Sex and the Coronavirus: Reader Questions, Answered
Will there be a baby boom in nine months? Is this a bad time to get pregnant? Could PrEP protect me? And should high-risk people abstain altogether?
Conclusions: Available data showed that pregnant patients in late pregnancy had clinical manifestations similar to non-pregnant adults. It appears that the risk of fetal distress, preterm delivery and prelabor rupture of membranes (PROM) rises with the onset of COVID-19 in the third trimester of pregnancy. There is also no evidence of intrauterine and transplacental transmission of COVID-19 to the fetus in the third trimester of pregnancies. PMID: 32440660 [PubMed]
The placentas of 16 pregnant women found to have COVID-19 during routine testing at a Chicago hospital all showed evidence of injury, indicating that women infected with coronavirus may need close monitoring during pregnancy, researchers said on Friday.
FRIDAY, May 22, 2020 -- At the Cedars-Sinai Medical Center in Los Angeles, none of 80 asymptomatic women admitted to the labor and antepartum units tested positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), according to a...
The MHRA has agreed to temporary modifications to be made to the pregnancy prevention programmes for these medicines to facilitate home pregnancy testing and remote consultations, where clinically appropriate, during the COVID-19 pandemic.
ConclusionsMost of the pregnant COVID ‐19 positive patients had a favorable clinical course. However, one‐third of them developed pneumonia, of whom 5% presented a critical clinical status. CRP and D‐dimer levels positively correlated with severe pneumonia and the neutrophil/lymphocyte ratio decreased as the patients improved clin ically. Seventy‐eight percent of patients had a vaginal delivery. No vertical or horizontal transmissions were diagnosed in the neonates during labor or breastfeeding.
CONCLUSIONS: Relative to controls, COVID-19 placentas show increased prevalence of decidual arteriopathy and other features of MVM, a pattern of placental injury reflecting abnormalities in oxygenation within the intervillous space associated with adverse perinatal outcomes. Only 1 COVID-19 patient was hypertensive despite the association of MVM with hypertensive disorders and preeclampsia. These changes may reflect a systemic inflammatory or hypercoagulable state influencing placental physiology. PMID: 32441303 [PubMed - as supplied by publisher]
Mary Agyeiwaa Agyapong died from a combination of her infections and giving birth, an inquest hears.
Conclusions Among 92 women with confirmed or presumed COVID-19, the overall morbidity was low. These preliminary results are encouraging for pregnant women during the COVID-19 pandemic. Key Points [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents | Abstract | Full text
Conclusion: Pregnant women residing in low resource countries represent a uniquely vulnerable group in epidemics due to several factors. Maternity services in low resource countries are adapting to provide antenatal and postnatal care amidst a rapidly shifting health system environment due to the COVID-19 pandemic. PMID: 32436744 [PubMed - as supplied by publisher]
Since December 2019, the Severe Acute Respiratory Syndrome Coronavirus 2(SARS-CoV-2)has swept 200 countries and regions worldwide  and has become a "Public Health Emergency of International Concern" (PHEIC). Pregnant women are susceptible to COVID-19 due to the changes in their physiology and the adaptability of their immune system . During the outbreak of COVID-19, prenatal examinations may be postponed, however, delivery cannot be delayed, and the delivery room should work as usual. During this period, it is particularly important to quickly identify high-risk groups and to provide appropriate protection ...