Update: Characteristics of Symptomatic Women of Reproductive Age with Laboratory-Confirmed SARS-CoV-2 Infection by Pregnancy Status — United States, January 22–October 3, 2020

Zambrano, Laura D.; Ellington, Sascha; Strid, Penelope; Galang, Romeo R.; Oduyebo, Titilope; Tong, Van T.; Woodworth, Kate R.; Nahabedian, John F.; Azziz‐Baumgartner, Eduardo; Gilboa, Suzanne M.; Meaney‐Delman, Dana; Akosa, Amanda; Bennett, Carolyne; Burkel, Veronica; Chang, Daniel; Delaney, Augustina; Fox, Charise; Griffin, Isabel; Hsia, Jason; Krause, Katie; Lewis, Elizabeth; Manning, Susan E.; Mohamoud, Yousra A.; Newton, Suzanne; Neelam, Varsha; Olsen, Emily O’Malley; Perez, Mirna; Reynolds, Megan R.; Riser, Aspen P.; Rivera, Maria; Roth, Nicole; Sancken, Christina L; Shinde, Neha; Smoots, Ashley N.; Snead, Margaret C.; Wallace, Bailey; Whitehill, Florence; Whitehouse, Erin; Zapata, Lauren B.

doi:10.15585/mmwr.mm6944e3

Cited by 1,108 publications

(1,286 citation statements)

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“…The pregnant woman can be considered to be more at risk of severe form than the non pregnant woman [ 3 ]. Their fragile immunity and frequent comorbidities such as obesity, diabetes mellitus, arterial hypertension, or cardiovascular diseases may expose them at higher risks of developing severe forms of the disease [ 4 ] and to adverse pregnancy outcomes, especially during the third trimester [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

A case study of the first pregnant woman with COVID-19 in Bukavu, eastern Democratic Republic of the Congo

Birindwa

Mulumeoderhwa

Nyakio

et al. 2021

matern health, neonatol and perinatol

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Introduction Vertical transmission of covid-19 is possible; its risk factors are worth researching. The placental changes found in pregnant women have a definite impact on the foetus. Case presentation We report a case of a 25-year-old woman, gravida 3, para 2 (2 alive children), with a history of two caesarean deliveries, who was infected by the SARS-CoV-2 during the last term of her pregnancy. She gave birth by caesarean at 34 weeks of gestation to a newborn baby also infected with SARS-CoV-2. The peri-operative observations noted several eruptive lesions in the pelvis, bleeding on contact. Microscopic examination of the foetal appendages revealed thrombotic vasculopathy in the placenta and in the umbilical cord vessels. Conclusion This case is one of the first documented cases of COVID-19 in pregnancy in sub-Saharan Africa. We strongly suggest obstetricians to carefully examine the aspect of the peritoneum, viscera and foetal appendages in affected pregnant women.

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Section: Introductionmentioning

confidence: 99%

A case study of the first pregnant woman with COVID-19 in Bukavu, eastern Democratic Republic of the Congo

Birindwa

Mulumeoderhwa

Nyakio

et al. 2021

matern health, neonatol and perinatol

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“…Although the specific effects of COVID-19 on pregnancy are still being tested, some researchers argue pregnant women are generally at higher risk for viral respiratory illness [2]. Moreover, other studies indicate that COVID-19 may be associated with an elevated risk for intensive care unit admission, placental injury, preeclampsia, preterm birth, low birth weight, and even maternal death [3][4][5][6]. These recent findings led the CDC to add pregnancy as a risk factor for severe COVID-19 outcomes on June 25, 2020 [7].…”

Section: Introductionmentioning

confidence: 99%

Exercise routine change is associated with prenatal depression scores during the COVID-19 pandemic among pregnant women across the United States

2020

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Background The COVID-19 pandemic has negatively affected physical and mental health worldwide. Pregnant women already exhibit an elevated risk for depression compared to the general public, a pattern expected to be exacerbated by the pandemic. Certain lifestyle factors, including moderate exercise, may help support mental health during pregnancy, but it is unclear how the pandemic may impact these associations across different locations. Here, we test whether: (i) reported exercise routine alterations during the pandemic are associated with depression scores; and, (ii) the likelihood of reporting pandemic-related exercise changes varies between women living in metro areas and those in non-metro areas. Methods This cross-sectional study used data from the COVID-19 And Reproductive Effects (CARE) study, an online survey of pregnant women in the United States. Participants were recruited April-June 2020 (n = 1,856). Linear regression analyses assessed whether reported COVID-19-related exercise change was associated with depression score as measured by the Edinburgh Postnatal Depression Survey. Logistic regression analyses tested whether a participant’s Rural-Urban Continuum Code classification of “metro” was linked with higher odds of reporting exercise changes compared to a “non-metro” classification. Results Women who reported exercise changes during the pandemic exhibited significantly higher depression scores compared to those reporting no changes. Moreover, individuals living in metro areas of all sizes were significantly more likely to report exercise changes compared to women living in non-metro areas. Conclusions These results suggest that the ability to maintain an exercise routine during the pandemic may help support maternal mental health. It may therefore be prudent for providers to explicitly ask patients how the pandemic has impacted their exercise routines and consider altered exercise routines a potential risk factor for depression. An effort should also be made to recommend exercises that are tailored to individual space restrictions and physical health.

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“…The cumulative data thus far suggest that pregnant women are at a higher risk for serious morbidities from COVID-19, albeit more modest than other pathogens, such as 2009 H1N1 Influenza. These heightened morbidities are noted in terms of an increased need for intensive care, mechanical ventilation and death among symptomatic pregnant women, as well as suggestions of increased rates of preterm birth [3] , [4] . For many decades the powerful concept of passive immunization of the neonate via maternal infection or immunization and transplacental passage of protective antibody into the fetal/neonatal circulation has been recognized, with protection afforded against tetanus, smallpox, influenza, and pertussis, among other pathogens [5] .…”

mentioning

confidence: 99%

The need for inclusion of pregnant women in COVID-19 vaccine trials

Beigi

Krubiner

Jamieson

et al. 2021

Vaccine

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Update: Characteristics of Symptomatic Women of Reproductive Age with Laboratory-Confirmed SARS-CoV-2 Infection by Pregnancy Status — United States, January 22–October 3, 2020

Cited by 1,108 publications

References 8 publications

A case study of the first pregnant woman with COVID-19 in Bukavu, eastern Democratic Republic of the Congo

A case study of the first pregnant woman with COVID-19 in Bukavu, eastern Democratic Republic of the Congo

Exercise routine change is associated with prenatal depression scores during the COVID-19 pandemic among pregnant women across the United States

The need for inclusion of pregnant women in COVID-19 vaccine trials

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