Canadian surveillance of COVID-19 in pregnancy: Epidemiology and maternal and infant outcomes

Abstract

quarters, (20.6% vs 13.3% (Q1) vs 11.7% (Q3) vs 14.5% (Q4), p<0.001), ARDS, and IMV were also more common in late season (Table). In adjusted analyses, women with late-season influenza had 2.16-fold higher odds of ARDS (95%CI 1.43,3.28) and 2.79-fold higher odds of IMV (95% CI 1.43,5.46). CONCLUSIONS: Influenza infection between April-June, i.e. late-season influenza, is associated with increased odds of severe maternal morbidity, ARDS, and IMV. Further research into the etiology of this phenomenon is needed.

Women’s postpartum experiences in Canada during the COVID-19 pandemic: a qualitative study

“…Most of the interviews were collected before it was known that pregnant people are at increased risk for hospital admission and death in the event of COVID-19. 34 This knowledge likely affects more recent experiences of pregnancy during the pandemic, as well as decisions about pregnancy care. Recruitment via social media may have excluded those with limited Internet access.…”

COVID-19 vaccination coverage and intent among women aged 18–49 years by pregnancy status, United States, April–November 2021

“…COVID-19 vaccines have been available in the United States since December 2020 and are currently recommended for everyone aged 5 years and older, including people who are pregnant, lactating, trying to get pregnant now, or who might become pregnant in the future [2] , [3] . Pregnant and postpartum women are at increased risk for severe illness from COVID-19, including intensive care admission, mechanical ventilation, or death, compared with nonpregnant women of reproductive age [4] , [5] , [6] , [7] , [8] . Pregnant women with COVID-19 are also at increased risk for pregnancy complications such as preterm birth and stillbirth [4] , [5] , [8] , [9] , [10] .…”

“…Pregnant and postpartum women are at increased risk for severe illness from COVID-19, including intensive care admission, mechanical ventilation, or death, compared with nonpregnant women of reproductive age [4] , [5] , [6] , [7] , [8] . Pregnant women with COVID-19 are also at increased risk for pregnancy complications such as preterm birth and stillbirth [4] , [5] , [8] , [9] , [10] .…”

Making good care essential: The impact of increased obstetric interventions and decreased services during the COVID-19 pandemic

“…Nevertheless, as in all countries where hospital births are the norm, in Canada pregnancy and birth are generally conceptualized as uncertain and risky events that can only be managed safely by biomedical professionals in clinical settings [ 3 , 4 ]. This sense of uncertainty and potential hazard has increased with evidence that pregnant people face elevated risk of severe illness and death in the event of COVID-19 infection [ 5 , 6 ]. Pandemic perinatal care in Canada is thus subject to system-wide pressures to limit interpersonal contact in clinical settings.…”