Sharing some resources on COVID 19 & Pregnancy

Some highlights

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

Raising Children Network

Health Direct

Queenland Health

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.

Maternity flavoured blogs from Dr Wendy Burton at Maternity Maters and GP-Can

Photograph: Anthony Wallace/AFP via Getty Images


For Health care providers

Queensland Health

Perinatal care of suspected or confirmed COVID-19 pregnant women from Queensland Health. (26 March 2020)

Royal Australian & New Zealand Collage of Obesteriucs & Gynaecology 

Royal Collage of Obesterics & Gynaecology

American College Obstetrics and Gynecologists

CDC

National Perinatal Association

WHO

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.

https://www.emrap.org/episode/rop2020march19/rop2020march19

https://www.emrap.org/episode/rop2020april3rd/covidin

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.

 

Articles

https://www.sciencedirect.com/science/article/pii/S2589933320300379?via%3Dihub&fbclid=IwAR2bcXf9TPnstjeg4UQSE2uQxlsJTE9gKxmbqr1bTHHSDRKY2-HbEp21d-8

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.

https://www.journalofinfection.com/article/S0163-4453(20)30109-2/pdf

Early report of the effects of COVID 19 on pregnant women

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7092922/

A narrative review

https://www.ncbi.nlm.nih.gov/pubmed/32217113

Commentary from AOCG

 

If you want to do you own medical literature search

Pubmed search

CSA/Getty Images


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

“The babies keep coming”: What the coronavirus pandemic means for people giving birth – Vox March 25 2020

COVID-19 Is No Reason to Abandon Pregnant People – Scientific American March 26 2020

 

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