Effects of covid19 in pregnant women Risk of covid19 on newborn baby Methods to detect covid19 in newborn baby and pregnant women Preventive measures to protect the pregnant women and the foetus Mode of delivery Way of transmission of covid19 from mother to baby Effects of covid19 in foetus

1. EFFECT OF COVID19 ON PREGNANCY
REPRESENTED BY NEHA DIWAN

2. INTRODUCTION
Pregnant women do not appear more likely to contract the infection than the
general population. However, pregnancy itself alters the body’s immune system and
response to viral infections in general, which can occasionally be related to more
severe symptoms and this will be the same for COVID-19.
Reported cases of COVID-19 pneumonia in pregnancy are milder and with good
recovery.
In other types of coronavirus infection (SARS, MERS), the risks to the mother appear
to increase in particular during the last trimester of pregnancy. There are case
reports of preterm birth in women with COVID-19 but it is unclear whether the
preterm birth was always iatrogenic, or whether some were spontaneous.

3. Pregnant women with heart disease are at highest risk
(congenital or acquired).
The coronavirus epidemic increases the risk of perinatal
anxiety and depression, as well as domestic violence. It is
critically important that support for women and families
is strengthened as far as possible; that women are asked
about mental health at every contact

5. There are currently no data suggesting an increased risk of
miscarriage or early pregnancy loss in relation to COVID-19.
 There is no evidence currently that the virus is teratogenic.
Long term data is awaited.
COVID-19 infection is currently not an indication for
Medical Termination of Pregnancy.
As there is no evidence of intrauterine fetal infection with
COVID19 it is therefore currently considered unlikely that
there will be congenital effects of the virus on fetal
development.
EFFECT ON FOETUS

6. PROBLEMS EXPECTED AND SEEN IN PREGNANT WOMEN
Cough, fever and shortness of breath
Severe symptoms such as
 pneumonia
 marked hypoxia
 Seen in the
 Immuno-suppressed
 Long term conditions such as diabetes, cancer and
chronic lung disease
 It can require to have the woman for artificial
ventilation

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8. MODE OF BIRTH (DELIVERY)

9. ELECTRONIC FETAL MONITORING
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10. NEONATE
 All babies of women with suspected or confirmed COVID19 need
to also be tested for COVID19.
 Literature from China has advised separate isolation of the
infected mother and her baby for 14 days.
 Hence, even if breast feed does not transmit the virus, it's best
avoided as the baby is to be isolated from the mother.
 We can ask the mother to take out the breast milk and take it to a
sterile container and that can be given to the baby who is isolated
from these mother.

11. COVID-19 POSITIVE WOMAN GIVES BIRTH TO ‘HEALTHY’ BABY IN HOWRAH
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12. If you are infected
with COVID-19 you
are still most likely to
have no symptoms or
a mild illness from
which you will make a
full recovery.
(1) (3)
(2)
If you develop more severe
symptoms or your recovery is
delayed, this may be a sign that
you are developing a more
significant chest infection that
requires enhanced care; you
should contact your maternity
care team immediately.
There may be a need to
reduce the number of
antenatal visits you have.
However, do not reduce your
number of visits without
agreeing first with your
maternity team.
Specific Obstetric Management Considerations
Information to be shared with pregnant women
Pregnant women should be informed as follows:-

13.  Pregnant women should be advised to increase their social distancing to reduce the risk of infection and practice
hand hygiene.
 Health care practitioners should promptly notify infection control personnel at their facility of the anticipated arrival
of a pregnant patient who has confirmed COVID-19 or is a PUI so that infection control measures can be kept in
place.
 Intrapartum services should be provided in a way that is safe, with reference to minimum staffing requirements and
the ability to provide emergency obstetric, anaesthetic and neonatal care where indicated.
 A single, asymptomatic birth partner should be permitted to stay with the woman, at a minimum, through
pregnancy and birth. Visitors should be instructed to wear appropriate PPE, including gown, gloves, face mask, and
eye protection.
 Women should be met at the maternity unit entrance by staff wearing appropriate PPE and be provided with a
surgical face mask. The face mask should not be removed until the woman is isolated in a suitable room.
 Staff providing care should take Personal Protective Equipment (PPE) precautions as per national guidance.
General Guidelines for Obstetric Health Care
Providers

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15. THANK YOU