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Risks in pregnancy, CDC, 2nd November

Are pregnant women more at risk from severe COVID-19 compared to non-pregnant women of the same age?

https://www.cdc.gov/mmwr/volumes/69/wr/mm6944e3.htm?s_cid=mm6944e3_w

Symptomatic women 15–44 years

Cough
Headache
Muscle aches
Fever
Short of breath
Sore throat
Diarrhoea
Nausea or vomiting
Abdominal pain
Runny nose
Los of taste or smell
Fatigue
Wheezing
Chest pain

Non pregnant women reported more symptoms

Pregnant women reported less symptoms

Laboratory-confirmed infection with SARS-CoV-2

January 22–October 3

Results from diagnosed 1,300,938 women, aged 15 – 44

Pregnancy status available on 409,462 symptomatic women

Among symptomatic women, 23,434 (5.7%) reported to be pregnant

Symptomatic women who were not pregnant, 386,028

After adjusting for age, race/ethnicity, and underlying medical conditions

ICU admission in symptomatic women

10.5 versus 3.9 per 1,000 symptomatic COVID cases

Receive invasive ventilation in symptomatic women

2.9 versus 1.1 per 1,000 cases

Receive extracorporeal membrane oxygenation

0.7 versus 0.3 per 1,000 cases

Death in symptomatic women

Deaths in 23,434 symptomatic pregnant women

34 deaths (1.5 per 1,000 cases)

Deaths in 386,028 symptomatic non -pregnant women

447 deaths (1.2 per 1,000 cases)

Reflecting a 70% increased risk for death associated with pregnancy

Death occurred more often among women aged 35–44 years than among those aged 15–24 years

African American (Black) women

14.1% of women included in this analysis but…

represented 36.6% of overall deaths in symptomatic women aged 15 to 44

26.5% of the deaths among pregnant women

Also increased risk of ICU admission in

Asians

Hawaiian/pacific islanders

Hispanics

Therefore

Seek early medical advice

Prevent infection

Care during medical encounters and

Annual influenza

Vaccination and prenatal care

Discussion

Although the absolute risks for severe COVID-19–associated outcomes among women were low

pregnant women were at significantly higher risk for severe outcomes compared with nonpregnant women

source

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