Pregnancy During Covid-19: Affects Mother and Baby?

Cover Story Pregnancy & Covid-19

PREGNANCY DURING COVID -19 EFFECTS MOTHER AND BABY? The COVID-19 pandemic has everyone anxious and in fear. If you are pregnant, undoubtedly you have a lot of queries about whether coronavirus poses a threat to you and your baby. The answers are not crystal clear yet, due to the evolving nature of the disease. Knowledge from past epidemics due to similar respiratory illnesses help understand and manage viral infections during pregnancy. Here are the common queries among pregnant women answered.

Dr. Lavanya Kiran, MBBS, MS,FRM,MBA,PGDMLE Senior Consultant-Obstetrics & Gynaecology, Narayana Multispeciality Clinic, Bangalore What effect does coronavirus have on pregnant women? If you are pregnant and your flu-like symptoms are getting worse, Generally, pregnant women do not appear to be more risky it could mean that your chest infection is getting more severe, and than healthy adults to develop a more serious disease or any you may require hospitalization. If you develop more severe sympcomplications if affected by coronavirus. Mostly, they will only toms or your recovery is getting delayed, contact a first response experience mild to moderate flu-like symptoms. hospital near you immediately. What effect will corona virus have on my baby if I It is not yet known if pregnant women are more susceptible to test positive for COVID-19? As this is a very new virus, all the in- formation and evibe infected by COVID-19 when dence is still not available to compared to the normal populus. There is no evidence to suggest an increased risk of ation. Despite this, pregnant miscarriage if exposed to women are advised to reduce COVID-19. There is also no evidence of vertical transsocial contact by social distancmission, which refers to the ing. It is an established fact that ability of the virus to pass to your unborn baby during in some women, pregnancy pregnancy. alters how the body fights some In a study of nine pregnant viral infections. Though evidenwomen in China who tested positive for COVID-19, all ce for coronavirus is still insuffinine babies tested negative cient, it is for this reason that for the virus and were healthy overall. One pregnant pregnant women are advised to lady in London tested posibe extra cautious during this pandemic. tive for coronavirus and later her newborn also tested positive. However, it is unclear whether the baby con

tracted the viral infection in utero or shortly after birth. Expert opinion is that the baby is unlikely to be exposed during pregnancy, and it is unlikely for the baby to have any defects in development as a result. As of now, there isn’t any new evidence that says otherwise. What are the effects of Coro- na virus in the first trimester? Pregnant women who were part of The Lancet study were all in their second or third trimesters. There is still no data on pregnant women who tested positive for the virus in their first trimester. Patients who may get infected with symptoms like high fever may increase the risk of birth defects, though there is no evidence for this yet. Are pregnant women a vulnerable group for Corona virus? It is not yet known if pregnant women are more susceptible to be infected by COVID-19 when compared to the normal population. Despite this, pregnant women are advised to reduce social contact by social distancing. It is an established fact that in some women, pregnancy alters how the body fights some viral infections. Though evidence for coronavirus is still insufficient, it is for

Pregnant women who were part of The Lancet study were all in their second or third trimesters. There is still no data on pregnant women who tested positive for the virus in their first trimester. Patients who may get infected with symptoms like high fever may increase the risk of birth defects, though there is no evidence for this yet. WASH YOUR HANDS FREQUENTLY Hand hygiene can really protect you from exposure to Covid-19. You may hear this over and over but with a good reason.

this reason that pregnant women are advised to be extra cautious during this pandemic. Will I be able to breastfeed my baby if I have suspected or confirmed coronavirus?

Yes. The benefits of breastfeeding your infant far outweigh the risk of transmission of coronavirus through breastmilk. The main risk of breastfeeding is due to the close contact between you and your baby which can pose a risk of droplet infection that can spread to the baby while breathing. Discuss the risks and benefits with your treating doctor and family before you make a decision. Here are some steps to follow to minimize the risk of transmission:

z

z z z

z

z Wash your hands before feeding or touching the baby, breast pump or bottles

Try to avoid coughing or sneezing while you feed

Wear a face mask while feeding, if available.

If you are using a breast pump, follow instructions for cleaning and sterilising properly.

Consider asking one of your healthy family members to feed your baby if y ou are expressing milk.

Precautions for pregnant women against Coronavirus Here are some actions you can take to prevent getting the disease during pregnancy: Wash your hands f requently. Hand hygiene can really pro

Cover Story Pregnancy & Covid-19

YOGA AND MEDITATION DURING PREGNANCY

It’s important for the mother to be and her baby to keep their anxiety levels down, even during this time. One way to help feelings of anxiety is through exercise, like going for a walk or doing yoga. Make sure to talk to your health care provider before taking part in any exercise.

Another option to reduce anxiety is meditation. Meditation is a way to clear your mind through breathing exercises.

These exercises will help your mind slow down and ease worries. There are many meditation apps you can choose from and download to get started. During the time of the COVID-19 tect you from exposure to COVID-19. You may hear this over and over but with good reason. Practice social distancing. Always maintain a distance of at least 2 metres or 6 feet from others when you are in a public place. Avoid contact with others as much as possible.

outbreak, it’s especially important to find ways to stay active virtually. There are many free yoga classes online and

also meditation apps you can use your phone for. Get your flu vaccination on time. Though the flu vaccine

Do not ignore any respiratory symptoms. If you develop a cough or any respiratory distress, do not hesitate to call your doctor. After taking a detailed history, your doctor will decide if you need to get tested for COVID-19.

does not protect you from exposure to COVID-19, it does make you less susceptible to influenza, which can cause complications during pregnancy.

Use a tissue when you cough or sneeze, throw the tissue in the dustbin. Wash your hands right after.

Do not ignore any respiratory symptoms. If you develop a cough or any respiratory distress, do not hesitate to call your doctor. After taking a detailed history, your doctor will decide if you need to get tested for COVID-19.

Go virtual. As much as possible, consider virtual consultations instead of prenatal visits to your gynaecologist. Try to minimize or altogether avoid spending time in the doctors waiting room or in the hospital. However, some tests will require you to be there in person such as the ultrasound, blood tests and fetal testing.

Work from home whenever possible. Stay safe. Symptoms such as high fever with or without continuous cough may indicate a possible coronavirus infection. Avoid coming in close contact with anyone showing these symptoms.

www.agappe.com

Mispa Revo is a reliable, quick and portable immunofluorescence analyser intended to quantitatively determine the concentration of Specific-Biomarkers in whole-body, plasma or serum.

PARAMETERS AVAILABLE Cardiac Troponin I CK-MB | Myoglobin | NT-pro BNP | PCT

QUICK RELIABLE PORTABLE

+91 9745794444 Immunofluorescence Analyzer

1800 425 7151

“Agappe Hills”, Pattimattom (PO), Dist. Ernakulam, Kerala - 683 562, India. TEL: + 91 484 2867000 | productcorp@agappe.in | www.agappe.com

Life Story Mohammed Faras

THE AGONY AND ECSTASY OF A COVID-19 INFECTED NRI AND HIS EXPECTANT WIFE

Kerala’s Kasargod Kalanad native Mohammed Faras and his family consisting of wife and two children are Covid 19 survivors. What makes their story different is the fact that Mohammed Faras’ wife Fathimath Raseena is the first woman in Kerala who had successfully recovered from Covid 19 while she was carrying. Their new born kid Ayesha Mehra is now four months old unaware of all the worries related to her birth and the alarming pandemic situation in the world. The story begins with Mohammed Faras’ return from Dubai When he informed that he was from Dubai, the doctor asked him on March 14, 2020 as his close relative had passed away on to give sample for Covid-19 test at the General Hospital. Faras March 13th. He had been working at a perfume shop at Dubai went to the General Hospital and the sample was taken. The inDeira Naif. The body of the relative had been buried on the struction given from there was to go to his home. same day (March 13th) itself. He was supposed to attend the prayers on the following day. One of his relative was also The agony begins travelling from Dubai with Faras and they were picked from His sole purpose for the journey was to attend the prayers and Mangalore Airport by two other relatives in a car. But Faras pay the respect to the deceased person. But Faras went to his got an uneasy feeling right after he got down at the airport home without attend ing the prayers keeping Covid-19 protocol and feared it might be a fever. Since he had a doubt, they and remained there for the next two days. It was after that the call went to a private hospital in Kasargod to check. However the came from Health Authorities informing him that he had turned doctor there was of the opinion that Faras had no fever. positive in the Covid 19 test. There begins the struggle of a lifetime for the family of Mohammed Faras. He was taken to the Kasargod District Hospital soon after that. Now the Health Authorities began tracing the people with whom he had contact. After testing them all, 20 of his relatives turned Covid 19 positive including his mother, his pregnant wife and two year old son. All of them have now recovered from the disease. Faras’ relative who had been accompanying him from Dubai and the two relatives who came to pick them from airport were negative. Faras assumes that the disease could have spread through his wife or mother as he had no direct contact with most of the relatives during these two days. Faras’ sister and father were however not affected by the disease deMohammed Faras expressing his thanks notes to the health workers after his spite being in primary contact hospital discharge. with them.

“When I was diagnosed with Covid 19, the mental trauma I went through was immense. People around the neighbourhood started to isolate all our family members. Our family picture taken during my sister’s wedding was circulated through social media with my photo marked and asking people to isolate them,” recal ls Faras. “Few even speculated that I had come from Dubai knowing that I had the disease. I have a pregnant wife and a two year old kid at home. Do you think I would do so if I had known that I’m Covid 19 positive?” he asks. Mohammed Faras with his two children.

When Faras informed his employer at Dubai that he had turned Covid 19 positive, other employees and 14 people residing in the same quarters were moved to home quarantine. However all of them were negative in the tests. Faras was discharged from the hospital after 25 days on April 10, 2020. While she was nine months pregnant, she began to experience pain. Although they requested authorities to make arrangements at a hospital nearby, it wasn’t done. As her pain increased, she badly wanted to get admitted in a hospital. However the authorities had given strict instructions not to Fathimath Raseena’s Trauma get admitted in any other hospital without their permission.

When her husband had turned Covid 19 positive, Fathimath Raseena was seven months pregnant with their second baby. Since her husband had symptoms of fever upon the arrival from Dubai, she had k ept distance and had not met him since his arriv al. She saw her husband only once when he reached for the prayers at the deceased relatives house. She had moved to her house and after two days she developed a fever along with her mother-in-law. Upon the instruction from her husband, she soon informed the Health Authorities. When the test results came they were positive along with their elder son.

They were soon taken to Kannur Pariyaram Medical College Hospital. She was given special care as a pregnant mother by the doctors and nurses. After 22 days, they turned negative and got back home. They were asked to undergo home quarantine for a few more days. When Faras informed his employer at Dubai that he had turned Covid 19 positive, other employees and 14 people residing in the same quarters were moved to home quarantine. However all of them were negative in the tests. Faras was discharged from the hospital after 25 days on April 10, 2020.

Life Story Mohammed Faras

At last, an ambulance came to take her to Kannur Pariyaram Medical College Hospital which was more than 60 kms away from their home. Her husband was not allowed to accompany them as they were at home quarantine. The woes didn’t end there. At the hospital, the lift was kept aside for the use of Covid 19 patients. She was admitted in the ward on the 5th floor and had to climb all those steps to reach it under terrible pain.

After two days, she was given a discharge. Although they had asked her to undergo a few tests after it, hospital facilities weren’t arranged. Since they were undergoing home quarantine, Faras couldn’t take his wife to the hospital and had to wait for the ambulance to do so. They had informed the authorities about it. However it elicited no response. Later some emergency tablets were delivered at home.

Since her date was approaching and the pain increased, both Raseena and Faras contacted Health Officials and requested them to make arrangements at a hospital nearby for the delivery. They feared travelling such a long distance while the delivery date is approaching may be fatal. On May 4, 2020 her pain increased and soon they informed the Health Au

Ayesha Mehra “Doctors examined all the organs of the body and fixed treatment accordingly. Since, I was the patient after the first student from Wuhan who turned Covid 19 positive doctors had the experience of dealing it. I was provided counselling when the mental trauma began to affect me seriously,” adds him.

thorities. But since the area had been under triple lockdown, vehicles couldn’t reach their house through the direct way. Faras was ready to take his wife in a car to the hospital for which the Health Authorities denied permission. By noon, she gave birth to a girl child at home itself. The ambulance to pick her up hadn’t still reached their home.

Not even the neighbours were there for help as the place was under triple lockdown. Faras’ mother took care of her and the baby all that time. At last, an ambulance came with a group of emergency response team including nurses in it. She and the new born baby were taken to the nearby hospital from there. However they were denied permission at the hospital as she had been Covid 19 positive before. She had to wait alone awaiting permission from the authorities. Earlier Faras was not allowed to accompany his pregnant wife to hospital for delivery by the authorities. Later DMO intervened and gave emergency treatment and care. They were then taken to Kasargod General Hospital after making special arrangement. Smile of the Newborn

The newborn was named Ayesha Mehra. The kid had undergone Covid 19 test soon after delivery and the result was negative. Apart from the hand ling of his wife’s delivery, Faras is of the opinion that the treatment and care he received while undergoing treatment was good. “Doctors examined all the organs of the body and fixed treatment accordingly. Since, I was the patient after the first student from Wuhan who turned Covid 19 positive doctors had the experience of dealing it. I was provided counselling when the mental trauma began to affect me seriously,” adds him.

“Our newborn kid is now 4 months old. The elder one is two years old and survived Covid 19. Since we were one of the first in the locality to turn Covid 19 positive, most of the authorities had no idea what to do. That could be one reason why they weren’t able to effectively arrange us the facilities. We were lucky as it was my wife’s second delivery. If it was the first delivery, she and kid might not have survived without proper medical attention,” Faras says. The life ahead

Faras is now concerned about his job. “I came for a two day

STOP FAKE NEWS SPREADING Ever since the coronavirus outbreak was first reported in minds continue to create and spread fake posts. A larger Wuhan, China, social media platforms have been flooded section forwards them across groups, often out of ignowith posts on the disease. Beginning February, when awarerance or the excitement of becoming a ‘news breaker’. In ness about the disease rose in India, social media platforms this context, we need a much wider awareness exercise, have seen numerous posts on Covid-19 ranging from inforinvolving all stakeholders, to make every section of the mation on the outbreak to false news about its origin and spread to offering untested treatment for the disease, and also prescribing strange diets.

Now, after lockdown enforced across the country, still, such misleading posts not only amplify the menace of fake news, creating panic and frustration, but also result in privacy violations as medical records of tested individuals are being wilfully circulated online. In a few cases, false medical reports have also been generated for random individuals and then people are suspecting them of having the diseases and socially boycotting them. Such overflow of content makes it difficult for the people to sift real news from the fakes. society aware of the laws and regulations as well as the harmful effects of fake posts. Stop spreading fake news. Think and understand well what is right and what is wrong before forwarding a message related to Covid-19. Let’s all

Despite the warnings and concerns, many vicious work together to eradicate this dreadful disease.

leave and now it is almost six months. Although I tried to return, the shop owner said that the business is very low at the shop and they are managing with the two employees instead of four. They said they will inform when to join back and is waiting to the business to improve. I do have bank loans and is wondering how to repay it without the job. I had been working at Dubai for more than 12 years now. To find an income, I tried for a job here temporarily but most shops now run in half capacity as their business is very low,” he says.

He had already paid a hefty amount for the visa. Even if he finds a new job at Dubai, the new visa needs will cost him again. Besides, organisations and business establishments are reducing the number of staff due to the pandemic situation.

He is also unhappy about the absence of any financial aid from the government. He had earlier applied for a financial aid from NORKA Roots for expats. However even after six months, there hadn’t been any response. He enquired it at the office and was instructed to apply again despite successfully generating an application number. “I’m in a desperate state now. Inaction from the part of the authorities is annoying. Now even if I apply Not even the neighbours were there for help as the place was under triple lockdown. Faras’ mother took care of her and the baby all that time. At last, an ambulance came with a group of emergency response team including nurses in it.

for it, the time required for it to be processed will be long. Also, I’m jobless now. Not just jobless but a Covid 19 survivor with a newborn kid, wife and a son. How will I be able to find a livelihood now?” asks Faras. He hopes someone will be kind enough either to offer him a job abroad or a job temporarily here until the Covid 19 subsides.

Readers of TechAgappe can contact him through mob: +91 9349011309

Health Tips

EAT RIGHT FIGHT COVID

As a pandemic, Covid-19 has universal presence and there are different approaches as to how to combat the deadly disease. One school of thought is that you can fight fairly with life style modification and right food, which provides proper immunity and antioxidant properties. Stress, strain, sleeplessness, hydration as well as mal nutrition can have adverse impact on recuperative mode of this pandemic.

Dr. C S Satheesh Kumar , Sr. Vice President-Supply Chain Management, AGAPPE., (Retd. Drugs Controller, Kerala) People who eat a well-balanced diet tend to be healthier with significantly lower your risk of overweight, obesity, heart disease, stronger immune systems and lower risk of chronic illnesses stroke, diabetes and certain types of cancer. and infectious diseases. So, you should eat a variety of fresh and unprocessed or unrefined foods every day to get the vitamins, minerals, dietary fibre, protein and antioxidants your body needs. Drink enough water. Avoid sugar, fat and salt to Eat fresh and unprocessed foods every day like fruits, vegetables, legumes (e.g. lentils, beans), nuts and whole grains (e.g. unprocessed maize, millet, oats, wheat, brown rice or starchy tubers or roots such as potato). Do not overcook vegetables and fruit as this can lead to the loss of important vitamins. Avoid canned or dried vegetables and fruit if possible.

Drink enough water every day. Water is essential for life. It transports nutrients and compounds in blood, regulates your body temperature, gets rid of waste, and lubricates and cushions joints. Drink 8–10 cups of water every day. But be careful not to consume too much caffeine, and avoid sweetened fruit juices, syrups, fruit juice concentrates, fizzy and still drinks as they all contain sugar.

Eat moderate amounts of fat and oil. Consume unsaturated fats (e.g. found in fish, avocado, nuts, olive oil, soy, canola, sunflower and corn oils) rather than saturated fats (e.g. fatty meat, butter, coconut oil, cream, cheese, ghee etc). Choose white meat (e.g. poultry) and fish, which are generally low in fat, rather than red meat. Avoid processed meats because they are high in fat and salt. Avoid industrially produced trans fats. These are often found in processed food, fast food, snack food, fried food, frozen pizza, pies, cookies, margarines and spreads.

Eat less salt and sugar. When cooking and preparing food, limit the amount of salt and high-sodium condiments (e.g. soy sauce and fish sauce). Limit your daily salt intake to less than 5 g (approximately 1 teaspoon), and use salt pellets, not iodised powder. Avoid foods (e.g. snacks) that are high in salt and sugar. Limit your intake of soft drinks or sodas and other drinks that are high in sugar (e.g. fruit juices, fruit juice concentrates and syrups, flavoured milks and yogurt drinks). Choose fresh fruits instead of sweet snacks such as cookies, cakes and chocolate.

Avoid eating out- Eat at home to reduce your instances of contact with other people and lower your chance of being exposed to COVID-19. We recommend maintaining a distance of at least 1 metre between yourself and anyone who is coughing or sneezing. That is not always pos- sible in crowded social settings like restaurants and cafes. Droplets from infected people may land on surfaces and people’s hands (e.g. customers and staff), and with lots of people coming and going, you cannot tell if hands are being washed regularly enough.

Eating a healthy diet is very important during the COVID-19 pandemic. What we eat and drink can affect our body’s ability to prevent, fight and recover from infections. While no foods or dietary supplements can prevent or cure COVID-19 infection, healthy diets are important for supporting immune systems. Good nutrition can also reduce the likelihood of developing other health problems, including obesity, heart disease, diabetes and some types of cancer. Do take fresh fruit juices, lemon water, coconut water/ hot water, herbal tea (containing polyphenols, flavonoids, and antioxidants). Include pulses and wholegrain foods (oats, brown pasta, millet, and unrefined rice). Indian herbs: Coriander (Dhaniya), turmeric (contain Curcumin), fenugreek (methi), tulsi

Eating a healthy diet is very important during the COVID-19 pandemic. What we eat and drink can affect our body’s ability to prevent, fight and recover from infections. While no foods or dietary supplements can prevent or cure COVID-19 infection, healthy diets are important for supporting immune systems.

(Basil), cumin (jeera), fennel (sonph), cloves, black pepper (Kalimirch, contain Piperine), cinnamon (dalchini), ginger and curry leaves are good for health. These spices have antioxidant, antibacterial and anti-inflammatory properties, act as immune booster and may help to flush out any sinuses from the body. Rock salt (limit salt intake to 5 grams (equivalent to a teaspoon) a day.

You can also eat supplements rich in omega 3 & 6 fatty acids for your daily dose, if stepping out to buy groceries is not an option during social distancing. Some natural immunity supplements include ginger, gooseberries (amla) and turmeric. Some of these superfoods are common ingredients in Indian dishes and snacks. There are several herbs that help in boosting immunity like garlic, Basel leaves and Black cumin. Certain seeds and nuts like sunflower seeds, Flax seed, pumpkin seeds and melon seeds are excellent sources of protein and vitamin E.

Berry- Elderberries are full of nutrients including minerals like phosphorus, potassium, iron, copper and vitamins, such as vitamin A, B, and C, proteins and dietary fibre. Elderberries have antibacterial and antiviral qualities which help fight cold and influenza.

Turmeric and Garlic- The bright yellow spice, Turmeric, contains a compound called curcumin, which boosts the immune function. Garlic has powerful anti-inflammatory and antiviral properties which enhances body immunity.

Apart from maintaining a healthy lifestyle and taking supplements, the Indian health ministry is also suggesting few organic and natural ways to practise as preventive measures to fight COVID-19. The Ministry of AYUSH has recommended the following self-care guidelines as preventive measures and to

Health Tips

boost immunity with special reference to respiratory health.

Drink warm water throughout the day. Practice Meditation, essential Yogasanas, and Pranayama. Again, Sitting and Breathing (Sukhasana and Pranayama), Half Lord of the Fishes (Ardha Matsyendrasana), Supported Fish Pose (Matsyasana Variation), Forward Fold (Uttanasana), FourLimbed Staff Pose on Elbows (Krupa Chaturanga Dandasana),n Legs Up the Wall (Viparita Karani) all can be practised to improve our immunity.

Increase the intake of Turmeric, Cumin, Coriander and garlic. Drink herbal tea or decoction of Holy basil, Cinnamon, Black pepper, Dry Ginger and Raisin. Avoid sugar and replace it with jaggery if needed. Apply Ghee (clarified butter), Sesame oil, or Coconut oil in both the nostrils to keep the nostrils clean. Inhale steam with Mint leaves and Caraway seeds.

The current guidelines of the Ministry of AYUSH, Government of India, recommend self-care guidelines for preventive health measures and boosting immunity. These guidelines recommend herbal tea and decoction (Kadha) made from Tulsi, Dalchini, Kalimirch, Shunthi (Dry Ginger) and Munakka (Raisin) with jaggery and/or fresh lemon juice to enhance the taste as immunity promoting measures against COVID-19. Guidelines also recommend avoiding cold, frozen, and heavy foods, which is a clear indication to avoid Rajasic and Tamsik food. Recommendations such as to take appropriate rest, timely sleep, exposure to sunlight, also help to balance our body, mind, and lifestyle.

Don’t Compromise on Sleep- Good snooze time for 7-8 hours is the best way to help your body build immunity; lesser

Don’t Compromise on Sleep- Good snooze time for 7-8 hours is the best way to help your body build immunity; lesser sleep will leave you tired and impair your brain activity. The lack of sleep will prevent the body from resting and this will impair other bodily functions that will have a direct impact on your immunity.

sleep will leave you tired and impair your brain activity. The lack of sleep will prevent the body from resting and this will impair other bodily functions that will have a direct impact on your immunity. Lack of sleep adversely affects the action of the flu vaccine.

Don’t Skip on Exercise- A good diet should be followed by an exercise routine. Remember to exercise regularly; even light exercise will go a long way in releasing the toxins from your body. It is recommended to exercise for 30 to 45 minutes, depending on your stamina. If you have not started exercising yet, then it is a good time to start. There are several Youtube channels and apps to help you exercise at home. Regular exercise improves metabolism, which has a direct correlation with body immunity.

Practice meditation- Too much stress releases the hormone known as cortisol, which impairs your response to immediate surroundings and makes your body susceptible to infections; you are left feeling constantly anxious. The best way to relieve stress is through meditation, it is a tried and tested activity to calm the nerves. If you need help meditating, then there are several channels on YouTube that have instructional resources to help you meditate.

Avoid hazardous and harmful alcohol use- Alcohol is not a part of a healthy diet. Drinking alcohol does not protect against COVID-19 and can be dangerous. Frequent or excessive alcohol consumption increases your immediate risk of injury, as well as causing longer-term effects like liver damage, cancer, heart disease and mental illness. There is no safe level of alcohol consumption.

It is recommended that in this time of uncertainties and nonavailability of treatment due to the greater number of patients, it is important to remain healthy and peaceful. Good food with other recommendations on life style, as explained in the above would help in building up our immunity as well as burst the stress for better management in combating against COVID-19.

Brand Reach Customer Speaks

1

Sony George Laboratory Manager, Little Flower Hospital & Research Centre, Kochi

Try MISPA-i3 & Feel The Difference

I am Sony George, working at Little Flower Hospital & Research Centre as Laboratory Manager. My experience with Agappe started in 2012 & Mispa i2 laid foundation for that. Later when I joined this organisation I could experience the performance of Mispa i3.With Mispa i3 we could perform 3, 4 parameters which we were outsourcing economically. Major advantage of Mispa i3 is smart card calibration which avoids the need of lengthy manual calibration process. Every reagent kit comes with a smart card which help in error free calibration. The individual reagent cartridge system ensured zero reagent deterioration and also the smaller pack size of 10 T is really helpful for laboratories with lower volumes. Also results are highly reliable & inter lab comparison results are also highly correlating with less than 10% deviation. C3, C4 & hsCRP are the 3 parameters which we were outsourcing, Mispa i3 helped us to report these parameters faster. We am really satisfied with the service provided & reagent supply is also flawless. Even during COVID 19 pandemic Agappe coordinated really well without creating us any inconvenience. The service team used to visit periodically to ensure high performance of the equipment. We could work with Mispa i3 for the past 1.5 years without any inconvenience. We are highly satisfied with Mispa i3. You can also try Mispa i3 & feel the difference compared to other protein analysers in the market. We highly recommend Mispa i3.

Proud To Use A Made In India Product Hi friends, We have installed Mispa Count X in our hospital laboratory on 23rd September 2020 and happy to say that we are satisfied with the performance of the machine. Mispa Count X which is indigenously manufactured by Agappe Diagnostics provides quality test results. Proud to use a made in India product.

2

Dr. Suresh Roy, Director, Purple Patch Hospital Bangalore