in pregnant women, cases COVID-19, complications are more common.
– pregnant with COVID-19 are longer in the hospital, they are more common complications such as renal failure, sepsis and DIC. Pregnant women are also more likely to require hospitalization in the NICU;
in a comparative study of 10 pregnant women and 40 women with COVID-19, 40 percent of pregnant women in need of artificial lung ventilation, whereas among normal -13 percent;
the US study, among 46 pregnant women with COVID-19 showed that 15 percent of women the disease was severe due to obesity or chronic diseases;
the outcome of pregnancy in women with COVID-19 depends on trimester: thus, among seven women who became infected in the first trimester, four had a miscarriage; four out of five women who were infected after 24 weeks of pregnancy, the children were born prematurely; three women on 26, 28 and 32 week of pregnancy cesarean section was conducted due to the deterioration on the background of coronavirus infection.
Transfer COVID-19 from mother to unborn baby today has not been proven. Journals The Lancet and Journal of Clinical Virology published materials, which are described in more detail the results of studies on the impact COVID-19 to the future health of mother and child:
tests for COVID-19 from 179 infants born to mothers with coronavirus infection was negative;
– no virus found in umbilical cord blood, amniotic fluid, breast milk and swabs from the nasopharynx babies;
in Wuhan nine women who test positive for COVID-19 healthy children were born in the period of more than 36 weeks.
– there are known cases of infection of infants directly from contact with infected mother or staff. So, six out of the 179 infants were diagnosed COVID-19, three of them experienced severe form of pneumonia, occurred on the background of coronavirus infection.
– the attention of obstetricians, neonatologists and infectious disease specialists focused on the improvement and optimization of methods of prevention of horizontal proliferation COVID-19 in all areas of health care, including maternity wards and intensive care units.
COVID-19 could lead to increased risk of maternal and infant morbidity and mortality. These disappointing findings are presented in the article in the journal The Lancet on the impact of coronavirus infection on reproductive and sexual health. Main concerns of professionals associated with the prioritization of the response to the pandemic, which are now accepted worldwide. This fact, in their opinion, may lead to serious consequences.
– disruption in the provision of services in the field of sexual and reproductive health, which in turn can lead to increased risk of maternal and chil��Oh morbidity and mortality;
– global scope possible shortage of contraception and service providers in the field of sexual and reproductive health, and medical institutions;
– reduce access to services in the field of family planning, abortion, prenatal care, detection and treatment of HIV infection, gender-based violence and mental health care will lead to an increase in the number of cases and consequences of unplanned pregnancy, unsafe abortion, sexually transmitted infections, pregnancy complications, miscarriages, post-traumatic stress disorder, depression, suicide, violence by partners, as well as maternal and infant mortality
Pandemic COVID-19 two times increases the risk of mental disorders. During pregnancy women are most vulnerable to the influence of external factors and need more psychological support. In consideration of the General anxiety and tension from all that is happening in the world today, to assess depression and anxiety in pregnant women during a pandemic was carried out an anonymous survey involving 260 respondents. The main findings of a survey published on the website of The Journal of Maternal-Fetal & Neonatal Medicine, stress again the importance of providing additional psychosocial care for pregnant women during this difficult time.
– the unpredictability of pandemics, the consequences of the restrictions and the subsequent generation of fear indicate that pregnant women may be affected by any aspect of the pandemic COVID-19;
more than 35 per cent of pregnant women showed higher anxiety level compared to the control group undergoing the study before the start of the pandemic;
– mental illness during a pandemic occur twice as often than under normal circumstances;
– the results obtained did not reveal a positive effect on psychological well-being of pregnant women, which indicates the possibility of prolonged mental complications as a result of the pandemic COVID-19;
in the period of crisis pregnant women need psychosocial support, otherwise during pregnancy complications can arise that can have a negative impact on both the mother and on the unborn child.
According to Ministry of health, infection COVID-19 increases the risks for women during childbirth and can lead to a number of complications: premature birth (39 per cent), growth retardation (10 percent) and abortion (2 percent). Pregnant women with coronavirus infection and pneumonia, an increase in the cesarean rate due to the development of distress syndrome in the fetus.
