Coronavirus and pregnancy.
Dr. Lourdes Alcántara
In the Chinese city of Wuham, the virus originated, Since in December 2019, this virus has rapidly spread throughout the planet, leaving thousands of deaths and hundreds of thousands of people infected. They are called coronaviruses because the surface of the virus has crown-shaped tips. Several coronaviruses cause respiratory infections in our species, it is known that they can range from the common cold to more serious diseases such as Middle East respiratory syndrome (MERS) and acute and severe respiratory syndrome (SARS), explains the World Health Organization. . “There are countless types of coronavirus in bats and birds,” says Joel Wertheim, assistant professor of Medicine at the University of California, San Diego (USA). Coronaviruses in humans usually cause mild colds, as long as the immune system of affected people is not compromised.
In general, the main symptoms of coronavirus infections can be as follows.
• Sore throat.
• Difficulty breathing (dyspnea).
• Loss of sense of smell and taste.
• Manifestations on the skin (especially in children and adolescents) urticaria with and without itching or erythema multiforme.
• Chills and general malaise.
• Nasal obstruction, discharge and drip.
As with the influenza virus, the most serious symptoms (and the highest mortality) are registered both in older people and in those individuals with immunosuppression or with chronic diseases such as diabetes, some types of cancer or chronic lung disease. In the most severe cases, they can cause respiratory failure.
Older people and those with underlying medical conditions, such as high blood pressure, heart problems, or diabetes, are more likely to develop serious illness. In the Covid-19 pandemic, it has been found that around 80% of infected people have mild symptoms, 1 in 6 people who contract Covid-19 develop a serious illness and have respiratory distress and 2% of people who have contracted the disease have died.
The route of infection is through contacts that include all household members, any intimate contact, and all people who were within 6 feet of each other for more than 10 minutes. Also, anyone who has had contact with your body fluids and / or secretions (such as tears, saliva, etc).
Pregnancy and coronavirus
The good news, said Christina Han, a specialist in high-risk pregnancies and a professor at the University of California, Los Angeles, school of medicine, is that:
“There is no evidence that pregnant women are more susceptible to coronavirus than any other regular healthy adult.” At the same time, we do not have much information about it, the Centers for Disease Control and Prevention warn that contracting the coronavirus while pregnant could make it more vulnerable than other women of childbearing age who become infected, to serious respiratory problems such as pneumonia.
This is because pregnant women already have a higher heart rate, lower lung capacity, and what one doctor called the “distracted immune system.” There could also be an increased risk of miscarriage and preterm delivery, noted Dr. Romeo Galang, an OB-GYN with the CDC’s emergency response team for COVID-19. So far no maternal deaths related to COVID-19 have been reported.
Furthermore, the virus has not been detected in amniotic fluid, nor in umbilical cord blood, placental tissue, or breast milk; that then means there is no “vertical transmission” (you will not pass it on to your fetus).
It is important to maximize the immune system and avoid any situation where you are at low risk of infection if you are pregnant, said Amy Van Blaricom. It is important that pregnant women, or women who are expecting to become pregnant, do everything possible to strengthen their immune system. The flu vaccine is not dangerous during pregnancy or while breastfeeding, he added, since immunity is also passed on to the baby.
Because preeclampsia is a pregnancy condition that can be avoided or its impact lessened, the pregnant woman should monitor herself, it would be ideal if the home medicine cabinet has a blood pressure meter and urine test strips, which are essential to detect pregnancy-induced hypertension.
Coronavirus and pregnancy.