During the COVID-19 pandemic, hospitals and maternity wards have implemented protocols to ensure the safety of mothers and newborns. It’s crucial for you to consult with your healthcare provider regarding any decisions related to giving birth while infected with the virus. The Centers for Disease Control and Prevention (CDC) is assisting healthcare facilities in preparing for labor and delivery for pregnant patients who either have confirmed cases of COVID-19 or are suspected of having it. Here’s what you need to know:
Preparing for Delivery
When it’s time for you to go to the hospital, notify them in advance. This allows the staff to prepare adequately for your arrival, which includes setting up the appropriate room and ensuring that necessary infection control supplies and personal protective equipment (PPE) are available. If you require transportation via ambulance, inform them about your COVID-19 status so they can follow proper safety measures.
Transmission to Your Baby
There have been instances where newborns tested positive for COVID-19, but this doesn’t definitively indicate that they contracted the virus in utero. The primary mode of transmission is through respiratory droplets from an infected person. Experts suggest that it is more likely that infants contracted the virus after birth through close contact with their mothers or caregivers.
What to Expect During Delivery
Current evidence suggests that having COVID-19 does not prevent you from delivering vaginally, although the experience may differ from what you anticipated. Some experts recommend leaving the vernix—the protective coating on newborns—intact for 24 hours as it contains antimicrobial properties that could help guard against infections.
Hospital Protocols
According to the American College of Obstetricians and Gynecologists, infants born to mothers with COVID-19 should be isolated and monitored for symptoms. You’ll likely be placed in a single room with a private bathroom, and your healthcare team will adhere to stringent infection control measures. This may involve wearing face masks and other protective gear to prevent transmission.
Visitors will be limited, and the hospital may encourage alternative communication methods like video calls. If visitation is allowed, expect strict screening for symptoms and underlying health issues in potential visitors.
Maternal and Infant Contact
The CDC believes that COVID-19 spreads mainly through close contact, but it is still unclear whether a mother can transmit the virus to her fetus. Fortunately, recent studies show that none of the infants born to mothers with COVID-19 tested positive for the virus, and it was not found in amniotic fluid or breast milk. While there is no evidence of the virus causing birth defects or miscarriages, a fever during early pregnancy may increase risks for birth defects. Also, severe respiratory issues in late pregnancy could lead to premature delivery.
Due to uncertainties regarding transmission, hospitals may take extra precautions, such as temporarily separating mothers from their infants until the mother’s symptoms improve. Each case should be discussed thoroughly with your healthcare team.
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Summary
Women with COVID-19 can give birth safely with the right precautions in place. It’s essential to communicate with your healthcare provider and follow hospital protocols for a safe delivery. While the risk of transmission to the baby remains uncertain, taking preventive measures can help ensure the health of both mother and child.