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COVID-19 Pregnant Women at High Risk of Serious Diseases, Health Experts Say – Orange County Register



Pregnant women infected with the new coronavirus are at increased risk of becoming ill, according to medical professionals who have monitored the adverse effects of COVID-19 on pregnant women and their infants.

Thousands of pregnant women across Southern California New coronavirus For the past 6 months. Also, two women in existing health died from the virus, but most babies were born to COVID-19-infected mothers, most of whom have recovered from their illness, according to health professionals. Was virus negative.

According to the Centers for Disease Control, 20,798 pregnant women in the United States were COVID-19 positive from January 22nd to September 8th.

According to the CDC, pregnant women are at increased risk of severe illness compared to non-pregnant women, as well as pregnant women with COVID-19 are at increased risk of adverse pregnancy outcomes such as preterm birth. There is a possibility.

Doctor’s weight

Providence St-Joseph Hospital in Southern California, which operates 10 hospitals in Orange, Los Angeles, and San Bernardino counties, has given birth to more than 15,000 pregnant women in the last six months, of which 1-2% (150-300). ) — Dr. David Lagrew, Medical Director of Women’s Services in Providence, said he tested positive for COVID-19.

At St. Joseph’s Hospital in Orange, there are many cases involving pregnant women who test positive for COVID-19. (Orange County Registration / SCNG, photo of file by Jeff Gritchen)

St. Joseph’s Hospital in Orange gives birth about 300-400 times a month, with the highest number of pregnant patients infected with COVID-19 in a week on the Providence system, Lagru said. I am.

“9-10% of people passing through the door were COVID-positive,” Lagrew said, and the majority of women who were positive for a potentially deadly virus were at the time of testing. It was asymptomatic.

However, few mothers have become seriously ill during pregnancy, Lagru said.

“There were three, perhaps four, mothers who had to go to intensive care because of a more serious illness,” he said.

Dr. Yu Chen, an OB / GYN at Beverly Hospital in Montebello, said about 5% of pregnant women treated after March are positive for the new coronavirus. Mr Chen said no woman needed hospitalization, but was instructed to self-quarantine at home.

“I have never met anyone who has been affected for a long time,” said Chen, who has a 100% recovery rate for patients infected with COVID-19 and any baby born to a mother infected with the virus. Not inspected positive.

Pregnant women were afraid of the virus

Pomona Ramos, Chen’s patient who gave birth to her healthy daughter Nelly at Beverly Hospital on Tuesday, September 8, said the fear of getting COVID-19 during pregnancy weighs heavily on her mind.

“I was always worried about it,” Ramos of Montebello, 25, said in an interview. “Me and my husband, we took the test twice. First when I discovered I was pregnant and later I tested it again. COVID free.”

Dr. M. announced on April 1 that the Pomona Valley Hospital Medical Center, the largest maternity hospital in Los Angeles and San Bernardino County, recorded the first pregnant patients infected with COVID-19. Helen Rodriguez, an OB / GYN and director of obstetrics and fetal medicine.

Of the 59 patients, 44 were asymptomatic at the time of examination, 10 experienced mild symptoms, and 3 had severe symptoms and were treated with a remote measurement unit, Rodriguez said. The two showed serious symptoms requiring treatment in the hospital’s intensive care room.

“We are pleased that all mothers and their babies have been discharged,” Rodriguez said.

Still, some patients diagnosed as positive for COVID-19 have not yet given birth to an infant.

“It’s important to note that this confirms that the virus is still spreading and spreading in our community,” Rodriguez said. “Our asymptomatic case rate is of particular concern because it emphasizes the need for pregnant women to take all the precautions necessary to protect themselves and their babies.”

According to Rodriguez, healthcare professionals are preparing for the COVID-19 pandemic and the end of the flu season, so all pregnant women will be vaccinated against the flu, staying at home, practicing hand hygiene, and masking. We strongly recommend wearing and ensuring social distance.

What the study shows

A study conducted in April by researchers at Mount Icahn Medical College. Sinai was featured in the August issue of Obstetrics & Gynecology, and 15.5% of 155 pregnant women tested for COVID-19 from April 4 to April 15 were positive for the new coronavirus. understood.

In addition, the study found that 58% of asymptomatic partners and support personnel tested positive.

Dr. Angela Bianco, OB-GYN in the mountains. The lead author of the study at Sinai Hospital in New York City said it was one of several cases conducted in April to better understand the effects of COVID-19 on pregnant women and their babies.

Another study of more than 200 pregnant patients infected with COVID-19 at five New York City hospitals found that 80% had mild symptoms before recovery, 15% were severe, and 5%. Bianco says he became seriously ill.

Medical and healthcare professionals agree that pregnant women are at no risk of being infected with the new coronavirus more than anyone else, but when infected with COVID-19, pregnant women are more susceptible to infection. , Tends to be severe.

“Currently, I think the chances of getting (coronavirus) during pregnancy are about the same as the general public. However, if a pregnant mother gets infected with the virus, she is more likely to be hospitalized and intensive care. You are more likely to need to be hospitalized in the room and more likely to need a ventilator, “said Christina Lorov, a female health osteopathic doctor, operated by San Bernardino County. The department of the Arrowhead Community Medical Center in Colton.

According to Lorov, the hospital’s high-risk obstetrics team is investigating how many pregnant patients carry the new coronavirus when their baby is born. Preliminary results suggest that up to 15% of women giving birth at ARMC have antibodies to the coronavirus, according to Roloff. This suggests that many mothers are exposed to or have developed COVID-19 infection.

Studies show that only 1% to 3% of babies born to mothers infected with COVID-19 carry the new coronavirus, but mothers infected with the virus early in pregnancy are more likely to have a miscarriage, Rolov said. Says.

High-risk Latin Americans and Blacks

Latina women accounted for the majority of pregnant patients who tested positive for COVID-19 at 10 hospitals in Providence Southern California in Orange County and Los Angeles County, including St. Joseph’s Hospital in Orange. The hospitals with the highest proportion of pregnant women infected with COVID-19 are in areas that serve large Latin populations, Lagru said.

In addition to St. Joseph’s Hospital in Orange, the Providence Little Company of Mary Medical Center in Torrance and the Providence Holly Cross Medical Center in Mission Hills had the highest number of COVID-10-positive pregnant women, Lagru said.

According to the Centers for Disease Control, Latina and blacks are at increased risk of being infected with the new coronavirus and being hospitalized during pregnancy.

According to health officials in San Bernardino County, the 32-year-old Hesperia woman who died of COVID-19 on June 26 after giving birth to a child was black. Health officials in Los Angeles County will not provide any information about a pregnant woman who died on June 1, other than saying she is suffering from an existing medical condition.

Quick and unexpected

Blanca Estela Rodriguez Madrigal is one of more than 300 pregnant women in San Bernardino County who tested positive for the new coronavirus. She said the virus struck her quickly and unexpectedly.

Blanca Estela Rodríguez Madrigal was infected with COVID-19 during her pregnancy and met her daughter for the first time almost a month after she was born on July 26th. (Screen grab from video courtesy of Loma Linda University Children’s Health)

She was seven months pregnant as she sat at Adelant’s house watching TV with her family on the evening of July 23.

“I felt like someone was choking me with a pillow,” said Rodriguez Madrigal. “It was just a sudden thing.”

At the Loma Linda University Children’s Hospital, Rodriguez Madrigal was diagnosed with pneumonia and progressed to respiratory distress syndrome. She was placed in a medically-induced coma and her daughter, Jade, gave birth via the C section on July 26, her doctor said.

Jade remains in the Neonatal Intensive Care Unit at Loma Linda University Children’s Hospital. She has a negative virus test.

Rodriguez Madrigal urges pregnant mothers to pay attention to the advice of their healthcare professionals in protecting themselves from the potentially deadly COVID-19.

“Wear your mask and be very, very careful,” she said. “Use hand disinfectants, wash your hands and keep them 6 feet away from people. Don’t go out if you don’t need them. You can even put a mask on your child. Anyone can get this. I did. “

With numbers

More than 1,200 pregnant women in Los Angeles County test positive for COVID-19, and more than 170 pregnant women have been diagnosed in Orange County.

Dr. Jennifer Butler, OB / GYN at UCI Medical Center in Orange, said 3.5% of more than 600 pregnant women tested for COVID-19 from April to August were virus-positive.

At the Riverside University Medical Systems Medical Center, 37 pregnant women admitted to the hospital in the last 6 months were COVID-19 positive. One woman suffered from severe respiratory failure and was admitted to the ICU, said Dr. Brian Oshiro, vice president of obstetrics / gynecology and director of maternal and fetal medicine. Fortunately, none of the babies born to COVID-19-infected mothers were virus-positive, he said.

Waiting supporters

David Rogo CEO David Rogo, CEO David Rogo, has been advocating for nearly 30 years in Santa Ana’s nonprofit MOMS Orange County, advocating for pregnant women in a disadvantaged community and giving birth. We have provided pre-education and childbirth preparation classes.

In addition, 12 infants and a family of 40 MOMS clients were also coronavirus-positive, Lugo said.

“The COVID problem is hitting our clients and their families not only from a health perspective, but obviously from a financial and employment perspective,” Lugo said in an email. He said MOMS consults with COVID-19 clients weekly to more closely monitor their status and their fetal or neonatal health.

“During these weekly visits, we also provide up-to-date guidelines and direct them to all the resources we may know to assist with health, financial, employment, etc. “.” Lugo said.

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