COVID-19 And Pregnancy: What Are The Risks? Doctors Explain

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COVID-19 and pregnancy, doctors explain the possible risks involved

Highlights
  • According to a study, India reported first case of miscarriage due to COVID
  • A Mumbai based woman suffered a miscarriage when she was 13 weeks pregnant
  • Doctors explain the risk factors in pregnancies due to COVID-19

New Delhi: Recently, a Mumbai based woman who was in her late 20s suffered a miscarriage due to COVID-19, stated a study done by National Institute of Research in Reproductive Health (NIRRH). This is the first time a miscarriage due to COVID-19 is being reported in India. The woman, a security guard in a government hospital in Mumbai, was in her first trimester and had contracted COVID-19 when she was eight weeks pregnant. Earlier, the woman showed no symptoms, but a precautionary nasopharyngeal test returned positive for the virus, and she was admitted to institutional isolation. About four weeks later, a second test showed no trace of the virus, but a week later (when she was 13 weeks pregnant), a routine ultrasound test found that the foetus had died.

Th doctors in this particular case concluded that SARS-CoV-2 virus had travelled into the umbilical cord, placenta and possibly caused inflammation and the death in the foetus. The paper was posted on August 22 on MedRxiv, an online site that publishes pre-prints of medical and scientific papers.

There are not many known COVID-19 related complications in pregnancy that has been documented and there is also the limited research on how the novel coronavirus can affect the unborn child. To know about the case in details and COVID-19 impact on pregnancy, NDTV speaks with top doctors.

Also Read: Mothers Should Continue To Breastfeed Even If They Are COVID-19 Positive, Experts Say It Is ‘Safe’

Talking about the risks involved in pregnancy during COVID-19 times, Dr Kaberi Banerjee, Gynecologist says,

The vertical transmission in COVID has been reported to be lower than other viruses. Like in SARS virus the vertical transmission rate from the mother to the baby is about 25 per cent but in COVID, as we all know, is a new virus and is evolving virus, the studies about the transmission and the total number of such cases is still limited to the medical community. But we can give a rate about less than 5 per cent. However, we all know that this virus is always evolving and maybe we will see some more cases of vertical transmission as we have seen in the Mumbai case.

Dr Banerjee further adds that the literature so far has said that there is a risk of placental contamination with this virus as we have seen in Mumbai case but it is very-very less. She said,

However, very less doesn’t mean zero risk. In every decision in life, we need to do the risk and benefit analysis, I think, if the women go ahead and take all the precautions like wearing mask, social distancing and hand hygiene, I think they will be good to go ahead with their pregnancies.

Giving advice to all the mothers to be and how they can save themselves from the possible COVID virus, Dr Banerjee said,

We have seen that the incident of total number of cases to the total number of recoveries is very very high and as many people are saying we cannot put lives on hold as we don’t know when this virus will go, we don’t know when the vaccine will come. So the advice is that we can still go ahead with conception having known that the risk of preterm labour (delivery before time) is slightly higher in pregnancies with COVID, the risk of transmission from mother to child is low, even in fertility and natural pregnancy, people are going ahead with their lives, it is just that they need to know about the possible risk factors. But at the same time the risk is not that huge to hold on pregnancies till the indefinite time.

Also Read: Pregnancy In The Times Of A Pandemic: What Impact Can COVID-19 Have On Moms-To-Be And Babies

Dr. Jyoti Vajpayee, a gynecologist based in Lucknow highlighting the fear and uncertainties in pregnant women due to COVID said,

Pregnant women are vulnerable to the COVID-19 infection because of the changes in their body and the immune system so it has been advised by the government that pregnant women should take extra precautions just as the elderly. This creates a sense of fear and anxiety in women who are pregnant. They are missing their ante-natal check-ups which may cause further complications later on. We still need a system in place for online check-ups so that the contraction risk is reduced to zero and the vulnerable group like the pregnant women doesn’t have to step out of the house.

Also Read: Expert Blog: Why Is The Focus On First 1000 Days From Health Perspective Of Mother And Child?

Dr. Rakesh Sahay, Endocrinologist and Diabetologist, and Professor at Osmania Medical College in Hyderabad adds that still limited information is out there when it comes to COVID-19 and its impact on pregnant women but we have seen cases previously where COVID-19 mothers have given birth to healthy and normal children WHO were also not infected with the virus and now the first case has come up which has linked COVID-19 with miscarriage, so there is still a lot which needS to be researched and covered in terms of COVID and its impact on pregnant woman.

Currently, in order to guide pregnant women in managing their pregnancy and healthcare workers in taking care of pregnant women, Indian Council for Medical Research (ICMR) and National Institute for Research in Reproductive Health (NIRRH) have issued a set of guidelines. As per the guidelines, if a woman meets the criteria for COVID-19 testing, she should be tested and until test results are available, she should be treated as though she has confirmed COVID-19. The guidelines also say that pregnant women with heart disease are at the highest risk of becoming COVID-19 positive and all the pregnant women are advised to increase their social distancing to reduce the risk of infection and practice hand hygiene at all the times.

The guided documents also says that during the term of pregnancy and delivery process, a single person should be permitted to stay with the women and if pregnant women are self-quarantined because someone in their household may have symptoms of COVID-19, doctor’s appointments should be delayed for 14 days.

NDTV – Dettol Banega Swasth India campaign is an extension of the five-year-old Banega Swachh India initiative helmed by Campaign Ambassador Amitabh Bachchan. It aims to spread awareness about critical health issues facing the country. In wake of the current COVID-19 pandemic, the need for WASH (WaterSanitation and Hygiene) is reaffirmed as handwashing is one of the ways to prevent Coronavirus infection and other diseases. The campaign highlights the importance of nutrition and healthcare for women and children to prevent maternal and child mortality, fight malnutrition, stunting, wasting, anaemia and disease prevention through vaccines. Importance of programmes like Public Distribution System (PDS), Mid-day Meal Scheme, POSHAN Abhiyan and the role of Aganwadis and ASHA workers are also covered. Only a Swachh or clean India where toilets are used and open defecation free (ODF) status achieved as part of the Swachh Bharat Abhiyan launched by Prime Minister Narendra Modi in 2014, can eradicate diseases like diahorrea and become a Swasth or healthy India. The campaign will continue to cover issues like air pollutionwaste managementplastic banmanual scavenging and sanitation workers and menstrual hygiene

World

2,52,21,935Cases

77,57,387Active

1,66,18,163Recovered

8,46,385Deaths

Coronavirus has spread to 188 countries. The total confirmed cases worldwide are 2,52,21,935 and 8,46,385 have died; 77,57,387 are active cases and 1,66,18,163 have recovered as on August 31, 2020 at 4:07 am.

India

36,21,245 78512Cases

7,81,975 16673Active

27,74,801 60868Recovered

64,469 971Deaths

In India, there are 36,21,245 confirmed cases including 64,469 deaths. The number of active cases is 7,81,975 and 27,74,801 have recovered as on August 31, 2020 at 2:30 am.

State & District Details

State Cases Active Recovered Deaths

DistrictCases

Akola757

Aurangabad1974

Dhule228

Jalgaon1039

Mumbai45478

Mumbai Suburban5363

Nagpur692

Nashik1575

Palghar1421

Pune9920

Satara629

Solapur1291

Thane13660

Yavatmal150

Ahmednagar190

Amravati291

Beed54

Bhandara41

Buldhana88

Chandrapur32

Hingoli208

Jalna201

Kolhapur646

Latur139

Nanded176

Nandurbar42

Parbhani78

Raigad1462

Ratnagiri350

Sangli145

Gadchiroli42

gondia69

Osmanabad125

Sindhudurg114

Wardha11

Washim13

780689 16408

193889 8422

562401 7690

24399 296

DistrictCases

Chittoor319

Guntur511

Krishna557

Kurnool795

Sri Potti Sriramulu Nell*296

Anantapur428

East Godavari356

Prakasam104

Srikakulam183

Visakhapatnam103

West Godavari199

Y.S.R.205

Vizianagaram23

424767 10603

99129 1448

321754 9067

3884 88

DistrictCases

Bengaluru Rural40

Bengaluru Urban529

Mysuru107

Bagalkote103

Ballari60

Belagavi337

Bidar219

Chikkaballapura149

Dakshina Kannada179

Dharwad61

Gadag45

Kalaburagi669

Mandya346

Tumakuru36

Uttara Kannada95

Vijayapura201

Chamarajanagara0

Chikkamagaluru19

Chitradurga14

Davangere204

Hassan205

Haveri24

Kodagu4

Kolar29

Koppal5

Raichur369

Ramanagara3

Shivamogga67

Udupi1176

Yadgir538

335928 8852

88110 1645

242229 7101

5589 106

DistrictCases

North Goa57

South Goa69

17004 451

3635

13186 457

183 5

DistrictCases

Chengalpattu1314

Chennai23324

Kanchipuram503

Madurai322

Namakkal83

Ranipet133

Thanjavur130

Thiruvallur774

Thiruvarur67

Tiruppur116

Vellore71

Virudhunagar185

Ariyalur444

Coimbatore188

Cuddalore477

Dharmapuri15

Dindigul175

Erode75

Kallakurichi324

Kanniyakumari110

Karur88

Nagapattinam99

Perambalur133

Pudukkottai53

Ramanathapuram119

Salem258

Sivaganga46

Tenkasi103

The Nilgiris17

Theni129

Tiruchirappalli119

Tirunelveli433

Tirupathur45

Tiruvannamalai496

Tuticorin333

Villupuram509

Krishnagiri43

422085 6495

52721

362133 6406

7231 94

DistrictCases

Kannur357

Kottayam73

Alappuzha76

Idukki40

Kasaragod333

Kollam118

Kozhikode90

Malappuram119

Palakkad224

Pathanamthitta98

Thiruvananthapuram104

Thrissur106

Ernakulam60

Wayanad36

73855 2154

23719 377

49849 1770

287 7

DistrictCases

Raipur46

Korba100

Balod41

Baloda Bazar85

Balrampur17

Bastar2

Bemetara21

Bijapur2

Bilaspur100

Dantewada0

Dhamtari6

Durg31

Gariyaband10

Janjgir-Champa56

Jashpur77

Kabirdham52

Kanker19

Kondagaon0

Korea39

Mahasamund54

Mungeli87

Narayanpur0

Raigarh47

Rajnandgaon52

Sukma0

Surajpur9

Surguja14

30092 1346

13520 854

16303 485

269 7

DistrictCases

Hyderabad2475

MedchalMalkajgiri75

Ranga Reddy183

Suryapet87

Vikarabad40

Warangal Urban32

Adilabad22

Jagitial77

Jangoan8

Jayashankar Bhupalapally9

Jogulamba Gadwal40

Kamareddy11

Karimnagar17

Khammam26

Kumuram Bheem Asifabad8

Mahabubnagar30

Mancherial43

Medak11

Nalgonda33

Narayanpet3

Nirmal21

Nizamabad76

RajannaSircilla16

Sangareddy26

Bhadradri Kothagudem5

Mahabubabad10

Mulugu3

Nagarkurnool8

Peddapalli5

Siddipet7

Wanaparthy1

Warangal Rural4

YadadriBhuvanagiri40

124963 1873

31299 15

92837 1849

827 9

DistrictCases

Baleshwar190

Bhadrak137

Jajapur322

Dhenkanal36

Kalahandi33

Kendrapara164

Khordha238

Koraput16

Sundargarh102

Anugul26

Balangir129

Bargarh16

Boudh34

Cuttack155

Deogarh33

Gajapati61

Ganjam581

Jagatsinghapur91

Jharsuguda8

Kandhamal28

Kendujhar34

Malkangiri20

Mayurbhanj73

Nabarangpur2

Nayagarh86

Nuapada69

Puri103

Rayagada2

Sambalpur16

Sonepur29

100934 3014

27219 483

73233 2519

482 12

DistrictCases

Barwani60

Bhopal1880

Dewas140

Dhar132

East Nimar266

Gwalior211

Indore3839

Jabalpur276

Ujjain799

Agar Malwa15

Alirajpur3

Betul35

Burhanpur351

Chhindwara16

Dindori29

Harda4

Hoshangabad37

Khargone196

Mandsaur112

Morena109

Raisen71

Ratlam51

Sagar228

Shajapur39

Shandol14

Sheopur26

Tikamgarh18

Vidisha37

Anuppur22

Ashoknagar13

Balaghat9

Bhind87

Chhatarpur35

Damoh26

Datia12

Guna8

Jhabua14

Katni3

Mandla15

Narsinghpur17

Neemuch319

Niwari0

Panna20

Rajgarh31

Rewa39

Satna24

Sehore12

Seoni2

Shivpuri15

Sidhi17

Singrauli13

Umaria10

62433 1558

13592 475

47467 1054

1374 29

DistrictCases

Ahmadabad17125

Anand107

Arvalli134

Banas Kantha147

Bhavnagar146

Gandhinagar410

PanchMahals107

Surat2311

Vadodara1555

Bharuch56

Botad55

Chhotaudepur37

Dang5

Dohad43

GirSomnath45

Jamnagar63

Kachchh99

Kheda98

Mahesana159

Mahisagar125

Narmada25

Naysari35

Patan105

Rajkot135

SabarKantha101

Surendranagar55

Tapi6

Valsad47

Amreli16

DevbhumiDwarka22

Junagadh31

Morbi4

Porbandar11

95009 1275

15272 163

76731 1095

3006 17

DistrictCases

Ajmer379

Banswara91

Bharatpur563

Jaipur2177

Jhalawar329

Jodhpur1748

Kota503

Nagaur500

Alwar90

Barmer34

Bhilwara250

Bikaner112

Chittorgarh188

Churu81

Dausa61

Dholpur60

Dungarpur374

Hanumangarh31

Jaisalmer53

Jhunjhunu64

Karauli17

Pali352

Rajsamand140

SawaiMadhopur26

Sikar231

Tonk171

Udaipur724

Baran59

Bundi5

Ganganagar8

Jalore164

Pratapgarh14

Sirohi130

80227 1450

14091

65093 2122

1043 13

DistrictCases

Faridabad867

Sonipat404

Ambala93

Bhiwani60

CharkiDadri43

Fatehabad38

Gurugram2950

Hisar98

Jhajjar114

Jind38

Kaithal48

Karnal104

Kurukshetra55

Nuh68

Palwal120

Panchkula39

Panipat78

Rohtak145

Sirsa50

Yamunanagar19

Mahendragarh47

Rewari56

63282 1295

10980 374

51620 909

682 12

DistrictCases

Agra933

Aligarh215

Amroha80

Bareilly17

Bijnor157

Bulandshahr166

Firozabad190

Gautam Buddha Nagar1119

Kanpur Nagar286

Lucknow386

Mathura129

Meerut504

Moradabad252

Muzaffarnagar117

Rae Bareli78

Rampur203

Saharanpur298

Sant Kabeer Nagar132

Varanasi243

Auraiya37

Ayodhya120

Azamgarh138

Baghpat68

Bahraich73

Balrampur49

Banda27

Basti214

Bhadohi60

Budaun23

Etah52

Etawah46

Ghaziabad794

Ghazipur159

Gonda59

Gorakhpur166

Hapur225

Hardoi49

Jalaun41

Jaunpur194

Jhansi41

Kannauj69

Kasganj16

Kaushambi6

Mainpuri46

Mau48

Mirzapur22

Pilibhit15

Pratapgarh15

Prayagraj30

Sambhal116

Shamli40

Shravasti23

Sitapur32

Sultanpur97

Unnao42

Ambedkar Nagar92

Amethi206

Ballia60

Barabanki168

Chandauli38

Chitrakoot4

Deoria143

Farrukhabad36

Fatehpur3

Hamirpur3

Hathras43

Kanpur Dehat4

Kheri72

Kushi Nagar67

Lalitpur3

Maharajganj85

Mahoba3

Shahjahanpur25

Siddharth Nagar159

Sonbhadra10

225632 6175

54666 1306

167543 4802

3423 67

DistrictCases

Central4817

East2472

New Delhi3405

North3059

North East1914

North West5463

Shahdara1580

South2329

South East2446

South West2391

West4768

173390 2024

14793 753

154171 1249

4426 22

DistrictCases

Dhubri30

Goalpara19

Marigaon50

Baksa14

Barpeta28

Biswanath16

Bongaigaon12

Cachar80

Charaideo29

Chirang6

Darrang20

Dhemaji47

Dibrugarh61

Dima Hasao86

Golaghat203

Hailakandi57

Hojai89

Jorhat24

Kamrup42

Kamrup Metro276

KarbiAnglong13

Karimganj85

Kokrajhar37

Lakhimpur57

Majuli2

Nagaon143

Nalbari23

Sivasagar20

Sonitpur27

South SalmaraMancachar4

Tinsukia84

Udalguri28

West KarbiAnglong5

105774 1980

21551 556

83927 1417

296 7

DistrictCases

East District3

North District0

South District3

West District0

1627 25

404

1220 25

3

DistrictCases

Buxar134

Gaya115

Munger188

Patna279

Rohtas256

Arwal52

Aurangabad75

Banka134

Begusarai243

Bhagalpur266

Bhojpur103

Darbhanga143

Gopalganj123

Jehanabad178

Kaimur (bhabua)105

Lakhisarai72

Madhepura82

Madhubani199

Nalanda123

Nawada122

PurbiChamparan138

Purnia135

Saran101

Siwan139

Vaishali87

Araria68

Jamui47

Katihar175

Khagaria253

Kishanganj75

Muzaffarpur96

Pashchim Champaran57

Saharsa88

Samastipur139

Sheikhpura118

Sheohar20

Sitamarhi73

Supaul87

135035 2032

17333

117124 2352

578 17

DistrictCases

24 Paraganas North1031

24 Paraganas South281

Darjeeling97

Howrah1435

Jalpaiguri88

Kalimpong18

Kolkata2777

Maldah235

Medinipur East153

Medinipur West159

Hooghly604

Murshidabad125

Nadia139

Paschim Bardhaman70

Purba Bardhaman130

Alipurduar39

Bankura116

Birbhum206

Coochbehar210

Dinajpur Dakshin50

Dinajpur Uttar216

Jhargram9

Purulia66

159785 3019

25657

130952 3308

3176 50

DistrictCases

South Andamans33

Nicobars1

North And Middle Andaman1

3104 23

473

2586 67

45 1

DistrictCases

Pondicherry111

Karaikal2

Mahe4

Yanam0

14127 571

4938 104

8968 457

221 10

DistrictCases

Anjaw0

Changlang31

Dibang Valley0

East Kameng0

East Siang1

Kamle0

KraDaadi0

KurungKumey0

Leparada0

Lohit3

Longding0

Lower Dibang Valley0

Lower Siang0

Lower Subansiri0

Namsai2

PakkeKessang1

Papum Pare8

Shi Yomi0

Siang0

Tawang1

Tirap0

Upper Siang1

Upper Subansiri0

West Kameng0

West Siang1

4034 157

1205 87

2822 68

7 2

DistrictCases

Dimapur20

Kiphire3

Kohima7

Longleng0

Mokokchung0

Mon8

Peren2

Phek1

Tuensang3

Wokha0

Zunheboto0

3922 71

887

3026 109

9

DistrictCases

Dadra And Nagar Haveli20

2340 34

296

2042 44

2

DistrictCases

Ranchi148

Bokaro16

Deoghar5

Dhanbad32

Garhwa80

Giridih19

Hazaribagh110

Jamtara2

Koderma58

Simdega48

Chatra1

Dumka5

East Singhbum170

Godda2

Gumla28

Khunti10

Latehar14

Lohardaga8

Pakur4

Palamu27

Ramgarh75

Sahebganj0

SaraikelaKharsawan20

West Singhbhum21

38435 1578

11577 220

26448 1345

410 13

DistrictCases

Gomati74

North Tripura14

Dhalai196

Khowai24

Sepahijala174

South Tripura53

Unakoti49

West Tripura45

11644 337

4108 131

7433 201

103 5

DistrictCases

Kargil77

LehLadakh43

2638 35

847 21

1757 12

34 2

DistrictCases

Anantnag395

Bandipora175

Shopian255

Srinagar300

Baramulla271

Budgam110

Ganderbal37

Jammu138

Kathua53

Kulgam295

Kupwara231

Rajouri39

Ramban151

Reasi26

Samba25

Udhampur155

Mirpur0

Muzaffarabad0

Doda27

Kishtwar10

Poonch35

Pulwama108

37163 786

7959 287

28510 490

694 9

DistrictCases

Chamba29

Hamirpur117

Kangra105

Sirmaur11

Solan32

Una41

Bilaspur21

Kinnaur2

Kullu4

Lahaul And Spiti0

Mandi21

Shimla10

5945 164

1460 21

4450 142

35 1

DistrictCases

Jalandhar297

Ludhiana293

Patiala132

Amritsar485

Barnala25

Faridkot74

Firozepur50

Gurdaspur154

Hoshiarpur140

Kapurthala44

Mansa31

Moga65

Pathankot86

S.A.S Nagar137

Sangrur107

Shahid Bhagat Singh Nagar (Nawanshahr)99

Sri Muktsar Sahib71

Tarn Taran163

Bathinda60

Fatehgarh Sahib57

Fazilka53

Rupnagar (Ropar)74

52526 1678

15375

35747 1656

1404 56

DistrictCases

Haridwar94

Dehradun370

Nainital323

Almora71

Bageshwar31

Chamoli36

Champawat45

PauriGarhwal36

Pithoragarh43

Rudraprayag30

Tehri Garhwal110

Udam Singh Nagar83

Uttar Kashi24

19235 664

5912 177

13066 480

257 7

DistrictCases

Bishnupur7

Chandel5

Churachandpur32

Imphal East10

Imphal West21

Jiribam3

Kakching2

Kamjong5

Kangpokpi26

Noney1

Pherzawl3

Senapati6

Tamenglong2

Tengnoupal9

Thoubal18

Ukhrul4

6112 152

1845 99

4239 53

28

DistrictCases

Chandigarh313

4155 170

1807 115

2296 48

52 7

DistrictCases

East Khasi Hills22

East Garo Hills0

East Jaintia Hills0

North Garo Hills1

Ribhoi0

South Garo Hills0

South West Garo Hills4

South West Khasi Hills0

West Garo Hills5

West Jaintia Hills1

West Khasi Hills1

2343 60

1284 46

1049 14

10

DistrictCases

Aizawl10

Champhai0

Hnahthial0

Khawzawl0

Kolasib11

Lawngtlai2

Lunglei2

Mamit8

Saiha0

Saitual1

Serchhip0

1011 3

422

589 5

0

DistrictCases

Lakshadweep District0

0

0

0

0

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