(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

For Leela Harrop, the recent death of her brother Raju Tiwari pushed her to sign up for the vaccine. Photo supplied
Comox woman on fence about vaccine prompted by brother’s death

Leela Harrop says she did have issues with signing up online this past week

Most categories of crime held steady from year to year in Cumberland. File photo
Cumberland crime numbers hold steady year to year

A few categories had notable changes but many were similar to 2019

The colourful Taylor’s Checkerspot butterfly has been reintroduced on Hornby Island, BC. Photo courtesy the Taylor’s Checkerspot Butterfly Recovery Project.
Checkerspot Butterfly Recovery Project releases more caterpillars on Hornby Island

Chris Junck Special to Black Press The number of Taylor’s checkerspot butterflies… Continue reading

Paper Excellence took over Catalyst Paper operations in B.C. in 2018. (Paper Excellence photo)
The Baynes Sound Connector leaves Denman Island en route to Buckley Bay. Photo by Erin Haluschak
Baynes Sound Connector undergoing upgrades

The MV Quinitsa is providing service between Buckley Bay and Denman Island

Rainbow trouts thrashing with life as they’re about to be transferred to the largest lake of their lives, even though it’s pretty small. These rainbows have a blue tinge because they matched the blue of their hatchery pen, but soon they’ll take on the green-browns of their new home at Lookout Lake. (Zoe Ducklow/News Staff)
VIDEO: B.C. lake stocked with hatchery trout to delight of a seniors fishing club

The Cherish Trout Scouts made plans to come back fishing soon

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

The following is a list of restaurants offering take-out and patio dining. ADOBE STOCK IMAGE
List of Comox Valley restaurants offering take-out, patio dining options

Restaurants in the Comox Valley continue to adapt to government-imposed restrictions in… Continue reading

Royal Inland Hospital in Kamloops. (Dave Eagles/Kamloops This Week file photo)
RCMP intercept vehicle fleeing with infant taken from Kamloops hospital

The baby was at the hospital receiving life-saving care

Vancouver Police Const. Deepak Sood is under review by the Independent Investigations Office of B.C. after making comments to a harm reduction advocate Sunday, April 11. (Screen grab)
VIDEO: Vancouver officer convicted of uttering threats under watchdog review again

Const. Deepak Sood was recorded Sunday saying ‘I’ll smack you’ and ‘go back to selling drugs’ to a harm reduction advocate

Provincial health officer Dr. Bonnie Henry prepares a daily update on the coronavirus pandemic, April 21, 2020. (B.C. Government)
B.C.’s COVID-19 infection rate persists, 1,005 new cases Friday

Hospitalization up to 425, six more virus-related deaths

Premier John Horgan receives a dose of the AstraZeneca COVID-19 vaccine at the pharmacy in James Bay Thrifty’s Foods in Victoria, B.C., on Friday, April 16, 2021. THE CANADIAN PRESS/Chad Hipolito
B.C. Premier John Horgan gets AstraZeneca shot, encourages others

27% of residents in B.C. have now been vaccinated against COVID-19

The Nautical Dog Cafe at Skaha marina is getting its patio ready in hopes Mother Nature will provide where provincial restrictions have taken away indoor dining. (Facebook)
‘A lot of instability’: B.C. restaurants in layoff limbo

As COVID-19 cases stay high, restaurants in British Columbia are closed to indoor dining

Prime Minister Justin Trudeau looks on as Deputy Prime Minister and Finance Minister Chrystia Freeland responds to a question during a news conference on Parliament Hill in Ottawa, Tuesday, Aug. 18, 2020. THE CANADIAN PRESS/Adrian Wyld
Expectations high as Trudeau Liberals get ready to unveil first pandemic budget

The Liberals will look to thread an economic needle with Monday’s budget

Most Read