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Pregnant vs nonpregnant severe acute respiratory syndrome coronavirus 2 and coronavirus disease 2019 hospital admissions: The first 4 weeks in New York

American Journal of Obstetrics and Gynecology May 15, 2020

Tekbali A, Grünebaum A, Saraya A, et al. - Researchers sought to determine the number of pregnant and nonpregnant SARS-CoV-2 and coronavirus disease 2019 (COVID-19) cases during hospital admissions in the state of New York using data gathered at a large hospital group (14 hospitals) in the state of New York between March 2, 2020, and March 29, 2020. During the 4-week period, they identified a total of 21,980 admissions at 14 hospitals comprising of 3,064 pregnant or postpartum patients, and 18,916 nonpregnant patients. Significantly higher rate of SARS-CoV-2–diagnoses were made among nonpregnant patients than among pregnant patients. Furthermore, a significantly lower admission percentage was reported for pregnant women with SARS-CoV-2 and COVID-19 vs nonpregnant patients with similar infection status. The lower rate of COVID-19 infection among pregnant patients has previously been reported and is likely because of several factors. As pregnant women are younger and less frequently contract the infection and show typical symptoms, they are less likely to get tested. In addition,pregnant patients were usually admitted for labor and delivery and not because of COVID-19 symptoms, whereas nonpregnant patients were admitted for the symptoms. As SARS-CoV-2 and COVID-19 cases are rapidly increasing and there are significant difference in hospital admissions between SARS-CoV-2–positive asymptomatic nonpregnant patients and SARS-CoV-2–negative asymptomatic pregnant women, the proposal of Britain’s most senior midwife that maternity services be “ringfenced” during this crisis may be considered by hospitals in order to ensure women’s health services continue to provide safe care and pregnant and postpartum women and their newborns continue to receive safe care without compromise. They recommend ringfencing human and material maternity resources from redeployment, to avoid impairing the capacity of labor and delivery units and to ensure providing safest possible care to pregnant and postpartum patients and their newborns.

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