- To discuss the ethical considerations of resource allocation in resource-poor countries during a public health crisis.
Main Methods:
- Review of current healthcare policies and resource allocation during the COVID-19 pandemic in India.
- Analysis of the impact of suspended non-emergency services on patient outcomes.
- Ethical framework analysis for prioritizing healthcare services.
Main Results:
- Suspension of non-emergency services, including ART, has created a critical situation for patients awaiting treatment.
- The healthcare system faces an increased burden, potentially compromising care for both pandemic and non-pandemic related conditions.
- Resource allocation decisions must balance immediate pandemic control with the long-term health needs of the population.
Conclusions:
- Prioritizing COVID-19 containment is crucial in resource-limited settings, necessitating the temporary suspension of non-urgent treatments like infertility services.
- The long-term consequences for patients requiring ART and other non-emergency care need careful consideration and planning.
- Developing strategies for resuming essential services post-pandemic is vital for patient well-being and public health.
Abstract:
As the emaciated healthcare system is attempting to break the tide of the novel coronavirus pandemic across the globe, the highest cost of this fight is being borne by the third world countries. India is currently experiencing the peak incidence of COVID-19 cases. For the last 9 months, non-emergency services including OPDs have been suspended in majority of the hospitals to divert resources for combatting emergency medical care during this deadly pandemic. This temporary pause and containment could be detrimental to even patients suffering from malignancy. During this critical hour, commencement of infertility treatments including assisted reproductive technologies (ART) will add to additional burden upon the crippled medical fraternity. Fate of thousands of patients seems to hang by a fine thread now. In the resource-poor countries, it is our duty to divert maximum medical power to curtail this contagious pandemic rather than focusing on non-urgent treatment services.
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