Most information suggests that if you get COVID19, unlike influenza, you are no more likely to get sick than if you weren’t pregnant. And unlike Zika or Rubella virus, the placenta protects your baby.
The importance of hand hygiene and how washing washing washing our hands and our children’s hands is the most important prevention we can take to stop spreading this virus.
The advice not to stop breastfeeding or wean your baby until this crisis is over. Breastfeeding can provide a level of immunity to your baby and is not known to pass on the virus.
The usual immunisation schedules will still be more important to keep everyone as healthy as possible during this crisis, do get your children and babies to their regular appointments.
Do not allow anyone who has not washed their hands to touch your baby!
Make sure the information you are using to make important decisions comes from a reliable source.
Information for Mothers
Video from Associate Professor Rebecca Kimble, Clinical Advisor – Obstetrics and Gynaecology explains what you need to know if you or a family member is pregnant at this time of COVID-19.
For Health care providers
Perinatal care of suspected or confirmed COVID-19 pregnant women from Queensland Health. (26 March 2020)
Cochrane gynaecology and fertility – includes a spreadsheet summary of published papers
Podcasts to listen to
Two podcasts about COVID in Pregnancy by Penny Wilson, MD and Heidi James.
Covid-19: how does it affect pregnancy? Sarah Boseley speaks to Prof Sonja Rasmussen about how the virus might affect mothers who are expecting and their unborn child
Chris Stallman from MotherToBaby service regarding coronavirus exposure in pregnancy and while breastfeeding.
Good GP interviews obstetrician and gynaecologist Dr Robyn Aldridge on the impact of COVID-19 on pregnant women, pregnancy and the unborn child.
From Babytalk Alison McMillan the Chief Nursing and Midwifery Officer for the Commonwealth Department of Health and Adjunct Associate Professor Karleen Gribble from the School of Nursing and Midwifery, Western Sydney University.
2020 Baby – Caring for pregnancy women in the pandemic with Dr Pamela Douglas and Wendy Burton
Vertical transmission from mother to baby prior to birth
An early review of 31 cases and a smaller study of 9 cases reported in the Lancet found no vertical transmission found which is reassuring. But then a report of possible vertical transmission of COVID19 from mother to baby in utero. This was based on a baby having positive IgM which is not thought to cross the placenta. However PCR testing for the virus was negative. The accompanying editorial.
Conclusion: In mothers infected with coronavirus infections, including COVID-19, >90% of whom also had pneumonia, PTB is the most common adverse pregnancy outcome. Miscarriage, preeclampsia, cesarean, and perinatal death (7-11%) were also more common than in the general population. There have been no published cases of clinical evidence of vertical transmission. Evidence is accumulating rapidly, so these data may need to be updated soon. The findings from this study can guide and enhance prenatal counseling of women with COVID-19 infection occurring during pregnancy.
Early report of the effects of COVID 19 on pregnant women
A narrative review
Commentary from AOCG
If you want to do you own medical literature search
Non medical commentary
The COVID-19 pandemic could have huge knock-on effects on women’s health, says the UN – World Economic Forum April2 2020
Pregnant in a time of coronavirus – the changing risks and what you need to know – The Conversation March 28 2020
COVID-19 Is No Reason to Abandon Pregnant People – Scientific American March 26 2020