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
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