Preg­nant women with COVID-19 five times more likely to be hos­pi­tal­ized

Iran Daily - - Health & Wellness -

Preg­nant women may be at in­creased risk for se­vere ill­ness from COVID-19 com­pared with non-preg­nant women, the Cen­ters for Dis­ease Con­trol and Preven­tion said, break­ing from ear­lier guid­ance that found no dif­fer­ence in risk be­tween the two groups.

The good news is that preg­nant women who are in­fected with COVID-19 aren’t at any greater risk of death than women who aren’t preg­nant, said Dr. Dana Meaney-del­man, a COVID-19 deputy in­ci­dent man­ager with the CDC, us­ato­ re­ported.

The worse news is that in­fected preg­nant women are more likely to be hos­pi­tal­ized and are at in­creased risk for ICU ad­mis­sion and to re­quire me­chan­i­cal ven­ti­la­tion, ac­cord­ing to a CDC study of thou­sands of women in the US from Jan­uary to June.

Among women with COVID-19, about 32 per­cent of preg­nant women were re­ported to have been hos­pi­tal­ized, com­pared with about six per­cent of non­preg­nant women, the study found.

The CDC did not have the rea­son peo­ple were ad­mit­ted to the hos­pi­tal, so it could sim­ply be women were go­ing into la­bor and were en­ter­ing the hos­pi­tal to de­liver, said Dr. Richard Beigi, pres­i­dent of the Univer­sity of Pitts­burgh Med­i­cal Cen­ter’s Magee-women’s Hos­pi­tal in Pitts­burg, Penn­syl­va­nia.

“In the United States, preg­nancy is the num­ber one rea­son for hos­pi­tal ad­mis­sion,” he said. “What that means to me is they’re prob­a­bly pick­ing up peo­ple for whom it’s just time to de­liver.”

So far, there’s no data on how a COVID-19 in­fec­tion af­fects a woman’s preg­nancy or the health out­comes of their ba­bies, Meaney-del­man said.

“Preg­nancy is nine months,” Meaney­del­man noted, so most women who’ve be­come preg­nant since the coro­n­avirus be­gan to cir­cu­late widely in the US haven’t yet given birth.

There is con­cern that a COVID-19 in­fec­tion could bring on preterm la­bor or pre­ma­ture birth, but in­for­ma­tion is still be­ing col­lected, she said.

Sev­eral in­ter­na­tional stud­ies seem to show no risk to ba­bies, said Beigi.

“It does not ap­pear to be a se­vere neona­tal prob­lem in the over­whelm­ing ma­jor­ity of cases. Our lo­cal ex­pe­ri­ence cor­rob­o­rates that,” he said.

The CDC find­ings are sim­i­lar to those from a re­cent study in Swe­den, which found that preg­nant women with COVID-19 were five times more likely to be ad­mit­ted to the ICU and four times more like to re­ceive me­chan­i­cal ven­ti­la­tion than were non­preg­nant women, ac­cord­ing to the study.

The CDC study rec­om­mended that preg­nant women not skip pre­na­tal care ap­point­ments. They should also limit in­ter­ac­tions with other peo­ple as much as pos­si­ble, take pre­cau­tions to pre­vent get­ting COVID-19 when in­ter­act­ing with oth­ers, have at least a 30-day sup­ply of medicines, and talk with their health care provider about how to stay healthy dur­ing the COVID-19 pan­demic.


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