COVID-19

COVID-192020-05-20T21:24:49+00:00

THE BEST SOURCES OF INFORMATION

CENTERS FOR DISEASE CONTROL AND PREVENTION

The CDC WEBSITE is accurate, up-to-date, and easy to understand and navigate.  Important pages include:

Going straight to the CDC website bypasses the main CORONAVIRUS webpage, which basically just provides links to the CDC.  The one important link from the main page is to FEMA’s Rumor Control page.

NATIONAL INSTITUTES OF HEALTH

The NIH has published Coronavirus Disease 19 Treatment Guidelines to inform clinicians how to care for patients with COVID-19.  The Guidelines contain Special Consideration In Pregnancy and Post-Delivery.

Because clinical information about the optimal management of COVID-19 is evolving quickly, the Guidelines will be updated frequently as published data and other authoritative information becomes available.

LABOR, DELIVERY, and BREASTFEEDING DURING COVID-19

COVID-19 is having a significant impact practices and policies affecting labor, delivery, and care for newborns.  This is a quickly-evolving situation with decisions most often made at the local hospital level.  Some professional organizations have shared their thoughts and position statements:

ONGOING STUDIES RELATED TO COVID-19 AND PREGNANCY / POSTPARTUM

COPE: COVID-19 and Perinatal Experiences Study

Virginia Commonwealth University has launched a nationwide study to see how pregnant women and new mothers are handling major societal changes caused by the COVID-19 pandemic.  Read an article about the study HERE.

Impact of COVID-19 on Women’s Pregnancy-Related Anxiety

The University of Michigan is conducting an online survey of pregnant women to determine how the COVID-19 pandemic has affected their antenatal care, their delivery plans and their anxiety level.

MotherToBaby: COVID-19 in Pregnancy Study

MotherToBaby and OTIS (Organization of Teratology Information Specialists) have launched a study to examine the short and long-term effects of COVID-19 in pregnancy and breastfeeding.

National Institutes of Health

NIH has launched a multipronged study to understand the effects of the COVID-19 pandemic during and after pregnancy.  Researchers will examine whether COVID-19 has led to higher rates of pregnancy-related complications and cesarean delivery, as well as the risk of pregnant women with COVID-19 infection transmitting the virus to their fetus.

PRIORITY: Pregnancy Coronavirus Outcomes Registry

Researchers at the University of California at San Francisco have launched a nationwide study of pregnant or recently pregnant women who are either under investigation for or have been confirmed to have COVID-19.

Project RESCUE: Repercussions of Elevated Stress from COVID-19 Exposure

The team at Children’s National Hospital’s Center for the Developing Brain will collect data over time to better understand the unique impact of multiple stressors for pregnant women giving birth during the COVID-19 pandemic and for their offspring.

Women’s Birth and Postpartum Experiences During the COVID-19 Pandemic

Have you given birth just before or during the coronavirus outbreak? Researchers are examining the impact of COVID-19 on new mothers’ childbirth and postpartum experiences. The study is open to all women age 18 and over who have given birth since March 1, 2020.

RESEARCH RELATED TO COVID-19 AND PREGNANCY / POSTPARTUM

Although there is limited information at this point, published data in scientific journals so far is optimistic and does not show that COVID-19 can be passed from mother to baby during pregnancy.  Here are newly-published scientific articles (listed by date of publication):

  • Feb 12, 2020.  LINK TO ARTICLE  Chen, H., et al. Clinical Characteristics and Intrauterine Vertical Transmission Potential of COVID-19 Infection in Nine Pregnant Women: A Retrospective Review of Medical Records.  The Lancet.  
  • Mar 6, 2020.  LINK TO ARTICLE  Liu, D., et al. Pregnancy and Perinatal Outcomes of Women With Coronavirus Disease (COVID-19) Pneumonia: A Preliminary Analysis.  American Journal of Roentgenology.  
  • Mar 8, 2020LINK TO ARTICLE  Mullins, E., et al.  Coronavirus in Pregnancy and Delivery: Rapid Review and Expert Consensus.  MedRXiv.  
  • Mar 12, 2020LINK TO ARTICLE  Schwartz, D. An Analysis of 38 Pregnant Women with COVID-19, Their Newborn Infants, and Maternal-Fetal Transmission of SARS-CoV-2: Maternal Coronavirus Infections and Pregnancy Outcomes.  Archives of Pathology.
  • Mar 16, 2020.  LINK TO ARTICLE  Chen, Y., et al.  Infants Born to Mothers With a New Coronavirus (COVID-10).  Frontiers in Pediatrics.
  • Mar 17, 2020LINK TO ARTICLE  Dashraath, P., et al. Pandemic and Pregnancy.  American Journal of Obstetrics and Gynecology.
  • Mar 23, 2020.  LINK TO ARTICLE  Panahik L., et al. Risks of Novel Coronavirus Disease in Pregnancy: A Narrative Review.  Archives of Academic Emergency Medicine.
  • Mar 24, 2020. LINK TO ARTICLE  Yu, N., et al. Clinical Features and Obstetric and Neonatal Outcomes of Pregnant Patients With COVID-19 in Wuhan, China: A Retrospective, Single-centre, Descriptive Study.  Lancet Infectious Disease. 
  • Mar 26, 2020.  LINK TO ARTICLE  Zeng, L., et al. Neonatal Early-Onset Infection With SARS-CoV-2 in 33 Neonates Born to Mothers With COVID-19 in Wuhan, China.  JAMA Pediatrics.
  • Mar 26, 2020.  LINK TO ARTICLE  Zeng, H., et al.  Antibodies in Infants Born to Mothers With COVID-19 Pneumonia. JAMA Network.  
  • Apr 2, 2020.  LINK TO ARTICLE  Karimi-Zarchi, M., et al. Vertical Transmission of Coronavirus Disease (COVID-19) From Infected Mothers to Neonates: A Review.  Fetal and Pediatric Pathology.
  • Apr 7, 2020.  LINK TO ARTICLE Zaigham, M. and Andersson, O.  Maternal and Perinatal Outcomes With COVID-19: A Systematic Review of 108 Pregnancies.  Acta Obstet Gynecol Scand. 
  • Apr 13, 2020.  LINK TO ARTICLE  Sutton, D., et al. Universal Screening for SARS-CoV-2 in Women Admitted for Delivery.  New England Journal of Medicine.
  • Apr 17, 2020.  LINK TO ARTICLE  Chen, L., et al.  Clinical Characteristics of Pregnant Women With COVID-19 in Wuhan, China.  New England Journal of Medicine.
  • April 2020.  LINK TO ARTICLE  Shah, P. et al. Classification System and Case Definition for SARS-CoV-2 Infection in Pregnant Women, Fetuses, and Neonates.  Acta Obstet Gynecol Scand.

Rayyan QCRI is a free website that allows systematic review of scholarly articles.  Rayyan has taken the COVID-19 Open Research Dataset (published here by the Allen Institute for AI and others) and put it in a public Rayyan review. The dataset has over 45,000 scholarly articles, including over 33,000 with full text, about COVID-19 and the coronavirus family of viruses.

RESOURCES FOR THOSE EXPERIENCING MENTAL HEALTH ISSUES

These websites have good information about managing mental health issues during the coronavirus pandemic.  It is natural to be anxious during this time, but those experiencing mental health issues might need additional support and resources.  According to Mental Health America, people whose mental health is comprised are at greater risk of experiencing worsening mental illness as a result of the coronavirus.

  • American Psychiatric Association: Working Remotely During COVID-19.  AAP has great tips and strategies for managing mental health and wellbeing.
  • Beyond Blue: Looking After Your Mental Health During The Coronavirus Outbreak.  This website from Australia offers great “wellbeing” advice, including maintaining perspective and finding balance in relation to media coverage.
  • International OCD Foundation: COVID-19 & OCD.  The IOCDF provides suggestions and resources for managing OCD fears and behaviors.
  • Mental Health America: Living With Mental Illness During COVID-19 Outbreak — Preparing For Your Wellness.  MHA offers tips for creating a wellness plan with links to crisislines and “warm” lines.
  • Mind For Better Mental Health: Coronavirus And Your Wellbeing.  This terrific website from the UK has practical tips for staying at home while attending to health and wellbeing.
  • National Alliance on Mental Ilness (NAMI): COVID-19 Resource and Information Guide.  NAMI’s comprehensive guide includes info in a user-friendly Q&A format.
  • On Our Sleeves from Nationwide Children’s Hospital: Behavioral Health Resources for Coronavirus.  This website has expert resources and guides for parents with young children, including how to talk to children about the pandemic, working from home, and keeping children busy and connected.

RESOURCES FOR PREGNANT & POSTPARTUM PARENTS EXPERIENCING MENTAL HEALTH ISSUES

One “silver lining” in the COVID-19 cloud is that many restrictions on telehealth – particularly teletherapy and telepsychiatry – have been lifted. Many providers and support groups have quickly pivoted to offer meetings and therapy online.
Virtual support groups are provided by many organizations; here are a few trusted sources:
Here are some notable resources for women who are pregnant or new moms struggling with anxiety or depression.

RESOURCES FOR MATERNAL-CHILD AND MENTAL HEALTH PROVIDERS DURING THE CORONAVIRUS EPIDEMIC

Here is a listing of support, information, and resources for those supporting new mothers and mothers-to-be.

GOOD SOURCES OF INFORMATION (“CORONAVIRUS HUBS”)

American Academy of Pediatrics

Shares resources for physicians and families.

American College of Nurse Midwives

Provides comprehensive list of resources including general guidance, guidance for clinical practice, guidance for consumers, and resources for government affairs, policy, and reimbursement.

American Psychiatric Association

Provides timely and authoritative resources for psychiatrists, patients, healthcare providers, and community leaders.

American Psychological Association

Offers resources for preparedness and safety, along with information for practitioners, educators, and caregivers.

Anxiety and Depression Association of America

Provides daily updates with blog posts, videos, and suggestions for managing anxiety and mood while coping with COVID-19.

International Lactation Consultant Association

Includes statements from important world organizations such as the World Health Organization and UNICEF, resources by region, and social media messaging about breastfeeding during the coronavirus pandemic.

Kaiser Family Foundation

Provides information about telemedicine during pregnancy and special considerations for COVID-19 and pregnant women.

March of Dimes

Offers specific information for mothers (including pregnant women) and babies.  MOD has launched two new initiatieves: a Mom & Baby COVID-19 Fund to provide intervention and support, and a Facebook webinar series to share expert information about COVID-19, pregnancy, and maternal mental health.

Massachusetts General Hospital

Provides a guide to mental health resources with an emphasis on materials for providers.

Mental Health America

Lists comprehensive information with tools, webinars, and workshops – along with specific resources for teens, parents, elders, veterans, and LGBTQ+

Mother to Baby

Provides a Fact Sheet about COVID-19.  Has launched a study examining COVID-19 in pregnancy.

Now I Lay Me Down To Sleep

Has launched a new Medical Affiliate program to aid bereaved families who have suffered the death of an infant.

Substance Abuse and Mental Health Services Administration 

NEW! Provides EMERGENCY GRANTS to states, tribes, and territories to provide crisis intervention services, mental and substance use disorder treatment, and other related recovery supports for children and adults impacted by the COVID-19 pandemic.  Provides guidance and resources for states, local communities, providers, and individuals.

Society for Maternal Fetal Medicine

Provides statements about managing labor and delivery and conducting ultrasounds.  Includes webinars on preparing obstetric units and managing COVID-19 in the ICU.  Provides several webinars and e-learning opportunities for obstetric providers.