Abstract

There are scientific reports from around the world describing the cases of COVID-19. This is a case series reporting outcomes of deliveries from nine mothers with positive SARS-CoV-2 testing at Healthcare Corporation of America hospitals in the United States from January to April 2020. Thirty-three percent of the women had cesarean sections. There was only one preterm birth and that infant did have low birth weight and low Apgar scores at one and five minutes. Seven of the nine infants were tested for SARS-CoV-2 and all results were negative. As the COVID-19 pandemic continues across the globe and at a high rate in the United States, more research will be needed to determine the outcomes for pregnant women and their offspring, both at birth and in the future.

Highlights

  • In the last 18 years, there have been three coronavirus outbreaks: severe acute respiratory system (SARS), Middle East respiratory syndrome (MERS), and the COVID-19 pandemic

  • Seven of the nine infants were tested for SARS-CoV-2 and all results were negative

  • Physicians who care for pregnant women who get infected with SARS-CoV-2 face many challenges

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Summary

Introduction

In the last 18 years, there have been three coronavirus outbreaks: severe acute respiratory system (SARS), Middle East respiratory syndrome (MERS), and the COVID-19 pandemic. Pregnancy is a unique life situation when there are two patients in a single body. This relationship creates unique immunologic issues during pregnancy [1]. Bacteria and viruses are a threat to both mom and baby, so women are routinely screened for some of these diseases during pregnancy (HIV, hepatitis B, chlamydia, gonorrhea, and group B strep), but some viruses are not routinely screened (cytomegalovirus and herpes simplex) [2]. From previous coronaviruses outbreaks (SARS and MERS), the pregnancy outcomes including higher rates of spontaneous abortion, premature birth, but no vertical transmission [3]

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