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 Pregnancy and lactation during the time of corona

Pregnancy and lactation during the time of corona


Corona virus and its effect on pregnancy,



 * So far, there is no accurate information about the extent to which pregnant women are exposed to the COVID-19 virus, but in the normal case pregnant women face immune and physiological changes that make them more susceptible to viral respiratory infections, of which the COVID-19 virus is one example,


 * Pregnant women may be more susceptible to severe cases from this virus compared to others, as has been observed in other related coronavirus infections, such as SARS and MERS, and other viral respiratory infections such as influenza, so pregnant women should take the usual preventive measures such as  Wash hands frequently and avoid contact with sick people, to avoid infection.


 Does Coronavirus COVID-19 increase the risk of complications during pregnancy?



 * There is not enough information about the impact of the Corona virus COVID-19 on pregnant women, but in some other cases of related coronavirus infection (SARS and MERS) the possibility of pregnancy loss, whether through abortion or stillbirth, has been observed, in addition to the high temperatures.  During the first trimester of pregnancy it may increase the risk of certain birth defects.


 Do pregnant women who work in health care and care for people with COVID-19 have an increased chance of pregnancy complications?



 * Pregnant health care workers should follow the CDC's guidelines and recommendations in controlling and evaluating infection when dealing with patients infected with or expected to be infected with the Coronavirus (COVID-19), and in general the commitment of employees working in health care fields to infection prevention and control practices is recommended.  It is important to protect them, and it is worth noting that those in charge of hospitals and medical centers limit the treatment of pregnant women employed in the field of health care with patients infected or expected to be infected with the Coronavirus COVID-19, especially in high-risk procedures, as much as possible.


 Can infection with the Coronavirus COVID-19 be transmitted from an infected mother to a fetus or a newborn child?



 * The virus that causes COVID-19 is spread mainly through direct exposure to respiratory droplets of an infected person, and it is still unknown if the infection is transmitted from the mother to her child during pregnancy or during childbirth, but the virus that causes the disease has not been detected.  Corona COVID-19 in the very limited cases - which were studied - of children born to mothers infected with the virus,


 * Likewise, the virus was not detected in samples of the fluid around the fetus or the mother's milk.  Are the newborns of women infected with COVID-19 during pregnancy more likely to have complications?  Based on a very limited number of cases, it was found that the fetuses of mothers infected with the emerging corona virus were born prematurely,


 * But it was not known until today whether premature birth was caused by the emerging corona infection, but by taking advantage of information related to other respiratory viruses and their impact on pregnancy and the fetus, some information can be obtained about the relationship of the new corona with premature birth, for example the influenza virus was linked  The emergence of some negative consequences for the fetus, such as:


 * Low birth weight and premature birth, and as mentioned previously, the high temperature in cases of influenza infection during the first months of pregnancy may cause some birth defects, as it has been observed that women with infection (SARS or MERS) gave birth before the due date or their newborns were smaller in size  Of their peers.


 Can pregnant women or infants contracting the emerging coronavirus have long-term effects on the health and development of infants?


 * So far, there is no information about the long-term health effects of infants who were infected with the virus after birth or when they were fetuses in their mother's stomach, but in general premature birth and low birth weight are associated with negative health effects in the long term.


 Does a mother's infection with the COVID-19 virus affect the breastfeeding baby?



 * As we mentioned earlier, the spread of the Coronavirus COVID-19 is possible through direct contact with the infected person, and this mainly occurs through respiratory droplets that are spread during sneezing or coughing, and based on the small number of cases that have been studied so far;  No case was recorded in which the virus was found in breast milk, and no case was recorded in which the virus was transmitted from the mother's milk infected with the COVID-19 virus to her infant,


 * But it should be noted that in the limited reports of breastfeeding women infected with SARS, the virus was not detected in breast milk.  However, antibodies against this virus were detected in at least one sample.  Instructions for breastfeeding for mothers who are infected with or are believed to be infected with the Coronavirus (COVID-19) Breast milk is often the best source for feeding the baby, and there is insufficient information about the impact of Coronavirus COVID-19 on breastfeeding,


 * The mother's choice to start or continue breastfeeding should be done in coordination with health care providers and her family, and it is worth noting that the mother must take all necessary precautions during breastfeeding to prevent the infection from spreading to her child, such as washing hands well before touching the child, wearing a mask, and in  If the mother uses an electric or manual milk pump, she must wash her hands well before touching the pump or the milk bottle, and be careful to follow the recommended instructions to properly clean the pump after each use.
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