COVID-19 & stillbirths. We know that some children (birth to 21 years old) have not improved physically and mentally after two weeks of COVID-19. Data from Singapore has shown there were many miscarriages with the Delta variant and the original variant. Pregnant women may have adverse pregnancy outcomes if they get COVID-19. COVID-19 is dangerous for mother and baby.
There were 1.26% of stillbirths over about a year and stillbirths were greater over a period of time. The number of stillbirths increased between March 2020 and March 2021. There was a 90% risk of stillbirths in mothers with COVID-19.
Antivirals
Monupuriver can be given before the second week, otherwise, it’s too late for antivirals. Monuprivier can reduce hospitalizations or deaths by 50% and Monoclonal antibodies can do even better at a 77% reduction.
About 1-2% of people per thousand patients have an intolerance (increased in heart rate, etc). It is challenging but clinical judgment (first 3 days best, 4-6- breakthrough cases are likely, and 7-10 days half as effective).
Timing and frequency are important. Don’t test one test but more than one test. The rapid test is best. Frequency and repeating tests are important.
Vaccinations
Mothers with COVID-19 were more likely to die than mothers without COVID. Therefore, all mothers should get vaccinated according to the recommendations, which include breastfed and non breastfed mothers.
*Isolate for the infected 10 days
Isolation and Quaratine
*Quarantine fully vaccine no unless symptoms -5-7 days after exposure Covid-19 test. The quarantine 10-14 days (test at day 7 can test out of quarantine in some states.
*Last day of exposure need to quarantine for additional 10 days or some states have a test to stay (if testing is negative you can test out before 20 days, but hospitalization is down so we might not need to do this)