(Black Press Media)

(Black Press Media)

Prenatal care remains key amid COVID, B.C. expert says, as U.S. studies show heightened risk

Two U.S. studies point to a higher risk of more severe symptoms, premature birth

A B.C. professor says it’s important for women thinking of getting pregnant during the pandemic to be careful, but that the risks are not high enough to warrant holding off.

Dr. Deborah Money, a professor of obstetrics and gynaecology and medicine at the University of B.C.’s School of Population and Public Health, said that two recent studies out of the U.S. Centre for Disease Control can help provide guidance for families north of the border.

“It’s really important information but we have to take it into context,” Money told Black Press Media by phone. “The overall risk for pregnant women who get COVID-19 infection to have a serious problem is very low… but it is important to recognize that this data suggests there may be a slight increased risk of complications for pregnant women versus women who are not pregnant.”

Money’s statements are based on two U.S. studies released in recent days. The first, released Nov. 6, looked at 400,000 women aged 15 to 44 years old with symptomatic cases of COVID-19. An analysis of the data found that “intensive care unit admission, invasive ventilation, extracorporeal membrane oxygenation, and death were more likely in pregnant women than in non-pregnant women.” Further, researcher found that pregnant women between 35 and 44 years old with COVID-19 were “nearly four times as likely to require invasive ventilation and twice as likely to die than were non-pregnant women of the same age.”

A second study from the U.S. CDC looked at 3,912 infants born to mothers with COVID-19. Researchers found that 12.9 per cent of these babies were born preterm, defined as earlier than 37 weeks gestation, compared to 10.2 per cent of the general population. Of 610 babies who were tested for COVID-19, 2.6 per cent were positive for the virus and born primary to women infected at the time of delivery.

Among 3,912 infants with known gestational age born to women with SARS-CoV-2 infection, 12.9% were preterm (<37 weeks), higher than a national estimate of 10.2%. Among 610 (21.3%) infants with testing results, 2.6% had positive SARS-CoV-2 results, primarily those born to women with infection at delivery. Studies are also underway in B.C. with the Canadian COVID-19 In Pregnancy Surveillance (CANCOVID-Preg), which is seeking to collect information from prenatal and maternity care experts about the effects of the COVID-19 pandemic.

In B.C., an Abbotsford mother is in an induced coma after giving birth to a baby boy after contracting COVID-19. Gill McIntosh first began to feel sick at the start of November and sought medical attention after she took a turn for the worse, becoming nauseated and unable to eat. As of Sunday (Nov. 15), McIntosh is reported to be in stable condition but remains on a ventilator.

READ MORE: Abbotsford mom with COVID-19 still in coma days after giving birth to baby boy

But while the higher risks of pregnancy during the pandemic could be a reason for women to consult with their doctors, Money said that the woman at highest risk – older, with pre-existing conditions like asthma, obesity or diabetes – should already be taking extra precautions, whether or not they were planning to get pregnant.

“We’re not currently recommending they hold back on becoming pregnant, but we’re certainly advising that pregnant women be particularly adherent to the recommendations around physical distancing, masking, hand washing and limiting contacts,” she said.

Something that women’s health experts are particularly concerned with is a trend of pregnant women being wary of visiting health-care professionals for fear of being exposed to the virus.

“That has potential risks for the pregnancy because of the inability to monitor properly,” Money said. For women who do develop COVID-19 while pregnant, Money said they need to be “very watchful” of symptoms, like shortness of breath and chest paint, worsening.

“They must be assessed. They shouldn’t be fearful and staying home [from appointments].”


@katslepian

katya.slepian@bpdigital.ca

Like us on Facebook and follow us on Twitter.

Want to support local journalism during the pandemic? Make a donation here.

Coronavirus

Get local stories you won't find anywhere else right to your inbox.
Sign up here

Just Posted

The Terrace River Kings lost 9-3 to the Quesnel Kangaroos on Mar. 2, 2019 in the final CIHL playoffs. (Lindsay Chung Photo)
Central Interior Hockey League cancels 2020/21 season

League open to playing exhibition games if possible

Questions around rail safety, firefighter safety, cleanup near the rail yards and tracks, whistle cessation, etc were raised during the RDBN meeting with CN. (File photo)
Regional district frustrated with CN response to grievances

‘A lot of our concerns are still not being heard,’: Houston mayor Shane Brienen

Ski hill scheduled to open Dec. 4

Hudson Bay Mountain Resort will open without its usual contingent of international workers

An aerial shot of Cedar Valley Lodge this past August, LNG Canada’s newest accommodation for workers. This is where several employees are isolating after a COVID-19 outbreak was declared last Thursday (Nov. 19). (Photo courtesy of LNG Canada)
41 positive COVID-19 cases associated with the LNG Canada site outbreak

Thirty-four of the 41 cases remain active, according to Northern Health

Kitimat RCMP were requesting assistance locating 24-year-old Teah Wilken, who was last seen getting on a bus at City Centre Mall in Kitimat around 6:30 p.m. Monday (Nov. 23). Kitimat RCMP Facebook photo.
UPDATE: missing woman found safe at residence

Wilken last seen getting on bus at City Centre Mall in Kitimat around 6:30 p.m. Monday (Nov. 23)

A man wearing a face mask to help curb the spread of COVID-19 walks in downtown Vancouver, B.C., Sunday, Nov. 22, 2020. The use of masks is mandatory in indoor public and retail spaces in the province. THE CANADIAN PRESS/Darryl Dyck
B.C. records deadliest day of pandemic with 13 deaths, 738 new COVID-19 cases

Number of people in hospital is nearing 300, while total cases near 30,000

The COVID-19 test centre at Peace Arch Hospital is located on the building’s south side. (Tracy Holmes photo)
B.C. woman calls for consistency in COVID-19 post-test messaging

‘Could we just get one thing straight?’ asks Surrey’s Deb Antifaev

(File photo)
Alberta woman charged after allegedly hitting boy with watermelon at Okanagan campsite

Police say a disagreement among friends at an Adams Lake campsite turned ugly

Cannabis bought in British Columbia (Ashley Wadhwani/Black Press Media)
Is it time to start thinking about greener ways to package cannabis?

Packaging suppliers are still figuring eco-friendly and affordable packaging options that fit the mandates of Cannabis Regulations

Court of Appeal for British Columbia in Vancouver. (File photo: Tom Zytaruk)
B.C. woman loses appeal to have second child by using late husband’s sperm

Assisted Human Reproduction Act prohibits the removal of human reproductive material from a donor without consent

Join Black Press Media and Do Some Good
Join Black Press Media and Do Some Good

Pay it Forward program supports local businesses in their community giving

Krista Macinnis displays the homework assignment that her Grade 6 daughter received on Tuesday. (Submitted photo)
B.C. mom angry that students asked to list positive stories about residential schools

Daughter’s Grade 6 class asked to write down 5 positive stories or facts

B.C. projects targeting the restoration of sockeye salmon stocks in the Fraser and Columbia Watersheds will share in $10.9 million of federal funding to protect species at risk. (Kenny Regan photo)
13 projects protecting B.C. aquatic species at risk receive $11 million in federal funding

Salmon and marine mammals expected to benefit from ecosystem-based approach

Barrels pictured outside Oliver winery, Quinta Ferreira, in May. (Phil McLachlan - Black Press Media)
B.C. Master of Wine reflects on industry’s teetering economic state

Pandemic, for some wine makers, has been a blessing in disguise. For others, not so much.

Most Read