everyone it's sarah thread sterner

0:01

sorry and calm and in this video we're

0:03

going to talk about covet 19 and how it

0:06

relates to pregnancy so let's get

0:08

started

0:09

know it's important to note that the

0:11

information about covet 19 is always

0:14

changing because they're always finding

0:16

out new information about this virus and

0:18

how it affects pregnant women so always

0:21

stay up-to-date with the latest

0:23

information released by the CDC your

0:25

stay and OB provider but first let's do

0:28

a quick overview about this disease so

0:31

coded 19 is a disease caused by a new

0:35

type of corona virus that we haven't

0:38

seen in humans until now now there are

0:42

many other types of corona viruses and

0:44

we've actually had other outbreaks in

0:46

other parts of the world like mirrors

0:48

and SARS the Cobra in nineteen is the

0:51

first one to cause a pandemic worldwide

0:54

now the specific corona virus that

0:57

causes kovat 19 is called SARS

0:59

coronavirus - SAR stands for severe

1:02

acute respiratory syndrome now this is

1:05

not the same virus that causes SARS they

1:09
are different but they are similar

1:11

genetically so that's why they have

1:12

similar names now how does Kovan 19 get

1:17

in your body and cause you problems well

1:20

it infects your respiratory system so we

1:23

can get in through your eyes your nose

1:25

or your mouth and then whenever it gets

1:28

in there it can cause some respiratory

1:30

problems some people may have mild

1:32

problems some people can have severe

1:35

problems where they can have acute

1:37

respiratory distress they can't breathe

1:39

on their own and they need mechanical

1:41

ventilation so it varies in people now

1:45

what are the signs and symptoms of this

1:47

virus they include fever cough shortness

1:51

of breath fatigue and GI symptoms and

1:55

one thing that's really interesting that

1:57

the CDC has said is that some people

1:59

with kovat 19 have experienced

2:02

gastrointestinal symptoms such as

2:04

diarrhea and nausea prior to developing

2:08

fever and lower respiratory tract sign

2:11

and symptoms so that's important to note

2:14

that before you get the onset of all

2:16

those respiratory symptoms you may have

2:18

gi symptoms at the beginning now signs

2:21
and symptoms of kovat 19 may appear up

2:24

to 14 days after exposure so some people

2:29

can be without symptoms which we call

2:32

asymptomatic and be contagious which

2:35

makes this virus harder to identify

2:38

people who are contagious and it makes

2:41

it easier to spread and in a sense

2:43

harder to contain which is why social

2:46

distancing is so important so we know

2:48

that Kogan 19 infects the respiratory

2:51

system but how is it primarily spread

2:55

from human to human how do you really

2:57

get it well there's two ways the first

2:59

way it's primarily spread is through

3:01

respiratory droplets so what that means

3:04

is like naturally whenever you sneeze

3:06

you call for you talk you're putting out

3:09

these little water droplets well if you

3:11

have kovat 19 in those water droplets

3:14

you have this virus and if a person is

3:18

close enough to you whenever you're

3:21

talking sneezing coughing whatever they

3:23

can inhale that virus through those

3:25

droplets which is why it's so important

3:27

we keep at least a 6 feet distance from

3:31

other people because that helps decrease

3:32

that risk also if that person who's

3:35
infected with koban 19 is coughing

3:39

sneezing those water droplets are

3:41

falling on objects around them they

3:43

could even be coughing on their hands

3:45

not washing them touching objects with

3:47

that and if you come along you touch

3:49

those objects even shake that person's

3:51

hand and then you go and touch your eyes

3:53

your nose your mouth you can infect

3:56

yourself with this virus so that is why

3:59

you don't want to touch these areas on

4:01

your body especially if your hands are

4:02

unwashed and you always want to be

4:04

performing hand hygiene very often for

4:07

at least 20 seconds with soap and water

4:09

or using hand sanitizer so with that

4:13

overview of Kovan 19 let's take that

4:16

information and apply it to pregnant

4:18

women so during pregnancy a woman's body

4:22

really changes

4:23

specifically her immune system and what

4:25

happens is that her immune system is

4:28

more susceptible to germs where before

4:31

when she wasn't pregnant she could

4:33

normally fight off these germs and not

4:36

have serious complications however

4:38

whenever she becomes pregnant her immune

4:40
system in a sense becomes compromised

4:42

and she can't fight those germs as well

4:45

as she normally could and she can

4:47

develop those serious complications that

4:50

go along with many respiratory illnesses

4:52

and this has been seen in pregnant women

4:55

who have had SARS and other respiratory

4:57

illnesses so the first question is does

5:02

this virus that causes kovat 19 of fact

5:05

pregnant women in the same way like how

5:08

the SARS virus did and other respiratory

5:10

illnesses to help us answer that

5:12

question we were going to look to the

5:14

American College of Obstetricians and

5:17

Gynaecologists now unfortunately the

5:20

research at this time is very limited

5:22

and not conclusive on how kovin 19 of X

5:26

pregnant women and their babies but the

5:29

College of Obstetricians and

5:31

Gynecologists give us a little insight

5:33

into how Cova 19 may affect pregnant

5:37

women because they can look and see how

5:39

other Crona viruses affected them so

5:41

here's a direct quote from them they say

5:44

pregnant women should be considered an

5:46

at-risk population for Kovan 19 adverse

5:50

infant outcomes like preterm birth have

5:53
been reported among infants born to

5:56

mothers positive for kovat 19 during

5:59

pregnancy so from this we can glean that

6:02

pregnant women should be considered an

6:04

at-risk population based on the fact of

6:07

how other prone of viruses have affected

6:10

them in the past and that we need to be

6:11

aware that there is a potential problem

6:14

like preterm labor for mothers who are

6:18

carrying babies and they become infected

6:20

with this virus another important

6:22

question about this virus in its

6:24

relation to pregnancy is if a mother

6:26

who's infected with COBIT 19 can she

6:29

pass this virus to her unborn baby well

6:33

the data is not a hundred percent clear

6:35

on

6:35

but it does seem like there is a low

6:37

chance of this happening

6:39

however the studies that are out there

6:41

the results are a little conflicting but

6:44

it can help provide some insight into

6:46

this and there are some studies that

6:48

were posted by Harvard Health about

6:50

cases of pregnant women having Kovan 19

6:53

and giving birth so one thing it noted

6:57

was that in this study 38 women infected

7:00
with koban 19 had newborns who all

7:03

tested negative for the virus however

7:06

there was another study that was done in

7:09

this study was actually done in China

7:11

and Wuhan China with women and out of

7:14

the 33 women infected with SARS

7:17

coronavirus 2/3 of the newborns tested

7:21

positive for the virus and had signs and

7:25

symptoms but here's the catch they were

7:28

tested days later after they were born

7:32

it wasn't right after birth so they're

7:35

not really sure did they get exposed

7:38

after birth and this is how they got it

7:40

or was it indeed pass from mama to baby

7:44

now let's look at some other important

7:46

questions that pregnant women are going

7:48

to have about this virus in relation to

7:51

their pregnancy so first breastfeeding

7:53

let's say a woman does have Co vid 19

7:57

she has a baby and she wants to

7:59

breastfeed well can she pass that virus

8:02

and her breast milk to the baby

8:05

according to the CDC they are not a

8:07

hundred percent sure on this because

8:09

studies are very limited on this virus

8:12

however with the SARS virus women who

8:16

were pregnant had babies they did not

8:19
have the virus in their breast milk so

8:22

the World Health Organization does

8:24

recommend that a woman breastfeed if she

8:26

chooses to do so however she wants to

8:29

follow the following transmission

8:31

precaution guidelines washing your hands

8:34

very often this means before and after

8:36

touching baby wearing a mask this is

8:39

going to help decrease that chance of

8:42

you spreading the virus through your

8:44

respiratory droplets to the baby

8:46

following respiratory guidelines for

8:49

when you call sneeze covering that up if

8:52

you do have to coughs sneeze do that in

8:54

like a tissue paper dispose of that

8:57

properly and then immediately wash your

8:59

hands and then disinfect surfaces and

9:02

supplies that you're going to be using

9:04

and if you're too sick to do this you

9:07

could pump your milk but follow those

9:09

transmission precautions with the

9:11

supplies and how everything is handled

9:13

and you can have someone who is well who

9:15

doesn't have coded 19 feed the baby with

9:18

a bottle another important question is

9:21

about working should a pregnant woman be

9:23

working out in public specifically as

9:25
some type of health care provider well

9:28

it really depends like it depends on

9:30

what type of environment you're working

9:32

in are you working in an environment

9:34

where you're exposed to a lot of

9:36

patients who have kovat not team what

9:38

type of procedures do you do at your job

9:41

are you exposed to a lot of respiratory

9:43

secretions and are you living in an area

9:46

that has a lot of cases of kovat 19 like

9:49

New York or do you live in more of a

9:52

rural area that does have cases but it's

9:55

not as widespread as compared to New

9:56

York so those are things you want to ask

9:58

yourself and even collaborate with your

10:00

manager and see what your facility is

10:02

implementing for pregnant women

10:05

now currently the CDC does not have

10:08

specific guidelines that say pregnant

10:11

healthcare providers cannot work in

10:12

certain areas but they do recommend that

10:15

facilities have a place where pregnant

10:18

healthcare providers are limiting their

10:20

contact with patients who do have kovin

10:22

19 so those are things if you are

10:24

pregnant that you want to think about

10:26

another question is regarding treatment

10:28
what is the treatment for a pregnant

10:30

woman who does get koban 19 well it

10:33

really depends on how severe that

10:35

pregnant woman has it overall for

10:38

everyone there is no specific treatment

10:40

for this illness they don't have a

10:42

vaccine so a lot of people get mild

10:45

cases for mild cases you're gonna stay

10:48

at home and you're gonna sell isolate

10:50

from other people now you want to be

10:52

monitoring for some things like your

10:54

breathing status because this can

10:57

change where you have trouble breathing

10:58

so if you develop trouble breathing you

11:00

would want to notify your medical

11:02

provider also as a pregnant woman you

11:04

want to be looking for other things you

11:06

would want to be monitoring fetal

11:08

movement so if you're far enough along

11:10

to feel that give a decrease in movement

11:13

you will want to notify your OB provider

11:15

immediately along with signs and

11:17

symptoms that you may be having preterm

11:19

labor like contractions your bleeding or

11:22

your leaking amniotic fluid those would

11:24

all cause reason for concern now in

11:28

severe cases some people have to be

11:31
hospitalized because their breathing

11:33

gets really bad and they have to have

11:35

mechanical ventilation to help them with

11:38

a breathing so let's say that you think

11:40

that you may have coded 19 or you've

11:42

been exposed to someone who has it you

11:45

would want to not just rush to your OB

11:48

providers office because you don't want

11:49

to expose other people but you'd want to

11:51

call them first and tell them and they

11:53

will advise you what to do they may

11:55

advise you to go to a testing site or

11:57

they may have you come into the office

11:58

but either way they will be prepared for

12:00

your arrival with their PPE and you want

12:03

to wear a mask when going out and lastly

12:07

what if you have Kovan 19 as a pregnant

12:10

woman and you're fixing to deliver your

12:12

baby what's going to happen to your baby

12:15

after it is born well the CDC currently

12:19

recommends that mama who is positive for

12:23

Kovan 19 be temporarily separated from

12:26

her baby so they can decrease the

12:29

chances of that baby getting köppen 19

12:32

of course baby will be tested for this

12:35

virus but this really depends on your

12:38

provider that you have what facility

12:41
you're delivering at there resources

12:43

available so if you are worried about

12:46

this which most pregnant women will be

12:48

because no one wants to be separated

12:49

from their baby afterwards you need to

12:52

really talk with your OB provider and

12:54

you guys need to develop a plan of

12:56

what's going to happen after a baby is

12:59

born okay so that wraps up this video

13:01

over coping 19 and pregnancy but I want

13:05

to end this be

13:06

and speak to the pregnant women who are

13:08

watching this video at this time so

13:11

pregnancy normally in itself already

13:14

requires a lot of planning and prepping

13:16

and you do have some worry like how's

13:20

everything going to be how's labour

13:22

going to be how's the baby gonna be

13:23

things like that but whenever you're

13:26

going through a pregnancy during a time

13:28

like this it just majorly increases your

13:32

planning you're prepping and definitely

13:33

you're worried so it's vitally important

13:36

you stay up-to-date with everything that

13:39

is going on staying in contact with your

13:41

OB provider because this virus the

13:44

information they get on it is always

13:46
changing like if you're just watching

13:48

the news you hear about potential

13:49

treatments the guidelines everything so

13:52

as a pregnant woman myself I'm in my

13:54

second trimester almost third trimester

13:56

truthfully I have really been worried I

13:59

many times and I know if you're pregnant

14:00

right now you're probably like me you

14:03

have your moments where you're good but

14:05

then you have your moments like oh no

14:06

how is this going to be I just want this

14:08

thing to the over one this pandemic to

14:11

end so whenever baby gets here

14:12

everything can return back to normal so

14:16

just remember that there are many many

14:19

steps that you can take to ensure the

14:22

safety of your baby and yourself and

14:25

personally I truly believe that this

14:27

pandemic is going to be over very soon

14:30

so in my next video I am going to talk

14:34

about some steps that you can take as a

14:36

pregnant woman specifically to Purvi

14:40

yourself from getting infected with

14:41

kovat 19 plus I want to share with you

14:44

my experiences as a pregnant woman going

14:46

through this pandemic and I'm gonna give

14:49

you some things that you want to be

14:51
thinking about prior to their arrival of

14:54

your baby so you can be the most

14:55

prepared so if you're interested in

14:58

checking out that video I will be

14:59

releasing that video next and thank you

15:01

so much for watching

Published on Apr 9, 2020

COVID-19 (coronavirus) review on how it affects pregnant women!