CORONAVIRUS DISEASE (COVID-19): WHAT YOU SHOULD KNOW ABOUT ITS IMPACT ON MOMS AND BABIES

Coronavirus, also called COVID-19, is a respiratory disease that has spread to the U.S. and around the world. COVID-19 is a global pandemic, as it infects and can spread easily between people.

How it spreads:

The virus spreads mainly from person-to-person through respiratory droplets when an infected person coughs or sneezes. It may also spread when people touch a surface or object that has the virus on it and then touching their mouth, nose or eyes. Many people without symptoms are spreading the virus. Some people are “asymptomatic,” meaning they have the virus but don’t have symptoms. Others are “pre-symptomatic,” which means they have the virus but show no symptoms for a while, but later they will have symptoms. This means that the virus can spread between people interacting in close proximity—for example, speaking, coughing, or sneezing—even if those people are not exhibiting symptoms.

Symptoms:

Mild symptoms to a severe illness can appear within 2-14 days of being infected. Symptoms include:

-Fever

-Cough

-Shortness of breath

-Chills

-Repeated shaking with chills

-Muscle pain

-Headache

-Sore throat

-Loss of smell or taste.

If you think you may have COVID-19, please call your health care provider and they can help you be tested. If they ask you to come into the office, do wear a face-mask and gloves before you enter the facility.

WHAT PREGNANT WOMEN NEED TO KNOW

The following information is sourced from the CDC. Read more about pregnancy and COVID-19 here.

At this time, we have limited pregnancy-specific data about COVID-19. More studies are being published and we are learning more each day. The available information at this moment suggests pregnant women may have the same risk as other non-pregnant adults. Public health and medical groups are closely monitoring the COVID-19 pandemic and providing regular updates.

THINGS TO KEEP IN MIND:

1.We still don’t know if pregnant women have a higher chance of getting COVID-19 compared to the rest of the general population or if they are more likely to get seriously sick.

2.During pregnancy, your immune system is less quick to respond to illness so you’re more likely to become sick.

High fevers during the first trimester of pregnancy can increase the risk of certain birth defects.
Miscarriage and stillbirth have been observed with other coronaviruses and infections (e.g. flu) during pregnancy.

3.Based on limited reports, adverse outcomes like preterm birth have been reported among babies born to moms with COVID-19, but it’s not clear if that’s related to maternal infection.

4.As of now it’s not clear if a pregnant woman with COVID-19 can transmit the virus to her baby, but newborns can get infected with COVID-19 right after birth from someone with the virus. Early on in the COVID-19 pandemic, data had suggested that babies born to moms with the virus did not test positive for COVID-19. 

5.So far, the COVID-19 virus has not been found in the breast milk of women with COVID-19. The American Academy of Pediatrics (AAP) says, if you have COVID-19 it’s best to express your milk and a healthy caregiver can feed your breast milk to your baby. A mom with COVID-19 who request direct breastfeeding needs to:

Use a cloth (or face-mask—if available) to cover her face and nose
Wash her hands and breast thoroughly before and after touching her baby
Constantly clean surfaces she touches
 
6.Recent data shows that compared to adults, babies and children generally have less severe COVID-19 symptoms. However, among babies and children, babies less than one year old are at a higher risk of getting very sick from COVID-19. 
 

THINGS TO DO:

1.Practice social distancing, which means being separated from another person by at least 6 feet. Ask your health care provider for virtual or off-hour visits for your prenatal visits, ultrasound and lab testing.
 

2.Call your hospital or birth center and ask them about any restrictions they have on the number of support persons (e.g. doula, spouses, family) allowed in the room during labor and delivery. Update your Birth Plan by using our template here.

3.If you are in labor and you have, or think may have COVID-19, call the hospital before you go so the staff can properly prepare and protect your baby and others from being infected.

4.If you have or may have COVID-19, your health care provider may recommend that you stay in a separate room from your newborn until the risk of spreading the infection is over. If you and your baby are not separated, you can reduce the chances of your baby being infected by washing your hands thoroughly and wearing a facemask before each feeding.

5.If you are temporarily separated from your newborn and you want to breastfeed, you can:

Use a breast pump to express your breast milk. Wash your hands thoroughly before using the pump. A healthy caregiver can feed the breast milk to your baby.
Breastfeed from your breast. Wash your hands thoroughly and put on a face-mask before each feeding your baby.
 

6.Take care of yourself. We are living through a public health emergency that is creating a lot of stress, fear and anxiety in families across the U.S. For new moms, caring for a new baby while feeling sore, tired and stressed can be a lot to handle. But there are several things you can do to care for yourself:

Take periodic breaks from watching or listening to the pandemic news stories or going on social media to help reduce anxiety.
Keep in touch with people you care about and who care about you. Tell your partner, family and friends how you’re feeling.
While COVID-19 has changed the way daily life looks for us, there are things you can do to help keep a routine. Every day, take a shower, eat healthy foods and regular meals, drink plenty of water and get a good night’s sleep.
 

7.Know you are not alone. Staying connected with friends and family in a virtual way is important. Reach out, share your story and talk to other expecting and new moms online. 

 

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