Читать книгу Managing Medical and Obstetric Emergencies and Trauma - Группа авторов - Страница 146

The common symptoms of Covid‐19 in pregnancy are cough, fever, sore throat, shortness of breath, myalgia and loss of sense of taste. However, two‐thirds of identified pregnant women with Covid‐19 have no symptoms.

There is growing evidence that pregnant women may be at increased risk of severe illness from Covid‐19 compared with non‐pregnant women, especially in the third trimester. Risk factors for infection and hospitalisation in pregnancy include:

 Being unvaccinated

 Age >35 years

 Black, Asian and minority ethnic background

 BMI >25 kg/m2

 Pre‐pregnancy morbidity such as hypertension or diabetes

Maternal Covid‐19 infection is associated with an approximately doubled risk of still birth and may be associated with small‐for‐gestational‐age babies. The preterm birth rate (primarily iatrogenic) in women with symptomatic Covid‐19 appears to be 2–3 times higher than the background rate.

Of the women who died during the first wave of the Covid‐19 pandemic in the UK, severity of illness was often not recognised until the women were in extremis. The rapid report from MBRRACE‐UK (see Chapter 2) learning from these deaths highlighted the importance of obstetric leadership of the multidisciplinary care team (MDT) and daily review allowing timely recognition of deterioration with planning for delivery to reduce respiratory work.