SAY ni DOK | Paano nga ba maiiwasan ang pagkakaroon ng leptospirosis sa mga buntis?
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00:00One of the biggest problems facing the Philippines during storms and floods is leptospirosis.
00:06It's a serious disease caused by the bacteria called leptospira.
00:09What many people don't know is that this is a serious condition that can cause serious complications,
00:16especially for pregnant women.
00:18And if that's the case, we would like to know more about this.
00:23We have a free telemetry.
00:25How are you affected by leptospirosis, especially for pregnant women?
00:29We will be joined by OB-GYN, Dr. Issa Matibag.
00:33Good morning and welcome to Rise and Shine Philippines.
00:36Doc.
00:37Good morning, everyone.
00:40Good morning, Doc.
00:41Let's start with how can our viewers know more about leptospirosis.
00:52As you said, leptospirosis is a bacterial infection.
00:57It's caused by a bacteria called leptospira.
01:02It can enter our body through our nose, mouth, and eyes.
01:08It can also enter our wounds.
01:10That's why we need to be careful when it's flooding.
01:14You shouldn't be in a hurry.
01:16As much as possible, I hope our responders arrive soon.
01:20But Doc, how does leptospirosis affect the health of mothers and babies?
01:27How can we prevent leptospirosis?
01:30Yes, you're right.
01:32It can affect both mothers and babies.
01:36Mothers can have flu-like symptoms.
01:39They can have symptoms.
01:42It can also affect babies.
01:45They can have congenital infections, but it's not proven yet.
01:51They can have miscarriage.
01:53Especially if it's their first or second trimester.
01:56Babies can have low birth weight.
01:58They can have stillbirth.
02:00Moms can also have preeclampsia.
02:03They can also have other problems, such as deranged liver function,
02:08liver problems, kidneys, or lungs.
02:14This is really dangerous, Prof. Fee.
02:16You mentioned the possible effects on mothers and babies.
02:21But what are the main symptoms of leptospirosis that should be monitored?
02:25Especially for those who have leptospirosis.
02:27Yes.
02:28They can have flu-like symptoms.
02:30They can have a fever, a headache, a sore throat, or even a body ache.
02:37They can also have conjunctival infections or loss of vision.
02:41They can also have nausea, vomiting, a sore throat, and vomiting.
02:48Doc, what preventive measures can be taken to prevent leptospirosis?
02:58We should avoid going to the bathroom.
03:01But I know that this can never happen.
03:06As soon as you can go to a safe place,
03:10you should wash your feet, take a bath, and clean your wounds.
03:16Of course, you should see a doctor right away
03:19to give proper prophylaxis or preventive measures.
03:23Doc, what would you recommend for pregnant women
03:26who may be exposed to floods and may be infected with leptospirosis?
03:33Yes, we don't have a vaccine for leptospirosis.
03:37We should see a doctor because we need to give antibiotics.
03:42Compared to regular people who don't have leptospirosis,
03:46they use doxycycline.
03:49We have guidelines for this.
03:52But for leptospirosis, doxycycline cannot be used
03:55because it can affect the bone and teeth development of the baby.
04:00Leptospirosis is usually asymptomized, but you need a prescription.
04:04You should see a doctor right away if you have leptospirosis.
04:09Doc, I think you've mentioned complications.
04:12Are there any cases that you've handled
04:15on the worst scenario that can happen to a child?
04:18Lastly, what is your message to our RSPs,
04:22especially to pregnant women, about leptospirosis?
04:28Personally, I haven't really handled a case of severe leptospirosis.
04:32Severe leptospirosis is rare
04:35because we have a lot of preventive measures
04:38or prophylaxis that can be given to people
04:41if they have leptospirosis in the womb.
04:44Just like doxycycline in regular people
04:47or in pregnant women, it's asymptomized.
04:50But of course, we have to make sure
04:53that we are really careful
04:56so that we don't get into the most dangerous situation.
05:00For pregnant women,
05:04if you're getting seasick, especially during the rainy season,
05:07make sure to see your OB-GYN
05:10after these cases
05:13and to always get your prenatal check-ups done.
05:17Alright. Thank you very much, Doc,
05:20for sharing with us important information
05:23about the effects of leptospirosis on pregnant women.
05:26Dr. Issa Matibag, an OB-GYN.