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

dc.contributor.authorFairlie, Lee
dc.contributor.authorSawry, Shobna
dc.contributor.authorPatel, Faeezah
dc.contributor.authorBalkus, Jennifer E.
dc.contributor.authorKalk, Emma
dc.contributor.authorMutevedzi, Portia
dc.contributor.authorTechnau, Karl-Gunter
dc.contributor.authorYates, Laura M.
dc.contributor.authorSlogrove, Amy
dc.contributor.authorBallot, Daynia
dc.contributor.authorBandini, Rosella M.
dc.contributor.authorMehta, Ushma
dc.contributor.authorMoodley, Dhayendre
dc.contributor.authorMhlongo, Ottancia
dc.contributor.authorBudram, Samantha
dc.contributor.authorMaswime, Salome
dc.contributor.authorVannevel, Valerie
dc.contributor.authorRees, Helen
dc.contributor.authorChersich, Matthew
dc.date.accessioned2021-03-24T12:57:58Z
dc.date.available2021-03-24T12:57:58Z
dc.date.issued2020-08
dc.description.abstractSouth 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.departmentObstetrics and Gynaecologyen_ZA
dc.description.librarianam2021en_ZA
dc.description.urihttp://www.samj.org.zaen_ZA
dc.identifier.citationFairlie, 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.issn0256-9574 (print)
dc.identifier.issn2078-5135 (online)
dc.identifier.other10.7196/SAMJ.2020.v110i9.15012
dc.identifier.urihttp://hdl.handle.net/2263/79073
dc.language.isoenen_ZA
dc.publisherHealth and Medical Publishing Groupen_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.subjectSouth Africa (SA)en_ZA
dc.subjectCoronavirus disease 2019 (COVID-19)en_ZA
dc.subjectCOVID-19 pandemicen_ZA
dc.subjectBirth outcomesen_ZA
dc.subjectPregnancyen_ZA
dc.titleCOVID-19 in pregnancy in South Africa : tracking the epidemic and defining the natural historyen_ZA
dc.typeArticleen_ZA

Files

Original bundle

Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
Fairlie_COVID19_2020.pdf
Size:
922.98 KB
Format:
Adobe Portable Document Format
Description:
Article

License bundle

Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
license.txt
Size:
1.75 KB
Format:
Item-specific license agreed upon to submission
Description: