Start with a free trial account for free content every month. Already a subscriber? Sign in.
Free Episode

ROP 2020 May 10th Breaking News: Updates on COVID in Pregnancy

Penny Wilson, MD and Heidi James, MD
00:00
11:13

Playback Speed

No me gusta!

The flash player was unable to start. If you have a flash blocker then try unblocking the flash content - it should be visible below.

Studying for the FM boards? Check out Crunch Time FM!

Go to Crunch Time FM

ROP Breaking News: COVID in Pregnancy - May 10, 2020 Updates

Penny Wilson, MD and Heidi James, MD

  • The risk of COVID-19 to pregnant women is probably similar to the general age-matched population, but we know now that maternal mortality is not zero, so this virus should not be underestimated.
  • Vertical transmission is still not conclusively shown but we have more indications from positive placental and amniotic fluid samples that it might be possible.
  • Unsurprisingly, the mortality risk to the fetus or newborn appears to correlate with the severity of the maternal illness.
  • Rates of asymptomatic carriage may be 8 or 9 times higher than symptomatic patients, so health services need to take that into account when considering screening and isolation policies.
  • Keeping baby with mom and breastfeeding appears to be safe if appropriate precautions are taken.
  • Don’t forget the PPE! 

References

Maternal Death Due to COVID-19 Disease
Hantoushzadeh S, Shamshirsaz AA, Aleyasin A, et al. [published online ahead of print, 2020 Apr 28]. Am J Obstet Gynecol. 2020;S0002-9378(20)30516-0. doi:10.1016/j.ajog.2020.04.030

Preterm delivery in pregnant woman with critical COVID‐19 pneumonia and vertical transmission
Zamaniyan M, Ebadi A, Aghajanpoor Mir S, Rahmani Z, Haghshenas M, Azizi S. [published online ahead of print, 2020 Apr 17]. Prenat Diagn. 2020;10.1002/pd.5713. doi:10.1002/pd.5713

COVID-19 infection among asymptomatic and symptomatic pregnant women: Two weeks of confirmed presentations to an affiliated pair of New York City hospitals
Breslin N, Baptiste C, Gyamfi-Bannerman C, et al. [published online ahead of print, 2020 Apr 9]. Am J Obstet Gynecol MFM. 2020;100118. doi:10.1016/j.ajogmf.2020.100118

Universal Screening for SARS-CoV-2 in Women Admitted for Delivery
Sutton D, Fuchs K, D'Alton M, Goffman D. [published online ahead of print, 2020 Apr 13]. N Engl J Med. 2020;NEJMc2009316. doi:10.1056/NEJMc2009316

SARS-CoV-2 in pregnancy: symptomatic pregnant women are only the tip of the 2 iceberg
Accepted Manuscript - American Journal of Obstetrics & Gynecology www.ajog.org

Unlikely SARS-CoV-2 vertical transmission from mother to child: A case report
Peng Z, Wang J, Mo Y, et al. J Infect Public Health. 2020;13(5):818‐820. doi:10.1016/j.jiph.2020.04.004

SARS-CoV-2 Is Not Detectable in the Vaginal Fluid of Women With Severe COVID-19 Infection
Qiu L, Liu X, Xiao M, et al. [published online ahead of print, 2020 Apr 2]. Clin Infect Dis. 2020;ciaa375. doi:10.1093/cid/ciaa375

Second-Trimester Miscarriage in a Pregnant Woman With SARS-CoV-2 Infection
Baud D, Greub G, Favre G, et al. [published online ahead of print, 2020 Apr 30]. JAMA. 2020;e207233. doi:10.1001/jama.2020.7233

Detection of SARS-COV-2 in Placental and Fetal Membrane Samples
Accepted Manuscript - American Journal of Obstetrics & Gynecology MFM

Novel Coronavirus 2019 (COVID-19) - ACOG Practice Advisory

COVID‐19 vaginal delivery – a case report
Lowe B, Bopp B. [published online ahead of print, 2020 Apr 15]. Aust N Z J Obstet Gynaecol. 2020;10.1111/ajo.13173. doi:10.1111/ajo.13173

Vaginal delivery in SARS‐CoV‐2 infected pregnant women in Northern Italy: a retrospective analysis
Ferrazzi E, Frigerio L, Savasi V, et al. [published online ahead of print, 2020 Apr 27]. BJOG. 2020;10.1111/1471-0528.16278. doi:10.1111/1471-0528.16278

 

To join the conversation, you need to subscribe.

Sign up today for full access to all episodes and to join the conversation.

To download files, you need to subscribe.

Sign up today for full access to all episodes.
ROP 2020 May 10th Breaking News: Updates on COVID in Pregnancy Full episode audio for MD edition 11:13 min - 150 MB - M4A