Pregnant and worried about the new coronavirus?

1dc0a8a0-e5b6-40c6-a86c-317ca00e44d2

COVID-19, the illness attributable to a brand new coronavirus, has quickly unfold globally and is now a pandemic, in keeping with the World Well being Group. Lots of my pregnant sufferers have expressed considerations, each for themselves and their infants, concerning the affect of COVID-19 on their well being. To reply often-asked questions on being pregnant and the brand new coronavirus, I’ve teamed up with my husband, an infectious illness specialist and internist. Collectively, we reviewed the extraordinarily restricted information out there to offer evidence-based responses under.

Please keep in mind, suggestions and pointers will proceed to alter as we be taught extra about this sickness.

What can I do to guard myself from catching the coronavirus?

Can I journey for my baby-moon?

Ought to I reschedule my child bathe due to the coronavirus?

What ought to I do if I’ve a fever or cough? What if I’ve traveled from a spot the place the virus is widespread or have been involved with an individual confirmed to have COVID-19?

What’s my danger of changing into very unwell if I do have COVID-19?

Does changing into unwell with COVID-19 enhance danger of miscarriage or different problems?

If I change into sick, what’s the danger of passing the virus on to my fetus or new child?

Ought to I proceed to have prenatal visits? I’m frightened about being uncovered to COVID-19.

I’m frightened that medical doctors, even obstetricians, might be diverted in an emergency setting and is probably not out there when I’m delivering. Will that be the case?

I’m frightened about spending time within the hospital after supply. Might this enhance my danger of publicity to COVID-19?

If I take a look at constructive for COVID-19, can I breastfeed my child?

How the coronavirus spreads

  • The virus is carried in respiratory droplets transmitted by sneezing and coughing. If individuals are close by, droplets would possibly land of their mouths or noses or presumably be inhaled.
  • Viral particles known as aerosols could float or drift within the air when an contaminated individual talks, sings, or breathes. Folks close by could inhale aerosols.
  • Analysis reveals the virus can stay on surfaces and could also be unfold when an individual touches these surfaces, then touches their face.
  • The virus could also be shed in saliva, semen, and feces; whether or not it’s shed in vaginal fluids is not recognized.  Kissing can transmit the virus (you clearly could be in very shut contact with the contaminated individual). Transmission of the virus by means of feces, or throughout vaginal or anal intercourse or oral intercourse seems to be extraordinarily unlikely presently.

Present proof means that the incubation interval of the virus is anyplace from two to 14 days. It’s potential that somebody could possibly be contaminated however not have any signs (presymptomatic or asymptomatic) and be capable of unfold the virus.

Handwashing, social distancing, and different methods to assist forestall the unfold of coronavirus

What can I do to guard myself from catching the coronavirus?

Observe wonderful hand hygiene by incessantly washing arms with cleaning soap and water for 20 seconds. Keep away from touching your face, particularly your eyes, mouth, and nostril. Public well being officers urge individuals to tightly restrict gatherings and to remain residence as a lot as potential. Social distancing is necessary to restrict the unfold of the virus. It’s protected to exit for walks — simply attempt to stay six toes away from anybody who doesn’t stay with you. Many states require individuals to put on a fabric masks in public, particularly in locations the place it is arduous to rigorously observe social distancing. Even a fabric masks, when used to cowl the mouth and nostril utterly, helps shield you and others.

When you have a light cough or chilly, keep at residence and restrict exposures to different individuals. Sneeze and cough right into a tissue that you simply discard instantly, or into your elbow, to keep away from making others sick. Wash your arms instantly afterwards. Consuming fluids and getting ample relaxation are also necessary in sustaining the well being of your immune system.

Can I journey for my baby-moon?

We advocate avoiding all journey presently, given the considerations that the virus could possibly be widespread, in addition to the altering journey restrictions (see CDC journey advisories).

Ought to I reschedule my child bathe due to the coronavirus?

Whereas a child bathe is a joyous and necessary event, public well being companies such because the Facilities for Illness Management and Prevention (CDC) advocate social distancing to restrict the unfold of the virus. Gathering with individuals from different households might expose you and others to the virus if one individual is unwell—with or with out signs.  Notably in giant gatherings and indoor gatherings, the chance of potential publicity and an infection is sort of excessive. We advocate limiting social gatherings presently.

Considerations about changing into sick

What ought to I do if I’ve a fever or cough? What if I’ve traveled from a spot the place the virus is widespread or have been involved with an individual confirmed to have COVID-19?

Step one is to name your physician’s workplace to tell them of your signs, journey, or contact with somebody who has a confirmed case of COVID-19. Do not merely go to your physician’s workplace. It is extremely necessary to restrict the unfold of the virus. Notably when you have signs, it’s best to name your physician first to find out whether or not you want testing and/or to come back in for analysis. The American School of Obstetrician and Gynecologists has offered all obstetricians with pointers for pregnant sufferers who could have signs of COVID-19 or publicity to COVID-19, and your obstetrician could possibly make it easier to triage your signs over the telephone.

What’s my danger of changing into very unwell if I do have COVID-19?

We’re starting to be taught extra concerning the potential affect of this novel coronavirus on pregnant girls. Right now:

  • No proof reveals that being pregnant will increase a girl’s danger for getting COVID-19.
  • A current research checked out almost 409,462 girls, ages 15 to 44, who had symptomatic COVID-19. Of those girls, 23,434 had been pregnant. Even after taking age, race, ethnicity and underlying well being situations into consideration, pregnant girls had been extra more likely to want intensive care, to require a ventilator (respiration machine), and to require a heart-lung bypass machine, in comparison with girls who weren’t pregnant. Deaths had been extra doubtless amongst pregnant girls, additionally. Nevertheless, it’s necessary to know that the general danger of those problems was low. For instance, 1.5 symptomatic pregnant girls out of 1000 died, in comparison with 1.2 symptomatic girls out of 1000 who weren’t pregnant. And the research didn’t embody pregnant girls who examined constructive for the virus, however had no signs.
  • If pregnant girls who’re well being care suppliers are involved about their danger of publicity to COVID-19, we advocate that they focus on their considerations with their supervisor. Right now, no US pointers prohibit pregnant well being care employees’ skill to take care of sufferers, however the American School of Obstetricians and Gynecologists (ACOG) suggests avoiding excessive danger exposures to COVID-19 and carrying private protecting tools always.

Does changing into unwell with COVID-19 enhance danger of miscarriage or different problems?

An elevated danger of fetal malformations has not been documented in pregnant girls who’re contaminated with COVID-19, in keeping with the CDC.

A current report on almost 600 hospitalized pregnant girls with COVID-19 famous 12.6% of births had been preterm (sooner than 37 weeks), greater than anticipated amongst pregnant girls within the basic inhabitants. On this report, the speed of miscarriage was about 2% (in comparison with about 10% among the many basic public).   

Our understanding could change as extra info turns into out there.

If I change into sick, what’s the danger of passing the virus on to my fetus or new child?

At present, solely research reporting on a restricted variety of circumstances can be found to reply many questions, together with this one. Many ladies in these case studies had COVID-19 throughout the third trimester of being pregnant.

  • Two case report research (right here and right here) with a complete of 47 girls with COVID-19 confirmed that not one of the newborns examined constructive for the virus that causes it, SARS-CoV-2.
  • One other case report analyzing 33 pregnant girls contaminated with SARS-CoV-2 discovered that three of their newborns had been additionally contaminated with the virus and had scientific indicators of an infection, in addition to affirmation of COVID-19 an infection. It’s unclear whether or not these newborns had been contaminated whereas within the womb or if these infections had been acquired after delivery, because the newborns had been examined after they had been days outdated. The potential for vertical transmission (passing the virus from mom to child) has not been dominated out.
  • Reassuringly, in a research from New York Metropolis of 101 infants born to moms with COVID-19 on the time of delivery, solely two infants examined constructive for SARS-CoV-2. These two infants didn’t change into unwell from the virus and had no regarding signs.
  • The danger of passing the an infection to a fetus seems to be very low. At present there isn’t any proof of any fetal malformations resulting from maternal an infection with COVID-19

If a girl has an an infection with a excessive fever throughout being pregnant, it’s most secure to make use of acetaminophen to decrease temperature to keep away from danger to the growing fetus.

Considerations about prenatal care, delivery, and breastfeeding

Ought to I proceed to have prenatal visits? I’m frightened about being uncovered to COVID-19.

Prenatal visits are necessary to make sure maternal and fetal well being. Nevertheless, given the present international pandemic we face, many obstetricians are both growing the interval between visits or encouraging telehealth visits. Ask your obstetric well being supplier if you can purchase a blood stress cuff to be used at residence and monitor your child’s actions. When you have any considerations about your well being or your child’s well being, please name your obstetric group. We advocate that ladies speak to their obstetrician about their prenatal care and proceed to attend appointments so long as their obstetrician feels it’s applicable.

I’m frightened that medical doctors, even obstetricians, might be diverted in an emergency setting and is probably not out there when I’m delivering. Will that be the case?

Hospitals are accountable for making contingency plans for emergencies which may require diverting hospital employees. Ask your obstetric group about contingency plans at your hospital. They need to be capable of preserve you up to date on any change in plans. Obstetrics is a vital part of well being, and it’s doubtless {that a} doctor skilled in obstetrics might be current on the time of your child’s delivery. Ask your well being care group about this.

I’m frightened about spending time within the hospital after supply. Might this enhance my danger of publicity to COVID-19?

Hospital employees and your obstetric group try to reduce the quantity of people that come to the hospital. There are guidelines to ensure that anybody who must evaluated for COVID-19 might be remoted from different sufferers. All medical employees are working arduous to make sure that your danger of being uncovered to COVID-19 is low.

Within the hospital, many precautions are being taken to reduce publicity dangers. When you select to take action, it could be potential to go residence prior to you usually would after delivery, so long as you are feeling nicely and your delivery was uncomplicated. Speak to your obstetric group about this.

If I take a look at constructive for COVID-19, can I breastfeed my child?

At present, there’s extraordinarily restricted proof that the virus could also be current in breast milk, and no proof that it’s transmitted by means of breastmilk. Given how the virus spreads, ACOG advises that moms with COVID-19 can breastfeed their infants safely, though they need to follow cautious hand hygiene and put on a face masks. This may assist reduce the infants’ publicity to the virus.

Another choice is having a wholesome caregiver feed the newborn with pumped breast milk or method. If a breast pump is used, you should definitely clear all of the components rigorously.

For extra details about the coronavirus and COVID-19, please see Harvard Well being Publishing’s Coronavirus Useful resource Middle.

Commenting has been closed for this publish.

Leave a Reply