COVID-19 in Pregnancy

Abstract

Objective: To define the symptomatology of SARS-CoV-2 infection in pregnancy and associations between occupation, sociodemographic factors, and comorbidities with the severity of COVID-19 disease in pregnancy in all trimesters, regardless of hospitalization. Methods: We studied a retrospective cohort of a public health surveillance sample of persons with COVID-19 infection diagnosed during pregnancy. Data was collected March 2020 to August 2020 regarding symptoms, disease severity, comorbidities, obstetric history, and occupation. Results: One hundred sixty-three individuals were identified. Constitutional (64%) and lower respiratory symptoms (61%) were most common. Seventeen individuals (13.6%) were hospitalized, and one person (0.7%) died due to COVID-19. Risk factors for severe disease were age and an occupation that had high intensity exposure to people. Conclusions: Occupational exposure is a risk factor for severe COVID-19 disease in pregnancy, justifying policy measures to ensure protection of this vulnerable population.

Using Community-Based System Dynamics to Address Structural Racism in Community Health Improvement

“…County health rankings consistently rank Cuyahoga County in the lowest third of the 88 counties in Ohio for health outcomes, while life expectancy and infant mortality measures consistently show premature death for Black residents 7–10. Recent data on the impact of COVID-19 show similar disparities 11,12…”

“…[7][8][9][10] Recent data on the impact of COVID-19 show similar disparities. 11,12 In an effort to address these marked and persistent health inequities, numerous individuals and organizations within Cuyahoga County organized in 2009, as part of Place Matters, a national health/racial equity initiative. 8 These partners have now worked in relationship for more than a decade to understand and address the root causes of health inequities for Cuyahoga County, including conducting a community health status assessment in 2013.…”

Equity for Older Adults and Those in Congregate Sites: Lessons from the First Year of a Local Public Health COVID‐19 Response

“…We also tried to steal a bit of time from the moment‐to‐moment immediate needs to write up some of the new observations that we had not seen in the emerging literature that we combed on a nearly daily basis. These include analyses of: characterization of community‐wide transmission of SARS‐CoV‐2 in congregate living settings and our local public health‐coordinated response during the initial phase of the COVID‐19 pandemic (Terebuh et al, 2020), gastrointestinal bleeding in SARS‐CoV‐2 infection (Fakolade et al, 2021), structural racism and risk of SARS‐CoV‐2 in pregnancy (Miracle et al, 2021; Pope et al, 2021), and the association of school instructional mode with community COVID‐19 incidence (Terebuh et al, 2021).…”