Episode 061: Coronavirus and Pregnancy

Join host Dr. Natalie Crawford as she talks about COVID-19 and pregnancy. Learn what we know now as far as risks and transmission in pregnancy. Important information for those trying to get pregnant, undergoing fertility treatments, or already pregnant.

Show notes:

  • Wash your hands, socially distance, be responsible.

  • Pregnancy is high risk for Coronavirus.

  • No first trimester data.

  • No current evidence of maternal-fetal transmission.

  • May be associated with poor outcomes with fever: miscarriage, stillbirth, preterm labor.

  • Negative in breastmilk and amniotic fluid thus far.

  • Up to date as of March 13, 2020.

Additional information can be obtained at:

https://www.cdc.gov/coronavirus/2019-ncov/hcp/clinical-guidance-management-patients.htm

https://www.fda.gov/emergency-preparedness-and-response/mcm-issues/novel-coronavirus-covid-19

https://www.cdc.gov/coronavirus/2019-ncov/testing-in-us.html 

 https://www.cdc.gov/coronavirus/2019-ncov/specific-groups/pregnant-women.html

 https://www.nejm.org/doi/full/10.1056/NEJMc2003717?query=RP 

 https://www.acog.org/Clinical-Guidance-and-Publications/Practice-Advisories/Practice-Advisory-Novel-Coronavirus2019?IsMobileSet=false  

References:

1. Lei D WC, Li C, Fang C, Yang W, Cheng B, Wei M, Xu X, Yang H, Wang S, Fan C. Clinical characteristics of pregnancy with the 2019 novel coronavirus disease (COVID-19) infection. Chinese Journal Perinatal Medicine 2020;23(3). 

 

2. Chen H GJ, Wang C, Luo F, Yu X, Zhang W, Li J, Zhao D, Xu D, Gong Q, Liao J, Yang H, Hou W, Zhang Y. Clinical characteristics and intrauterine vertical transmission potential of COVID-19 infection in nine pregnant women: a retrospective review of medical records. Lancet 2020;395(10226):809-15.

 

3. Alfaraj SH, Al-Tawfiq JA, Memish ZA. Middle East Respiratory Syndrome Coronavirus (MERSCoV) infection during pregnancy: Report of two cases & review of the literature. J Microbiol Immunol Infect 2019 Jun;52(3):501-3. 

 

4. Wong SF, Chow KM, Leung TN, Ng WF, Ng TK, Shek CC, et al. Pregnancy and perinatal outcomes of women with severe acute respiratory syndrome. Am J Obstet Gynecol 2004 Jul;191(1):292-7.

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PERIODS EXPLAINED: The Menstrual Cycle