Wednesday, October 20

COVID-19: Pregnant women and babies, what to do? Guide

There is currently little data on COVID-19 and pregnant women and newborns, but here is all you need to know. Are pregnant women, like the elderly, more at risk of suffering from coronavirus?

Elderly people, already suffering from a pathology … If we know what types of people are most at risk of contracting COVID-19 , what about pregnant women?

As noted by the Centers for Disease Control and Prevention in the United States, there is little information from scientific publications on the risks of pregnant women. For the moment, the recommendation made to them is that of applying barrier gestures. “This recommendation is based on the scarcity of scientific knowledge on the complications linked to this new coronavirus, but also on the precedent of SARS (severe acute respiratory syndrome), a very close cousin of SARS-CoV-2, which had proved very dangerous for pregnant women and their fetuses. At this point, however, there is no evidence that COVID-19 shares this characteristic.

What happens if you have COVID-19 pregnant?

Immune and physiological changes made during pregnancy make pregnant women more likely to develop respiratory infections. It can also make them sicker than normal.

“A small study by the World Health Organization (WHO), which compared pregnant women affected by the coronavirus with other infected individuals, showed that they were generally not sicker. which is slightly reassuring,” says pediatrician Jessica Madden.

“To my knowledge, a dozen pregnant women were infected in China, most of them during the third trimester of pregnancy, and they did not transmit it to the child,” “They contracted the same symptoms as women who do not have children, but it is difficult to draw conclusions.”

What should you do if you have symptoms suggesting COVID-19?

The potential symptoms of coronavirus should not be taken lightly. “It is important, for pregnant women, to watch if they have a fever, respiratory symptoms – cough, difficulty breathing, etc. – to your gynecologist so that he can carry out examinations”, underlines the obstetrician-gynecologist Natali Aziz, at the American HuffPost. “Most likely, these symptoms will be linked to other viruses,” she said.

In the end, as general practitioner Jimmy Mohamed points out in media, the precautionary measures to be taken when pregnant are the same for coronavirus as other infections: “We know that coronavirus can be more severe in fragile people and pregnant women, in whom two types of complication are to be feared: the first for itself: it can develop more severe respiratory forms but also for the baby. Fever in pregnant women can be responsible for premature deliveries or miscarriages. Either way, if you’re pregnant and have temperature, coronavirus or not, it’s important to see your doctor.”

Can a pregnant mother transmit the disease to the baby?

As a study published in media, it is too early to know the consequences of the coronavirus on newborns. For the moment, those born to an infected mother were not themselves and appeared to be in good health. But as for the other studies, the number of participants is small.

During the SARS (Severe Acute Respiratory Syndrome) epidemic, three out of twelve pregnant women who were the subjects of a study in Hong Kong died, and four who were in their first trimester of pregnancy suffered a miscarriage.

Can a mom continue to breastfeed?

For the breastfeeding of a woman with coronavirus, no official statement has been made. However, experts say it is not a priority – so far no case of transmission through breast milk has been reported.

However, Doctor Denise J. Jamieson, interviewed by the NY, believes that, from what we know about viruses, “there would be a high probability that the virus is in breast milk, but we do not not sure.”

Should we stop breastfeeding? Not necessarily. “Based on what we know about other viral diseases, I strongly encourage mothers to continue breastfeeding” if that was what they wanted to start with, says Jessica Madden. The Centers for Disease Control and Prevention also do not encourage cessation of breastfeeding.

What precautions should be taken with a newborn baby?

Experts advise mothers affected by COVID-19 to wear a mask in the presence of their baby.

In the same way, all people who come into contact with the newborn must obviously wash their hands before.

As for going out with your baby outside, it is simply a matter of respecting the usual recommendations, namely, “stay away from shopping centers and supermarkets … until the baby is at least one month old and has a better system. immune”, says pediatrician Anita Juvvadi.