COVID-19 in pregnancy

COVID-19 infection in pregnancy is associated with several pregnancy complications.[1] However, pregnancy does not appear to increase the susceptibility of becoming infected by COVID-19.[2] Recommendations for the prevention of COVID-19 include the same measures as non-pregnant people.[3]

COVID-19 in pregnancy
Virtual model of coronavirus
Risk factorsSevere infection
PreventionCovering cough, avoid interacting with sick people, cleaning hands with soap and water or sanitizer
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Effect of COVID-19 in pregnancy
COVID-19 in pregnancy[1]
ComplicationOdds ratio95% confidence interval
Pre-eclampsia1.331.03 to 1.73
Preterm birth1.821.38 to 2.39
Stillbirth2.111.14 to 3.90

According to a systematic review and meta-analysis in 2021, COVID-19 is associated with stillbirth, pre-eclampsia and preterm birth.[1] According to the same review, compared with mild COVID-19, severe COVID-19 is strongly associated with preeclampsia, preterm birth, gestational diabetes and low birth weight.[1] A review in 2022 suggests that pregnant women are at increased risk of severe COVID-19 disease, with an increased rate of being hospitalized to the intensive care unit and requiring ventilation death, but was not associated with a statistically significant increase in mortality.[4] However vaccination against COVID-19 was not associated with an increase in miscarriage or reduction in live birth.[5]

Recommendations

The World Health Organization and Centers for Disease Control and Prevention of the United States advises pregnant women to do the same things as the general public to avoid infection, such as covering cough, avoid interacting with sick people, cleaning hands with soap and water or sanitizer.[3][6]

The CDC encourages pregnant women to get COVID-19 vaccines.

See also

References
  1. Wei SQ, Bilodeau-Bertrand M, Liu S, Auger N (2021). "The impact of COVID-19 on pregnancy outcomes: a systematic review and meta-analysis". CMAJ. 193 (16): E540–E548. doi:10.1503/cmaj.202604. PMC 8084555. PMID 33741725.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  2. Wei SQ, Bilodeau-Bertrand M, Liu S, Auger N (2021). "The impact of COVID-19 on pregnancy outcomes: a systematic review and meta-analysis". CMAJ. 193 (16): E540–E548. doi:10.1503/cmaj.202604. PMC 8084555. PMID 33741725.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  3. "Coronavirus Disease 2019 (COVID-19)". Centers for Disease Control and Prevention. 11 February 2020. Retrieved 19 March 2020.
  4. Wang H, Li N, Sun C, Guo X, Su W, Song Q; et al. (2022). "The association between pregnancy and COVID-19: A systematic review and meta-analysis". Am J Emerg Med. 56: 188–195. doi:10.1016/j.ajem.2022.03.060. PMC 8986277. PMID 35413655.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  5. Michael P Rimmer, Jhia J Teh, Scott C Mackenzie, Bassel H Al Wattar, The risk of miscarriage following COVID-19 vaccination: a systematic review and meta-analysis, Human Reproduction, 2023 https://academic.oup.com/humrep/advance-article/doi/10.1093/humrep/dead036/7043098?login=false
  6. "Q&A on COVID-19, pregnancy, childbirth and breastfeeding". www.who.int. Retrieved 6 April 2020.
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