20 March 2020 COVID and pregnancy

Mon, 03/30/2020 - 17:59

See review and guidelines (March 3) in attachment.

Summary of the conclusion:

Out of 38 pregnant women with COVID-19,

  • No cases of either severe pneumonia or maternal deaths.
  • No intrauterine transmission of SARS-CoV-2 to the fetus
  • Even not in co-morbid conditions such as preeclampsia, pregnancy-induced hypertension, uterine scarring, gestational diabetes, and uterine atony.
  • Gestational age among these 22 co-morbid mothers at the time of onset of COVID-19 varied between 30 and 40 weeks,

Among the 30 neonates delivered and tested no cases of rt-PCR-confirmed SARS-CoV-2 infection, despite the existence of perinatal complications in some of the infants. Also placenta’s tested negative.

This lack of maternal-fetal transmission of SARS-CoV-2 is consistent with SARS and MERS in pregnant women.

Early in the epidemic, there were two cases of neonatal SARS-CoV-19 infection reported:

  • One diagnosed at 17 days of life having a history of close contact with 2 confirmed cases
  • The other was a neonate who was found infected 36 hours following delivery.

In both infants, there was no direct evidence for vertical transmission, and postpartum neonatal infection acquired through an infected contact could not be eliminated.