COVID-19: Pregnancy update 4/5/20

There are still every limited data available for pregnant women and newborns with COVID-19. Currently, it is too early to tell if COVID-19 is associated with pregnancy loss, miscarriages or stillbirth.â €
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Here is what we know: â €
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✔️Women with other strains of Coronavirus did not have miscarriages or stillbirths at higher rates than the general public.⠀
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✔️ There has been new (but limited) data that suggests transmission of COVID-19 from mother to newborn may occur. JAMA reported that in China, 3 out of 33 newborns born to COVID-19 positive mothers tested positive for COVID-19 themselves. All three babies had mild symptoms of fever and their most concerning complication was pneumonia. All three newborns recovered and tested negative for COVID within 1 week of treatment. ⠀
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The American Academy of Pedatritics recently updated their recommendations for COVID-19 positive mothers:â €
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▶️ Newborns should be separated at birth from mothers who are COVID-19 positive. ⠀
▶️ Infants born with positive COVID-19 mothers or mothers at high risk will need to be tested within 24 hours of birth and should be separated from mother until results return.
▶️ There has been no evidence that suggests that SARs-CoV-2 has been detected in breastmilk. If the mother is separated from her newborn, she is still encouraged to pump and allow uninfected caregivers to feed her infant breastmilk.
▶️ Upon discharge from the hospital, a mother who is positive for COVID-19 is advised to maintain a 6 ft distance from newborn (while at home) until she is without fever for 3 days without the use of fever reduction medication or has had symptoms passed for at least 7 days since symptoms first appeared. ⠀
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Still, at this time, we suspect that pregnant women are NOT considered to be at higher risk for critical illness with COVID-19. â €
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However, keep in mind that high fevers with any infections in the first trimester can increase risk of birth defects. Thus, it is important that pregnant women should take all precautions to protect themselves and be monitored very closely with their OB during this pandemic.

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