Coronavirus and pregnancy: “Should I be concerned?”

To clarify the numerous concerns of future mothers, as well as those that any citizen may have, you should go to official agencies. Here we collect all the information about it.

Am I more likely to get infected if I’m pregnant?

The Center for Disease Prevention and Control of the US Department of Health (CDC) clarifies that, at the moment, it has not been scientifically proven that pregnant women are more susceptible to infection . Therefore, the steps they must take to prevent infection are the same as for the rest of the population, such as frequent hand washing and avoiding contact with sick people . Here we leave you with a video in which Sandra Rocha, resident of the Family medicine room at Lomo Magullo de Telde, Gran Canaria, explains perfectly how to wash your hands:

It should be remembered that pregnant women are often more susceptible to viral respiratory infections, such as the flu or COVID-19. Hence , flu vaccination is recommended . However, a vaccine for coronavirus does not exist at the moment. We will therefore have to wait for future new indications in this regard.

In fact, the Federation of Midwifery Associations of Spain has confirmed to ABC that, at this time, María Jesús Domínguez, president of the entity along with other representatives, are working together with the Ministry of Health to elaborate “urgently” a protocol of action on pregnant and lactating women regarding the coronavirus .

“The case of contagion, what can happen to the baby?”

Information on this is scarce. “Loss of pregnancy, including miscarriage and stillbirth, has been observed in cases of infection with other strains of coronavirus [ SARS- CoV (Severe Acute Respiratory Syndrome) and MERS-CoV (Middle East Respiratory Syndrome)] during pregnancy. High fevers during the first trimester of pregnancy can increase the risk of certain birth defects, “recalls the CDC after the cases registered in the country. In Spain, however, there is currently no similar case, since those who died in our country from coronavirus are elderly.

For this reason, before any possible symptom , (fever, cough and feeling of shortness of breath are the most common, although diarrhea and abdominal pain have also been detected in some cases), isolate yourself and call the health authorities.

Remember that there are reasons not to panic about the coronavirus : it is like a cold in 80% of cases and mortality is 2% . José María Eiros , professor of Microbiology and director of the National Flu Center, remembers that only the flu causes more deaths.

There is no scientific evidence about the possible transmission to the baby. For example, in China a woman with coronavirus pneumonia gave birth to a healthy baby . An investigation published in « The Lancet»Regarding COVID-19 in pregnancy and the possibility that it could be transmitted intrauterine does not confirm this hypothesis. The nine pregnant women tested in the Chinese city of Wuhan, who tested positive, did not pass the virus on to their children. “Evidence of vertical intrauterine transmission was evaluated by testing for the presence of SARS-CoV-2 in amniotic fluid, umbilical cord blood, and neonatal throat swab samples. Breast milk samples were also collected and analyzed. ” All tests were negative. Thus, infected mothers are recommended to continue breastfeeding : the coronavirus does not pass into milk .

Another investigation (” Clinical analysis of 10 neonates born to mothers with 2019-nCoV pneumonia “) concludes the same thesis: “vertical transmission by coronavirus has not been confirmed.” The researchers looked at 10 infants (including 2 twins) from China’s Wuhan Province born to 9 mothers with confirmed COVID-19 infection.

Another striking figure according to the ” Chinese Expert Consensus on Perinatal and Neonatal Management for the Prevention and Control of the New Coronavirus Infection of 2019 “, “due to the immature immune system”, newborns are “a high-risk group ». It is the opinion of a group of Chinese experts. But in Spain, we recall, there are no registered cases. Experts also conclude that these types of cases are premature newborns. It is urgent, before this type, the adequate coordination of all the medical specialties involved.

“I am pregnant and have other children”

The most important thing, as we have already explained, is that before any symptoms, the possible infected person isolates himself and calls the authorities to check his case. In Spain, we insist, at the moment there are no cases of coronavirus in pregnant women or babies , although there are children .

Regarding minors, there is some investigation. ” New coronavirus infection in hospitalized babies under 1 year of age in China ” analyzes the cases of the nine babies infected between December 8, 2019 and February 6, 2020. The youngest was one month old and the oldest 11 months. They were all hospitalized.

Four had a fever, two had mild upper respiratory tract symptoms, one had no symptoms but tested positive for COVID-19 having been in contact with infected family members, and two had no symptoms. None of the infants required intensive care or mechanical ventilation and had no serious complications.

The contagion, as the WHO remembers, occurs in a person who has been in contact with an infected person “Through droplets from the nose or mouth that are thrown out when an infected person coughs or exhales.” When these are placed on the table, for example, and a person touches the table, and then touches his eyes, nose, or mouth, he becomes infected. “They can also become infected if they inhale the droplets that a person with COVID-19 has spread by coughing or exhaling,” they recall. For this reason, the WHO recalls that it is important to stay more than 1 meter away from the patient; handwashing; avoid touching your eyes, nose, and mouth; Cover your mouth and nose with your bent elbow or tissue paper when coughing or sneezing (and throw it away immediately); and call the local health authorities if you experience symptoms.

 

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