COVID-19 in pregnancy in South Africa : tracking the epidemic and defining the natural history

Show simple item record Fairlie, Lee Sawry, Shobna Patel, Faeezah Balkus, Jennifer E. Kalk, Emma Mutevedzi, Portia Technau, Karl-Gunter Yates, Laura M. Slogrove, Amy Ballot, Daynia Bandini, Rosella M. Mehta, Ushma Moodley, Dhayendre Mhlongo, Ottancia Budram, Samantha Maswime, Salome Vannevel, Valerie Rees, Helen Chersich, Matthew 2021-03-24T12:57:58Z 2021-03-24T12:57:58Z 2020-08
dc.description.abstract South Africa (SA) has seen a rapid increase in COVID-19 infections in recent weeks, with cases exceeding 40 000 in early June and anticipated to escalate rapidly as lockdown is eased. The country also has the largest HIV burden globally, and poor maternal and child health indices in many parts. Although early indications were that COVID-19 infection does not worsen pregnancy and birth outcomes, recent reports have raised fresh concerns. Preterm birth, neonatal pneumonia[9-11] and cases of vertical transmission and postpartum infections have been reported, including in SA. Some maternal deaths related to COVID-19 have occurred, possibly linked to haemodynamic changes immediately postpartum and/or to the thrombogenic nature of both pregnancy and COVID- 19. Maternal wellbeing in pregnant women with COVID-19 infection is a major concern, as these women often have high anxiety about infecting their newborn child, and may experience challenging interactions with healthcare providers and community stigma. Most evidence on COVID-19 and pregnancy to date is limited to case series, involves only symptomatic women without HIV, and is almost exclusively from high-income countries. Cohort data across a range of settings and population groups are the only means of fully understanding the natural history, clinical disease spectrum and risks of COVID-19 in pregnant women, fetuses and infants. en_ZA
dc.description.department Obstetrics and Gynaecology en_ZA
dc.description.librarian am2021 en_ZA
dc.description.uri en_ZA
dc.identifier.citation Fairlie, L., Sawry, S., Patel, F. et al. 2020, 'COVID-19 in pregnancy in South Africa : tracking the epidemic and defining the natural history', South African Medical Journal, vol. 110, no. 8, pp. 728-731. en_ZA
dc.identifier.issn 0256-9574 (print)
dc.identifier.issn 2078-5135 (online)
dc.identifier.other 10.7196/SAMJ.2020.v110i9.15012
dc.language.iso en en_ZA
dc.publisher Health and Medical Publishing Group en_ZA
dc.rights © 2019, South African Medical Association. This article is licensed under a Creative Commons Attribution-NonCommercial Works License (CC BY-NC 3.0). en_ZA
dc.subject South Africa (SA) en_ZA
dc.subject Coronavirus disease 2019 (COVID-19) en_ZA
dc.subject COVID-19 pandemic en_ZA
dc.subject Birth outcomes en_ZA
dc.subject Pregnancy en_ZA
dc.title COVID-19 in pregnancy in South Africa : tracking the epidemic and defining the natural history en_ZA
dc.type Article en_ZA

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