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Covid-19 pregnancy news reports – 101 onwards

May 17, 2020

In roughly reverse order. Updated regularly. Click here for the first hundred news reports. Click here for ripe-tomato.org’s Covid-19 in pregnancy navigation page.

28 May update Reports 121 and 122 added.

122. A belated addition. An anonymous woman with Covid-19 in Wuhan (click here) gives birth to an infected baby. Report 5 Feb.

121. Candice Bowie contracted Covid-19 in April in prison in Louisiana at 8 months gestation. On May 4th she was released and went to an unnamed hospital where she was scheduled to deliver by Caesarean (click here). Report 18 May.

26 May update Reports 115-120 added.

120. Diamond, a pseudonym, developed mild Covid 19 at term and delivered at Toronto’s Michael Garron Hospital (click here). Mother and baby survived. Report 21 May.

119. Tasnim Shaheen developed severe Covid-19 at about 28 weeks gestation. She required ventilation and Caesarean at Jamaica Hospital in Queens, New York (click here). Mother and baby are still in hospital but recovering. Report 11 May.

118. An unnamed 20-year-old coronavirus positive woman from Medchal has given birth to twins by Caesarean section at Gandhi Hospital in Hyderabad (click here). The mother was asymptomatic. The twins are awaiting testing. Report 26 May.

117. Lisseth Hernandez developed Covid-19 at 29 weeks gestation with twins. She required ventilation and was delivered at 30 weeks by Caesarean (click here). She recovered. The babies were isolated and did well. Report 19 May.

116. There are 2,561 pregnant women in Russia with coronavirus infection. 2,035 tested positive for SARS-Cov2. Presumably the rest are clinical diagnoses (click here).  There are 816 pregnant women with the coronavirus infection in Moscow alone. Report 25 May.

115. Katie Miller, the spokeswoman for US Vice President Mike Pence, is pregnant and has tested positive for SARS.Cov2 (click here). She has recovered and is back at work. The pregnancy is continuing. Report 26 May.

21 May update Reports 111-114 added.

114. Claire Trusson, age 37, developed Covid-19 at 34 weeks (click here). It was an IVF pregnancy. She gave birth at St Helier Hospital in Carshalton. Both recovered. Report 29 April.

113. Shaquilla James, of Summerton, South Carolina developed Covid-19 at 38 weeks gestation (click here). She gave birth the same day at McLeod Regional Medical Center in Florence, SC, but later was put on a ventilator. Mother & baby both recovered. Report 20 May.

112. Alicia Kappers, age 40, was 31 weeks when she developed Covid-19 on March 24 (click here). She was cared for at the TriHealth Good Samaritan Hospital in Cincinnati, Ohio, where she required prolonged ventilation and a tracheostomy. She went into pre-term labour at 32 weeks and was delivered by Caesarean. The baby tested negative. Both are recovering at home. Report 17 May

111. There have been 115 babies born to Covid-19 infected mothers at the Lokmanya Tilak Municipal General Hospital – also called Sion Hospital – in Mumbai (click here). Three babies were infected, but recovered. Two mothers died, one of whom was aged 28 and died after giving birth.  Report 21 May. (HT Francis Githae Murithi)

18 May update – report 109 added.

110. An unnamed woman with Covid-10 gave birth in the North Ossetia city of Beslan (click here). Both mother and baby are now home. The head of the unnamed hospital’s maternity unit, Hassan Tagaiev, said that 17 of 35 women who were about to give birth there had tested positive for Covid-19.  Report 18 May.

109. Kimberly Phillips, age 44, who had Covid 19, gave birth on May 2nd, at 40 weeks gestation, at the Princess of Wales hospital in Bridgend (click here & here). Her baby, Coolio Carl Justin Morgan, died age 3 days. The primary cause of death was hypoxic ischemic encephalopathy, secondary cause maternal Covid-19. Kimberley is reported to have needed intensive care but has now been discharged. Reports 13, 14 May

17 May update reports 107 & 108 added

108. An unnamed 29-year-old from Sindhupalchowk district in Nepal gave birth on May 6, and died of COVID-19 on May 16, in Kathmandu (click here). Report 17 May

107. An unnamed 27-year-old, from Dharavi slum in Maharashtra, tested positive for coronavirus in Belagavi city on 14 May (click here). She was 7 months gestation. Dharavi is in Mumbai . Belagavi is 500 km to the south. Report 15 May

16 May update – reports 105 & 106 added

106. Ten pregnant women with Covid-19 have been were treated at Sheba Medical Center at Tel Hashomer Hospital in Tel Aviv (click here). Four have given birth, one of whom was in critical condition and was transferred to ICU. Report 15 May.

105. An unnamed woman with SARS-COV-2 gave birth at 39 weeks gestation in Indraprastha Apollo Hospital, New Delhi  (click here). The baby was not infected. Report 15 May.

13 May update – reports 103 and 104 added.

104. Mili América Antelo, age 40, was pregnant with twins at when she developed severe Covid-19 at 28 weeks gestation (click here). She required Caesarean section and spent 11 days in intensive care (7 on a ventilator) at Vall d’Hebron hospital in Barcelona. The twins both tested negative. Mili has now been discharged. Report 11 May.

103. The Los Angles Times reports that roughly 134 pregnant women have tested positive, in LA county (click here). Over 82% of them were symptomatic. There have been 29 live births, and one stillbirth. Twenty-four infants were tested at birth, including one set of twins, and none tested positive. The virus has not been detected in amniotic fluid, breast milk or other “maternal samples”. Report 11 May.

10 May update – cases 97-102 added

102. Six women with COVID-19 have given birth in a government hospital in Peru. Five babies were healthy and have been discharged. The sixth woman remains in a serious condition in the intensive care unit. Her baby was born prematurely and remains hospitalized. None of the babies tested positive for COVID-19 (click here). Report 9 May.

101. Jessa Yager, from Grand island, Nebraska, developed Covid-19 while pregnant  (click here). She is recovering and the pregnancy is ongoing at 36 weeks. Report 7 May.

Jim Thornton

Covid-19 in pregnancy 101 onwards

May 15, 2020

Primary sources. Updated 30 May

In roughly reverse order. Updated regularly. Click here for studies 1-100. Click here for ripe-tomato.org’s Covid-19 in pregnancy navigation page.

30 May update –

Study 136 – 158 cases from New York

Of 158 pregnant women with Covid-19, 34 had moderate or severe disease, 9 received ICU or step down care and 1 required intubation. There were no deaths (click here or Andrikopoulou Green Symptoms_and_Critical_Illness_Among_Obstetric.97341). No baby outcomes reported. Patients were cared for at New York Presbyterian/Columbia University Irving Medical Center,
New York-Presbyterian/Allen Hospital. Cases presumably overlap with those in studies 14, 27, 41 & 95. Citation: Andrikopoulou, Maria; Madden, Nigel; Wen, Timothy; Aubey, Janice J; Aziz, Aleha; Baptiste, Caitlin D;  Breslin, Noelle; D’Alton, Mary E; Fuchs, Karin; Goffman Dena; Gyamfi-Bannerman, Cynthia; Matseoane-Peterssen, Dara N; Miller, Russell S; Sheen, Jean-Ju; Simpson, Lynn L; Sutton, Desmond; Zork, Noelia; Friedman, Alexander M. Symptoms and Critical Illness Among Obstetric Patients With Coronavirus Disease 2019 (COVID-19) Infection, Obstet Gynecol May 27, 2020 – doi: 10.1097/AOG.0000000000003996

28 May update – studies 133 to 135 added

Study 135 –  50 cases from New York

Among 307 asymptomatic women tested on admission in labour, 50 were SARS CoV-2 positive (click here or Buckley Mount Sinai AJOGMFM). The women were tested between April 4 & 15, 2020, at two institutions within Mount Sinai Health System in New York. They therefore probably overlap with those in Study 119. Citation: Buckley A, Bianco A, Stone J, Universal testing of patients and their support persons for COVID-19 when presenting for admission to Labor and Delivery within the Mount Sinai Health System, Am J Obstet Gynecol MFM (2020), doi: https://doi.org/10.1016/j.ajogmf.2020.100147.

Study 134 – 125 cases from New York

These authors report further details on 12 pregnant women with severe Covid 19, out of 125 in total (click here or McLaren AJOG PIIS0002937820305676). 7 were delivered by Caesarean, 2 vaginally, and 3 remain undelivered. No mothers died, although one remains in hospital. This is an update on study 113, and again the hospital is presumably Maimonides Medical Center, Brooklyn, NY. Citation: MCLAREN Jr. RA, LONDON V, ATALLAH F, MCCALLA S, HABERMAN S, FISHER N, STEIN JL, MINKOFF HL, Delivery For Respiratory Compromise Among Pregnant Women With COVID-19, Am J Obstet Gynecol (2020), doi: https://doi.org/10.1016/j.ajog.2020.05.035.

Study 133 – 3 cases identified by screening in North Tuscany

By screening 533 women admitted for delivery for SARS-CoV2 between March 26th & April 1st in North Tuscany and Liguria, these authors identified 3 positives, who all gave birth without clinical problems (click here or PIIS0002937820305421). The women birthed in all the 6 hospitals of Azienda USL “Toscana Nord Ovest” (Tuscany), and Gaslini Children’s Hospital (Genoa, Liguria). They have therefore probably not previously been reported. Citation: Gagliardi L, Danieli R, Suriano G, Vaccaro A, Tripodi G, Rusconi F, Ramenghi LA, Universal SARS-CoV-2 testing of pregnant women admitted for delivery in two Italian regions. Am J Obstet Gynecol (2020), doi: https://doi.org/10.1016/j.ajog.2020.05.017.

27 May update – study 132 added (HT @janevandis)

Study 132 – 42 cases from Connecticut

Of 782 women presenting for childbirth between April 2nd & 29th, 2020, 12 had already been diagnosed with Covid-19. Of the remainder 30/770 screened positive, 22 of whom were asymptomatic (click here orjama_campbell_2020_ld_200052). No clinical outcomes reported. No health care workers infected. Patients were cared for in 3 Yale New Haven Health hospitals in southern Connecticut. Citation: Katherine H. Campbell, Jean M. Tornatore, Kirsten E. Lawrence, Jessica L. Illuzzi, L. Scott Sussman, Heather S. Lipkind, Christian M. Pettker. Prevalence of SARS-CoV-2 Among Patients Admitted for Childbirth in Southern Connecticut. JAMA. Published online May 26, 2020. doi:10.1001/jama.2020.8904

26 May update – studies 129 to 131 added.

Study 131 – Anti-SARS-Cov2 IgA antibodies in breast milk of recovering women.

The authors of this not yet peer-reviewed preprint report anti SARS-Cov2 IgA antibodies in breast milk samples from 15 women previously infected with SARS-Cov2 (click here or 2020.05.04.20089995v1.full). No clinical details. The authors, mainly from Icahn School of Medicine at Mount Sinai, New York, report that they have recruited over 350 lactating women who have recovered from COVID-19.  Citation: Alisa Fox, Jessica Marino, Fatima Amanat, Florian Krammer, Jennifer Hahn-Holbrook, Susan Zolla-Pazner, Rebecca L Powell.  Evidence of a significant secretory-IgA-dominant SARS-CoV-2 immune response in human milk following recovery from COVID-19 doi: https://doi.org/10.1101/2020.05.04.20089995

Study 130 – Case report from Amsterdam Medical Centre

A woman developed Covid-19 at 41 weeks gestation (Click here or ajh.25877). She also developed autoimmune throbocytopaenia. The baby was delivered by Caesarean. Citation: Man Wai Tang, Erfan Nur, Bart J. Biemond. Immune Thrombocytopenia during Pregnancy due to COVID-19. Am J Haematol. First published:23 May 2020 https://doi.org/10.1002/ajh.25877

Study 129 – 15 patients from Boston, Massachusetts

Of 213 admitted pregnant women screened by differential white blood count, 15 had Sars-Cov2 (click here or Duffy Green Lymphopenia_and_Severe_Acute_Respiratory_Syndrome.97345 (002)). Three required critical care for hypoxia. No other clinical details. From author affiliations patients were probably cared for in Beth Israel Deaconess Med Center, Harvard Med School, Boston, Mass. Citation: Duffy, Cassandra R. MD, MPH; Hart, Jessica M. MD; Modest, Anna M. PhD; Hacker, Michele R. ScD; Golen, Toni MD; Li, Yunping MD, MSc; Zera, Chloe MD, MPH; Shainker, Scott A. DO, MS; Mehrotra, Preeti MD, MPH; Zash, Rebecca MD; Wylie, Blair J. MD, MPH Lymphopenia and Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Infection Among Hospitalized Obstetric Patients, Obstetrics & Gynecology: May 19, 2020 – Volume Publish Ahead of Print – Issue – doi: 10.1097/AOG.0000000000003984

25 May update – studies 127-8 added.

Study 128 – 13 patients from North East Flanders

Of 470 pregnant women screened, 13 tested positive for SARS-Cov2, 8 were asymptomatic 4 had mild upper airway symptoms, and one respiratory symptoms. None developed severe disease (click here or Ceulemans Flanders uog.22099 (1)) The hospitals caring for the four patients are unnamed but shown on a map. Citation: D. Ceulemans, I. Thijs, A. Schreurs, J. Vercammen, L. Lannoo, J. Deprest, J. Richter, L. De Catte, R. Devlieger. Screening for COVID-19 at childbirth: does it deliver? Ultrasound Obstet Gynecol. In press.

Study 127 – SARS-CoV-2 in human breastmilk

Breast milk from two nursing mothers infected with SARS-CoV-2 was tested. Samples from one woman were positive (click here or PIIS0140673620311818). Where the patients were cared for, was not reported. The authors came from Ulm in Germany. Citation: Rüdiger Groß, Carina Conzelmann, Janis A Müller, Steffen Stenger, Karin Steinhart, Frank Kirchhoff, Jan Münch. Detection of SARS-CoV-2 in human breastmilk. Lancet. Published online May 21, 2020 https://doi.org/10.1016/S0140-6736(20)31181-8

24 May update

Study 126 – The ISARIC report in the BMJ

Among 20,133 patients admitted to hospital with covid-19 in the UK, 100/1033 (10%) women of childbearing age, were reported as being pregnant (click here or bmj.m1985.full). This is similar to the estimated proportion of pregnant women in the community. Pregnancy was not associated with mortality. This is an update of study 68. Citation: Docherty Annemarie B, Harrison Ewen M, Green Christopher A, Hardwick Hayley E, Pius Riinu, Norman Lisa et al. Features of 20 133 UK patients in hospital with covid-19 using the ISARIC WHO Clinical Characterisation Protocol: prospective observational cohort study. BMJ 2020; 369 :m1985

23 May update – studies 121-125 added

Study 125 – 60 cases from Madrid

Of 60 pregnant women with COVID-19 (click here or aogs.13921), 18 had pneumonia, 2 severely. One woman was admitted to ICU. No mothers died. Of 23 women delivered, 5 were by cesarean and 18 vaginally. Two delivered preterm. All 23 babies tested negative, and 21 were breast fed. Two babies were admitted to NICU for other reasons. No babies died. The patients were all were treated at Puerta de Hierro University Hospital Madrid, Spain from March 14th to April 14th, 2020. Citation: Pereira, A., Cruz‐Melguizo, S., Adrien, M., Fuentes, L., Marin, E. and Perez‐Medina, T. (2020), Clinical course of Coronavirus Disease‐2019 (COVID‐19) in pregnancy. Acta Obstet Gynecol Scand. Accepted Author Manuscript. doi:10.1111/aogs.13921

Study 124 – 16 cases from Chicago

Fourteen patients delivered at term, 1 at 34 weeks, & 1 at 16-weeks (click here or aqaa089). No mothers admitted to ITU. No mother or baby deaths. No baby infections. The cases were identified  via a search of placental pathology records. Where the women were cared for is not recorded, but from author affiliation and a footnote probably includes Prentice Women’s Hospital, Northwestern Memorial Hospital and Feinberg School of Medicine, Northwestern University, Chicago. Citation: Elisheva D Shanes, Leena B Mithal, Sebastian Otero, Hooman A Azad, Emily S Miller, Jeffery A Goldstein. Placental Pathology in COVID-19, Am J Clin Pathol. aqaa089, https://doi.org/10.1093/ajcp/aqaa089 Published: 22 May 2020

Study 123 – 16 cases from Michigan

Two patients received oxygen via nasal cannula, none were admitted to ITU. There were 8 vaginal births (one preterm) and 2 Caesareans. No babies were infected. Six women remain undelivered    (click here or Qadri Michigan Pregnancy affected by SARS CoV 2 infection a flash report…). Citation: Farnoosh Qadri & Federico Mariona (2020) Pregnancy affected by SARS-CoV-2 infection: a flash report from Michigan. J Mat-Fetal & Neonatal Med. DOI: 10.1080/14767058.2020.1765334

Study 122 – Response of Northwell Health to Covid-19 in pregnancy

A detailed description of how a large multi-hospital network in the centre of the New York pandemic organised itself to care for women with Covid-19 in pregnancy (click here or Rochelson [16193997 – Journal of Perinatal Medicine] New York). No patient numbers or details. Citation: Burton Rochelson, Michael Nimaroff, Adriann Combs, Benjamin Schwartz, Natalie Meirowitz, Nidhi Vohra, Victor R. Klein, Orlando Santandreu, Mitchell Kramer, Navid Mootabar, Eli Serur, Lisa Spiryda, Scott Berlin. Frank Chervenak. The Care of Pregnant Women During the COVID-19 Pandemic – Response of a Large Health System in Metropolitan New York. J Perinat Med. 2020 May 20;/j/jpme.ahead-of-print/jpm-2020-0175/jpm-2020-0175.xml. doi: 10.1515/jpm-2020-0175. Online ahead of print.

Study 121 – One week’s screening in Los Angeles.

The Cedars-Sinai Medical Center, Los Angeles, California screened 82 pregnant women over a one week period (click here or Severe_Acute_Respiratory_Syndrome_Coronavirus_2.97344). None of the 80 asymptomatic women tested positive but one of two symptomatic ones did. No further details reported. Citation: Mariam Naqvi, Richard M Burwick, John A Ozimek, Naomi H Greene, Sarah J Kilpatrick, Melissa S Wong. Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Universal Testing Experience on a Los Angeles Labor and Delivery Unit. Obstet Gynecol. In press.

21 May update – studies 116-120 added.

Study 120 – 191 women from the Netherlands Covid-19 registry

This 14 May update of NethOSS (click here), accessed 21 May 2020, contains the following. 6/156 women with brief additional details were admitted to intensive care; one remains there. One mother had a molar pregnancy and one a miscarriage. 47 women have given birth, 16 by Caesarean. 109 pregnancies are ongoing. No mother or baby has died. No babies were infected. Citation: See Studies 42 and 46. Available here. Accessed 21 May. Note: we probably missed some intermediate updates from this registry.

Study 119 – 24 cases identified by screening in New York

24/155 asymptomatic women screened for SARS-COV-2 prior to a planned delivery, tested positive (click here or Bianco Green Testing_of_Patients_and_Support_Persons_for.97342). All their newborns were tested and none were positive. No maternal outcomes were reported. The patients were all cared for in the Mount Sinai Health system between April 4th and 15th. From author affiliations this was Icahn School of Medicine at Mount Sinai Hospital. These cases may therefore overlap with some in study 86. Citation: Bianco, Angela; Buckley, Ayisha B; Overbey, Jessica; Smilen, Scott; Wagner, Brian; Dinglas, Cheryl; Loudon, Holly; Garely, Alan; Brodman, Michael; Stone, Joanne. Testing of Patients and Support Persons for Coronavirus Disease 2019 (COVID-19) Infection Before Scheduled Deliveries, Obstetrics & Gynecology: May 19, 2020 – Volume Publish Ahead of Print – Issue – doi: 10.1097/AOG.0000000000003985

Study 118 – a maternal death from New York

A 36-year-old woman developed Covid-19 at 37 weeks gestation (click here or Vallejo Green A_Postpartum_Death_Due_to_Coronavirus_Disease_2019.97350). Within three hours of admission she required intubation and Caesarean, and she died within 36 hours. The baby tested negative and survived. The hospital is not named, and she was not transferred. From the author affiliations it was either Dept OBGYN, Urban Health Plan, Inc., Bronx, or Division of Maternal-Fetal Med, Dept OBGYN, Weill Cornell Medicine, New York. Citation: Victoria Vallejo, John G. Ilagan. A Postpartum Death Due to Coronavirus Disease 2019 (COVID-19) in the United States. Obstet Gynecol 2020;00:1–4 DOI: 10.1097/AOG.0000000000003950

Study 117 – 77 cases from 12 Italian hospitals

From Feb 23 to March 28th, 14/77 women with Covid-19 were severely affected, and one required ECMO (click here or Savasi Green Clinical_Findings_and_Disease_Severity_in.97347). 57 gave birth, 22 by Caesarean. Four newborns tested positive for SARS-COV-2, but none had symptoms. 20 pregnancies are ongoing. No mothers or babies died. The 12 hospitals L. Sacco (Milan), Mangiagalli (Milan), S. Gerardo MBBM Foundation (Monza), Papa Giovanni XXIII (Bergamo), and San Matteo (Pavia) and the hospitals of Padua, Florence, Lecco, Trento, Modena, Seriate and Piacenza. These are the same hospitals as studies 33 & 64. The patients probably overlap. Citation: Valeria M. Savasi, Francesca Parisi, Luisa Patanè, Enrico Ferrazzi, Luigi Frigerio, Antonio Pellegrino, Arsenio Spinillo, Saverio Tateo, Mariacristina Ottoboni, Paola Veronese, Felice Petraglia, Patrizia Vergani, Fabio Facchinetti, Donata Spazzini, Irene Cetin. Clinical Findings and Disease Severity in Hospitalized Pregnant Women With Coronavirus Disease 2019 (COVID-19). Obstet Gynecol in press. 

Study 116 – A “universal testing in pregnancy” series from Chicago

Northwestern Memorial Hospital, tested a consecutive series of 635 pregnant women admitted between April 8th & 28th, 2020. Of these 23 (3.6%) tested positive for SARS-CoV-2, of whom 10 (44%) were asymptomatic on presentation (click here or Miller NorthWestern Clinical_Implications_of_Universal_Severe_Acute.9734…). No maternal or baby outcomes were reported. Citation: Emily S. Miller, William A. Grobman, Allie Sakowicz, Jessica Rosati, Alan M. Peaceman. Clinical Implications of Universal Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Testing in Pregnancy. Obstet Gynecol. In press.

20 May update Studies 113 (HT Fred Peret. We’d missed it!) to 115 added

Study 115 – Case report of Covid-19 & severe pre-eclampsia

A 26-year-old with Covid-19 at 37 weeks gestation also had severe pre-eclampsia (click here or AJOGMFM-20-1073 ). She was treated with magnesium sulphate and delivered vaginally. The baby tested negative. Both recovered. From author affiliations likely cared for at Stanford University Hospital. Citation: Noor Joudi, Andrea Henkel, W. Scott Lock, Dierdre Lyell, Preeclampsia Treatment in SARS-CoV-2. Am J Obstet Gynecol. In press. 

Study 114 – 22 women from Bergamo, Italy

Of 22 women with Covid-19 in pregnancy two neonates tested positive, one born vaginally and one by caesarean. Both did well. Their placental histology is described (click here or AJOGMF-20-1112). No other mother or baby details are given. The women were cared for between March 5, & April 21, 2020 at Papa Giovanni XXIII Hospital, Bergamo, in the Lombardy region of Italy, so the women were probably also reported in study 32 & study 64.

Study 113 – 68 SARS-Cov-2 positive pregnant women  from New York

46 had Covid-19 and a further 22 asymptomatic women tested positive for SARS-Cov-2 (click here or s-0040-1712164). 12 women had severe disease, one requiring ventilation. There was one intrauterine death at 17 weeks but otherwise no mothers or babies died. All babies tested negative. 12 pregnancies are ongoing.  Women were cared for at a tertiary care hospital in Brooklyn, from March 15 to April 15, 2020. From author affiliations probably Maimonides Medical Center, Brooklyn, NY. If so, they have not been previously reported.  Citation: Viktoriya London, Rodney McLaren Jr., Fouad Atallah, Catherine Cepeda, Sandra McCalla, Nelli Fisher, Janet L. Stein, Shoshana Haberman, Howard Minkoff. The Relationship between Status at Presentation and Outcomes among Pregnant Women with COVID-19. Am J Perinatol. DOI https://doi.org/10.1055/s-0040-1712164. ISSN 0735-1631. Online April 27, 2020

19 May update – studies 108 to 112 added.

Study 112 – Case report from Nashville, Tennessee

A 35-year-old developed Covid-19 at 22 weeks gestation requiring intubation & ventilation (click here or  1-s2.0-S2214911220300515-main). She recovered and the pregnancy is ongoing. U Tennessee Health Science Center has not previously reported cases. Citation: J. Anderson, J. Schauer, S. Bryant, et al., The use of convalescent plasma therapy and remdesivir in the successful management of a critically ill obstetric patient with novel coronavirus 2019 infection: A case report. Case Rep Women’s Health (2020), https://doi.org/10.1016/j.crwh.2020.e00221

Study 111 – Case report from Livingstone, New Jersey

A 39-year-old woman, with IVF twins developed Covid-19 at 27 weeks of gestation (click here or 1-s2.0-S2214911220300503-main). She required ventilation and then an emergency classical Cesarean section a the bedside due to rapid deterioration.  She recovered. One twin was infected, but both survived. She was cared for in Saint Barnabas Medical Center, Livingston, New Jersey, which has not previously reported a case.  Citation:  H. Mehta, S. Ivanovic, A. Cronin, et al., Novel coronavirus related acute respiratory distress syndrome in a patient with twin pregnancy: A case report. Case Rep Women’s Health (2020), https://doi.org/10.1016/j.crwh.2020.e00220

Study 110 – Case report from Thailand

A 43-year-old with mild Covid-19 at 18 weeks gestation (click here or Panichaya Thailand PIIS0301211520303134). Amniocentesis done a week earlier showed trisomy 21, & the pregnancy was terminated. Placental & fetal swabs were negative. Citation: Panichaya P, Thaweerat W, Uthaisan J. Prolonged viral persistence in COVID-19 second trimester pregnant patient, Eur J Obstet & Gynecology & Reprod Biol (2020), doi: https://doi.org/10.1016/j.ejogrb.2020.05.030

Study 109 – 4 women from Parma, Italy

Four women with Covid-19 recovered and later delivered healthy term neonates (click here or Acta BioMed Parma 9743-Article Text-49126-2-10-20200514). They were cared for in Parma Hospital, in the Emilia-Romagna (not Lombardy) region of Italy. Citation: Serafina Perrone, Michela Deolmi, Maurizio Giordano, Tiziana D’Alvano, Lucia Gambini, Mara Corradi, Tiziana Frusca, Tullio Ghi, Susanna Esposito. Report of a series of healthy term newborns from convalescent mothers with COVID-19. Acta Biomed 2020; Vol. 91, N. 2: 251-255 DOI: 10.23750/abm.v91i2.9743

Study 108 – 27 cases from Central Hospital of Wuhan

These 27 women with Covid-19 in pregnancy included 4 early pregnancies. They delivered 24 babies (1 set of twins) (click here or Yang Wuhan arpa.2020-0232-sa). They were cared for at “Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology in Wuhan” between Jan 20 & Mar 19, 2020.  Assuming this is Central Hospital of Wuhan, grid.440160.7 these cases likely overlap with studies 39 and 73. They are probably also included in studies 55 & 57. Citation: Hui Yang, Bin Hu, Sudong Zhan, Li-ye Yang, Guoping Xiong. Effects of SARS-CoV-2 infection on pregnant women and their infants: A retrospective study in Wuhan, China. Arch Pathol Lab Med. In press. doi: 10.5858/arpa.2020-0232-SA

18 May update – studies 105 to 107 added

Study 107 – Maternal death in Birmingham, UK

A 29-year-old woman with severe Covid-19 was delievered by Caesareran section at Birmingham Heartlands Hospital at 31 weeks gestation (click here or Mat Death Bham BrJH bjh.16849). The baby tested negative and is doing well. The mother intially improved and was extubated on day 2 post natal. However on day 6 she developed basilar artery thrombosis, and she died on day 7. Case presumably included in study 92 UKOSS. Citation: Irshad Ahmed, Ahamed Azhar, Nashwa Eltaweel, Bee K Tan. First Covid-19 maternal mortality in the UK associated with thrombotic complications. In press. doi: 10.1111/bjh.16849

Study 106 – 2 cases from Reading, UK

Two women with severe Covid-19 were treated at the Royal Berkshire Hospital (click here or Cooke Reading PIIS0301211520302761 (002). Both were preterm (28+4, 28+6 days) and required Caesarean for deteriorating maternal condition. Both mothers recovered. One baby had a perforated bowel but both eventually recovered. Presumably both cases were included in study 92 UKOSS. Citation: Cooke WR, Billett A, Gleeson S, Jacques A, Place K, Siddall J, Walden A, Soulsby K. SARS-CoV-2 infection in very preterm pregnancy: experiences from two cases, Eur J Obstet Gynecol & Reprod Biol (2020), doi: https://doi.org/10.1016/j.ejogrb.2020.05.025

Study 105 – 12 cases from from Hospital Pedro Hispano, Portugal

All 123 pregnant women admitted to Hospital Pedro Hispano in Porto between March 25 & April 15 were tested for SARS-CoV-2. 12 were positive, of whom 11 were asymptomatic, 10 have delivered, 6 by
cesarean section and 4 vaginally. There was one set of twins. There were no maternal complications and all the newborns tested negative (click here or Doria N Portugal PIIS0301211520303122 (002) This series may include the cases in study 74 & study 94. Citation: D´oria M, Peixinho C, Laranjo M, Varejao AM, Silva PT. Covid-19 during pregnancy: a case series from an universally tested population from the north of Portugal. Eur J Obstet Gynecol & Reprod Biol (2020). doi: https://doi.org/10.1016/j.ejogrb.2020.05.029

16 May update – Study 104 added

Study 104 – ICNARC 15th May update

The 15th May ICNARC update (click here or ICNARC COVID-19 report 2020-05-15.pdf) contains 23 currently, and 32 recently, pregnant women critically ill with Covid-19. Of these 9 and 16 respectively had received advanced respiratory support.

Study 103 – Case report from Toronto, Ontario

A 40-year-old woman developed Covid-19 at 35 weeks gestation and was delivered by Caesarean (click here or cmaj.200821.full). The baby tested positive on the day of birth, breast fed and had some minor feeding difficulties, but eventually thrived. Citation: Maksim Kirtsman, Yenge Diambomba, Susan M. Poutanen, Ann K. Malinowski, Evangelia Vlachodimitropoulou, W. Tony Parks, Laura Erdman, Shaun K. Morris, Prakesh S. Shah. Probable congenital SARS-CoV-2 infection in a neonate born to a woman with active SARS-CoV-2 infection  CMAJ 2020. doi: 10.1503/cmaj.200821; early-released May 14, 2020 (HT Jon Dorling & Don Sharkey).

Study 102 – 46 patients from Washington State, USA

Of 46 pregnant women with SARS-CoV-2, 43 were symptomatic, 7 hospitalized, 6 categorised as severe, and 1 admitted to ICU (click here or Lokken-AJOG). Eight women delivered, 5 vaginal, 3 Caesarean. All mothers survived. There were 7 livebirths & one stillbirth at 38 weeks. That fetus tested negative.  One baby was preterm. No further baby details were given. 38 pregnancies are ongoing. The women were cared for in 16 hospitals: University of Washington Hospital system (Montlake, Northwest, & Harborview campuses), Swedish Medical Center (First Hill, Ballard, Issaquah and Edmonds campuses), University of Washington Valley Medical Center, MultiCare Health System (Auburn Medical Center, Covington Medical Center, Tacoma General Hospital, Good Samaritan Hospital, Valley Hospital and Deaconess Hospital), Evergreen Health Medical Center, and PeaceHealth-St. Joseph’s Medical Center. Citation: Erica M. LOKKEN et al. Clinical Characteristics of 46 Pregnant Women with a SARS-CoV-2 Infection in Washington State. Am J Obstet Gynecol. in press. 

Study 101 – Case report from Tabriz, Iran

A 33-year-old woman with severe Covid-19 at 34 weeks gestation was treated at Imam Reza hospital of Tabriz (click here or Taghizadieh Iran 1-s2.0-S2213007120302306-main). She required intubation, ventilation, renal dialysis & delivery by Caesarean. The baby tested negative & was in good health. The mother remains intubated but is recovering. The clinical details differ sufficiently from the two women who survived in study 67 to make it likely that this is a previously unreported case. Citation: Taghizadieh A, Mikaeili H, Ahmadi M, Valizadeh H, Acute kidney injury in pregnant women following SARS-CoV-2 infection: A case report from Iran, Respiratory Medicine Case Reports (2020), doi: https://doi.org/10.1016/j.rmcr.2020.101090.

Jim Thornton, Keelin O’Donoghue & Kate Walker

The risk of dying from Covid-19 in pregnancy

May 3, 2020

For the facts click here.  This is my interpretation.

It’s not zero, 13/73 (18%) of pregnant women with Covid-19, whose cases made it into the newspapers, died (click here). But this must be an overestimate. Covid may not have caused all the deaths, and there will be selective reporting.

In the scientific papers 16/367 (4%) of women died (click here). These data should be more reliable, in that we can can be confident, at least for the women reported in detail from Iran (S67 & S70), that Covid-19 caused the deaths. The other 7 cases from Brazil and Mexico (S66) include less detail, and some were identified only from newspaper reports, so the cause of death must be in some doubt. There is also a more serious problem. All the deaths were reported in studies of maternal death due to Covid-19. Mothers who survived in the relevant regions were not reported. This must also be an overestimate.

Restricting analysis to the the larger series probably gives a better estimate. In Wuhan 0/109, Netherlands 0/91, Lombardy 0/42, NY Presbyterian/Columbia 0/33 mothers died. In total that’s zero deaths out of 275 pregnant women with Covid-19.

But the death rate can’t be zero. Some women really did die, and many mothers in the larger series were seriously ill and nearly died. In the Whuhan series (S55 here) 9/109 pregnant women had severe disease (hypoxaemia) although only one required ventilation. In the Netherlands 5/91 (S41, here), Lombardy 7/42 (S32 here), & NY Presbyterian/Columbia 2/33 (S41 here), needed intensive care. That’s 14/166 (8%) in total. There have been other reports of pregnant women who were seriously ill (S69, S50, S28, S19, S3 here).

Mortality for non-pregnant people, age 16-49, with Covid-19, who needed intensive care is 24% (ICNARC).  If pregnant women on intensive care had the same mortality, this would correspond to a 2% overall mortality. Not zero. But significantly lower than the biased newspaper rate of 18% or the biased “all scientific reports” rate of 4%.

A two percent maternal mortality rate from Covid-19 is my best guess.

Let’s put this in context. 98% of women who develop Covid-19 in pregnancy will survive. But the background risk of mothers dying in pregnancy these days is only 0.01%. This means the risk of a mother dying, if she gets Covid-19, may be 200 times greater than the background risk in pregnancy.

Covid-19 is a serious disease. Don’t underestimate it.

Jim Thornton

Edited noon 3 May.

 

Covid-19 & pregnancy – navigation page

April 21, 2020

Ripe-tomato.org has been collecting the primary sources about Covid-19 in pregnancy for a month. All regularly updated. No opinion, no reviews, no guidelines. Just the primary data sources.

For the first 100 scientific reports (click here). Duplicates and overlaps noted. Curated by Jim Thornton, Keelin O’Donoghue & Kate Walker.

For the second 100 scientific reports(click here). Regularly updated.

For the first 100 news items describing cases of Covid-19 in pregnancy reported by traditional newspapers & broadcasters (click here).

For the second 100 news items (click here). Regularly updated.

Summary totals for non-overlapping cases here. Updated to 12 May, when UKOSS registry first reported. Corrections only after 12 May.

Help to disambiguate Chinese hospitals & universities here.

Covid-19 in pregnancy registries, & similar, here.

For my best estimate of the maternal mortality rate with Covid-19 (click here).

Jim Thornton

Covid-19 & pregnancy – registries

April 19, 2020

Registries & regional data

A list of “Covid-19 & pregnancy” registries, as well as of some regional groups who have reported data.

Both are likely to be more representative than hospital-based series (click here), or news reports (click here), although they will overlap. Updated 28 April.

National Registries

1 UKOSS – The United Kingdom Obstetric Surveillance System (UKOSS) Pandemic COVID-19 in pregnancy registry (click here, & registered here) is collecting cases via each NHS Trust’s local UKOSS reporter. It includes early pregnancy, including miscarriage & ectopic pregnancy.

2. COVI-PREG – (click here) Based in Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne University Hospital, Switzerland.

3. PRIORITY – (click here), the Pregnancy Coronavirus Outcomes Registry (PRIORITY), coordinated through the University of California is collecting both confirmed and suspected cases. Doctors may refer patients. Patients may refer themselves. By 16 April, 300 participants had been enrolled.

4. ROI COVID-19 – The Republic of Ireland Covid-19 registry (click here).

5. NethOSS – the Netherlands Covid-19 registry (click here). To register cases email info@nethoss-perined.nl. By 12 April 2020, 107 reports had been received, 91 with brief, and 50 with extensive additional information.

6. CHOPAN – The Australian Registry. CHOPAN (Coronavirus Health Outcomes in Pregnancy & Newborns)  – click here, or here to register.

7. National Health Commission of China – Not strictly a registry, but on 17th April a group using this source reported all cases of Covid-19 in pregnancy seen in any hospital in Wuhan between December 8, 2019 & March 20, 2020 (click here). These data supersede all previous reports from Wuhan hospitals for women admitted before March 20.

8. ItOSS -The Italian registry – Click here.

Other registries

1. PANCOVID – Pregnancy And Neonatal outcomes for women with COVID-19 (click here). Run by Imperial College London and University of Wales.

2. US CDC – United States, Centres for Disease Control (CDC) includes pregnancy in its Covid-19 report forms. This report here, up to March 28, included 143 pregnant women.

3. ICNARC – The UK Intensive Care National Audit & Research Centre (ICNARC) includes some pregnant women. For their 4 April 2020 report, which included eight pregnant or recently pregnant women, click here.   Data updated 17 April.

4. ObsCovid – A UK registry, supported by RCOG, RCM, OAA & RCoA, for maternity healthcare workers to record and follow-up encounters with mothers with suspected or confirmed COVID-19 (click here).

5. Santé Publique France – Reports Covid-19 admissions to intensive care in France (click here, report in French). By 16 April, 13 pregnant women had been admitted to intensive care. None had died.

6. The Traditional, Complementary & Integrative Health & Medicine COVID-19 Support Registry (click here) includes a data field on pregnancy.

7. COVID-19 ICU registry – Click here. A Multicenter International Data Repository of patients admitted to ICU. Hosted by Massachussets General Hospital.  It will include pregnant women.

8. INTERCOVID – Click here. A prospective case control study using the centres who participated in the INTERGROWTH-21st Project.

9. IRCEP – International Registry of Coronavirus Exposure in Pregnancy (IRCEP) (click here). Not yet opened. Based in the TH Chan School of Public health, Harvard University.

10. COV-PREG-COAG – run by the International Society of Thombosis & Haemostasis. The International Registry on Pregnancy and COVID-19 Associated Coagulopathy and Thrombosis (COV-PREG-COAG) can be accessed here.

11. PeriCovid – Understanding COVID-19 infection in pregnant women and their babies. Run by St George’s, London. Protocol here.

Regional Reports

1. The COVID-19 Obstetrics Task Force, Lombardy, reported 42 cases in pregnancy from six regional hubs (including Milan, Brescia, Bergamo, Monza, & Pavia) up to March 20th (click here).

Jim Thornton

Disambiguating Chinese hospitals reporting Covid-19 in pregnancy

April 13, 2020

Revised 16 April 2020. Details at foot of post*

The city of Wuhan has a population of 12M, about the same as London, and Hubei, the province in which it sits, 58M, about the same as the UK.  Sorting out the various hospitals and universities where reported cases of Covid-19 in pregnancy were treated is no easy matter, especially for non-Chinese speakers, and for papers where affiliation names have been translated in idiosyncratic ways.

But it needs to be done because some authors have submitted the same manuscripts to multiple journals, included previously reported cases in new case series without making this clear, or reported different aspects of the same cases in multiple papers (click here). The following list has been created from the primary sources listed here, using the disambiguator (click here) provided by the Global Research Identifier Database GRID (click here).  Hospitals in bold are those from which patients with Covid-19 in pregnancy have been reported. Study numbers refer to the primary sources listed here.

Zhongnan Hospital of Wuhan University (Study 1, 13). GRID ID grid.413247.7 No aliases.

Huazhong University of Science and Technology, Wuhan grid.33199.31 has three affiliated hospitals.

Huazhong University of Science and Technology Hospital grid.488485.d It seems likely that this includes the Maternal & Child Hospital of Hubei Province (Studies 8, 17, 30 & 38) (see below).

Tongji Hospital (studies  11, 15) grid.412793.a

Wuhan Union Hospital (studies 2a, 2b, 2c, 5*, 6, ) grid.412839.5

First Affiliated Hospital of Sun Yat-sen University (study 3*) grid.412615.5 is in Guangzhou, a port city 1,000km south of Wuhan, near Hong Kong. See 16 April revision.*

First Affiliated Hospital Zhejiang University (studies 4 & 9)  grid.452661.2 Aliases Zheda Hospital, Zhejiang Provincial First Hospital. This is in the City of Hangzhou near Shanghai, about 700 km east of Wuhan

Renmin Hospital of Wuhan University (Studies 6a, 10, 12, 36, 37, 40) grid.412632.0 Aliases, People’s Hospital of Wuhan University, Hubei Provincial People’s Hospital, First Affiliated Hospital of Wuhan University, Wuhan University Renmin Hospital, Hubei General Hospital.

Eastern Hospital of Wuhan University People’s Hospital (Study 6a) is not listed on the GRID database. It is likely that this is an alias of Renmin Hospital of Wuhan University above.

Qingdao Women and Children’s Hospital, Qingdao (Study 7) is not listed on the GRID database. However, Quingdao is a port city 1,100 km north east of Wuhan.

Wuhan Children’s Hospital, in Wuhan, (study 8) is not listed on the GRID database but disambiguates to Huazhong University of Science and Technology, Wuhan grid.33199.31 above. It seems likely to be an alias of the Maternal & Child Hospital of Hubei Province itself part of Huazhong University of Science and Technology Hospital.

Shenzhen 2nd People’s Hospital (study 16) is not listed on the GRID database. Shenzen is a city in the south of China near Hong Kong

Maternal & Child Hospital of Hubei Province, Tongji Medical College (Studies 17, 30 & 38) is not listed on the GRID database. However, according to Wikipedia it is the 10th clinical college/hospital associated with Tongji Medical College, which itself disambiguates to Huazhong University of Science and Technology Wuhan grid.33199.31 (above). The Wikipedia link also goes to the same point on the map as Huazhong University of Science and Technology Hospital, in the City of Wuhan, but geographically distinct both from Tongji Hospital and from Wuhan Union Hospital. It seems likely that the Maternal & Child Hospital is part of Huazhong University of Science and Technology Hospital grid.488485.d.

Affiliated Infectious Hospital of Soochow University, Suzhou grid.429222.d (Study 19). Suzhou is a city near Shanghai about 700 km east of Wuhan

Beijing YouAn Hospital (study 34) grid.414379.c

Central Hospital of Wuhan (Study 39) grid.440160.7

*Revision 16 April 2020

Patients included in studies 1 and 13 both came from Zhongnan Hospital of Wuhan University. This has been corrected.

The sources of the patients in Study 3 “patients admitted to hospitals outside of Wuhan […] 3 patients from Zhejiang, 3 from other cities of Hubei and 1 each from Fujian, Shanxi, Beijing, Guangdong, Jiangxi, Heilongjiang and Anhui”, and in Study 5 “mothers […] in 5 hospitals in Hubei from January 20 to February 5, 2020”, were misclassified as coming from a single hospital in the first version of this post.

Jim Thornton

Covid-19 in Pregnancy – News Reports

April 5, 2020

Cases reported by traditional media – 1-100

There’s plenty of fake news on Facebook, Twitter & Reddit, but traditional journalism still counts for something. Reported fact in established newspapers, or by traditional broadcasters, requires not only that someone told it to a journalist, but also that the journalist did at least some verification. All cases below have been reported by a traditional newspaper or broadcaster, and my summaries are limited to the facts as reported. Although some cases, notably 3 and 9, have appeared in hundreds of media outlets, I’ve avoided duplicates. Cases may overlap with scientific reports, and are probably biased to reports in English. See also primary scientific reports here. Reports are in reverse order, most recent first. I will update. For reports 101 onward (click here).

Warning. The partners of Prime Ministers and professional footballers are over-represented in this small series! It is almost certain that deaths are too.

100. Rachel Bailey from Shelby County, Alabama, was 5-months pregnant when she developed Covid-19 (click here). She is now 30 weeks and recovering. The pregnancy is ongoing. Report 6 May

99. Patient 765, a 20-year-old woman from Padrayanpura, in the late stage of pregnancy, tested positive on 8 May at Vani Villas Women and Children Hospital in Bangalore, Karnataka, India (click here). No further details. Report 9 May.

98. Florette Johnson from Florida, had Covid-19 around term. She had a vaginal birth but later required ventilation (click here). The baby was isolated. Both mother and baby are recovering. Report 9 May.

97. Monique Cook from Atlanta, Georgia, developed Covid-19 at 8 months gestation with twins. She was delivered by Caesarean section at Piedmont Henry hospital on 22 March, and transferred to Piedmont Atlanta hospital for ECMO treatment (click here). She was extubated after 5 days and is now recovering at home.  The twins have also been discharged. Report 8 May

9 May update

96. Gabriela Maia, the wife of Max Johnson, the half brother of British prime minister Boris Johnson, is pregnant, and has Covid-19 (click here). She is recovering. Report 28 March.

95. A baby born at 30 weeks gestation on April 3, in Natal, Brazil, tested positive for SARS- Cov2, and died age 4 days. The mother had respiratory symptoms but her test result was not yet available (click here). The authorities cannot confirm if the infection caused the death. Report 10 April.

8 May update – Cases 86-94 added.

94. Terra Eubanks, a pregnant nurse at Baton Rouge General Hospital in Louisiana, got Covid-19. She recovered (click here). The pregnancy is ongoing. Report 7 May.

93. Johana Rocio Mendoza Chancay, age 40, from Union City, New Jersey, was 26 weeks gestation when she developed Covid-19. She was transferred from Hoboken University Medical Center to Robert Wood Johnson University Hospital in New Brunswick where she gave birth by Caesarean section on March 30th (click here). Her daughter Zion weighed 1lb 13oz. The mother was ventilated and in a coma until April 13. Both recovered. Report 22 April.

92. An unnamed pregnant woman (referred to as P652) had an inconclusive Covid-19 test result at Dr Lal Path Labs in Delhi on 2nd May. The result was interpreted at positive and the woman was nursed on a Covid-19 ward. On May 6, a test at Bangalore Medical College and Research Institute’s Virus Research and Diagnostic Laboratory was declared negative. A third test at the National Institute of Virology’s Bengaluru Field Unit was also negative (click here). Report 8 May.

91. An unnamed pregnant woman is among five Lincolnshire police staff who have tested positive for coronavirus (click here). Report 5 May.

90. Katherine Dawson, aged 36, developed Covid-19 at 32 weeks gestation. She was delivered by Caesarean section at Blackpool Victoria Hospital on 1 April. Her condition deteriorated and she required artificial ventilation (click here). The baby, Ruby, was reported to be infected at birth. Mother and baby recovered, and were discharged on 6 May. Report 6 May.

89. An unnamed  28-year-old women, recovered from Covid-19 and was discharged from Symbiosis Hospital in her 37th week of pregnancy (click here). Report 24 April.

88. An unnamed five-month pregnant woman tested positive for coronavirus at the Pune Municipal Corporation’s Sonawane hospital (click here). She was transferred to Bharati Hospital. Report 14 April.

86. & 87. An unnamed 25-year-old pregnant woman with Covid-19 gave birth by Caesarean section on April 20 at the Sassoon General Hospital in Pune, India, to a healthy boy. Another unnamed woman with Covid-19 delivered by Caesarean section the same day in Aurangabad district civil hospital (click here). Neither baby was infected. Report April 20.

7 May update – cases 80 to 85 added.

85. An unnamed woman with Covid-19 gave birth in Nagaur in Rajustan, India, on April 23 to a baby who also tested positive (click here). Eight other pregnant women from the Ramganj area also tested positive. Report 24 April.

84. An unnamed pregnant woman who had recovered from Covid19 gave birth at her home in Kalnad, Kerala, India after being refused hospital admission (click here). She was later treated at Kannur Medical College Hospital in Pariyaram, before transfer to the General Hospital in Kasaragod for observation. The outcome was not reported. Report 4 May

82 & 83. An unnamed 35-year-old woman from Shangus in south Kashmir’s Anantnag district had Covid-19 at the time of her birth at the SKIMS Medical College Hospital Bemina, Jammu & Kashmir, India (click here). No further details are given. The same report notes that two other pregnant women “have died and nearly 10 have got infected with coronavirus in past two weeks” at the same hospital. It is not clear whether the two women who died had Covid 19. Elsewhere in the same report another woman, Firdousa Javaid is reported to have tested positive in a different maternity hospital, Lalla Ded. Report 6 May.

81. Melissa Brewer from Mountain Green, Utah, whose baby is due in May 2020, had minimal symptoms but tested positive for SARS-CoV2 (click here). The pregnancy is ongoing. Report 5 May.

80. Molly Baldwin, age 28, from Fitchburg, Massachusetts, developed Covid-19 at 33 weeks gestation (click here). She is self-quarantining at home. The pregnancy is ongoing. Report 5 May

5 May update – cases 78 & 79 added

79. An unnamed baby developed Covid-19 at age three months and was treated at Baba Raghav Das Medical College, Gorakhpur, Uttar Pradesh between April 12 and 26th (click here). His mother was SARS-COV-2 negative and continued to breast feed him. The baby recovered and the mother remained negative. Report 5 May.

78. An unnamed woman with Covid-19 gave birth at Aurangabad Civil Hospital in Maharashtra, India (click here). The baby was not infected. Report 5 May.

4 May update – cases 74 to 77 added.

77. Sarita [a pseudonym] from Los Angeles was asymptomatic, but tested positive for SARS-COV-2 during her pregnancy (click here). Her baby, born mid April, was isolated from her and tested negative. At four days of age the baby suffered some sort of respiratory arrest, but recovered. Report 1st May

76. Silvia Leroy, age 35, developed Covid-19 and was transferred from Brookdale, her local hospital, to Mount Sinai hospital in Manhattan (click here). She was on a ventilator for a week, but appeared to be recovering, when she had a cardiac arrest. Her baby, Esther, was delivered by Caesarean section. Sylvia is alive but reported to have brain damage. Report 29 April.

75. Kim Stidworthy, age 25, from New Mexico was 20 weeks gestation when she developed Covid-19 (click here). She spent four days in hospital. The pregnancy is ongoing. Report 1st May.

74. Tamekia Melong, age 37, from Baldwin, Long Island, New York is pregnant and developed Covid-19 in March (click here). The pregnancy is ongoing. Report 3rd May

30 April update – Cases 71 to 73 added. Also up to 10 pregnant women had tested positive for corona virus in the Rotunda Hospital in Dublin (click here) by 1 April. Report 1 April.

73. Alysha Ramos, age 29, pregnant with Covid-19, is in prison in Valparaiso, Indiana (click here & here). Reports 5 & 23 April.

72. Veronica Markley, age 37, from Colorado had Covid-19 at 30 weeks gestation (click here). She was intubated and put on a ventilator at Presbyterian/St. Luke’s Medical Center in Denver, but is recovering. The pregnancy is ongoing. Report 27 April

71. Ashley Duque, age 33, from San Diego developed Covid-19 at 17 weeks gestation (click here). She required 4 days ventilation but is recovering. The pregnancy is ongoing. Report 10 April.

29 April update – Cases 63 to 70 added.  Case 9 – Carrie Symonds, the partner of British Prime Minister Boris Johnson, who gave birth to a healthy baby boy on April 29th, updated. Case 61, an accidental duplicate, deleted. Maternal and baby deaths highlighted in bold.

70. Jennifer Laubach from Clarkston, Michigan, gave birth to twins at 32 weeks at Troy Beaumont Hospital. The babies were isolated because she had symptoms and her partner had Covid-19. She later tested positive (click here). She and the twins recovered. Report 29 April.

69. Abigail Jacobs, age 29, from Kahnawake near Montreal, Canada, developed Covid-19 symptoms in mid March at 24 weeks gestation (click here). Her first test was negative, but a repeat on March 29 was positive. She self-isolated and has recovered. The pregnancy is ongoing. Report 18 April.

68. An unnamed woman from Charlotte, North Carolina, who is three and a half months pregnant tested positive for COVID-19 (click here). Report 14 April.

67. Kim Anderson, age 36 from Idaho Falls developed Covid-19 on March 22nd at about 8 months gestation. She required oxygen therepy in hospital but not ventilation. The pregnancy is ongoing. Report 15 April.

66. A unnamed woman who is four months pregnant is the first pregnant COVID-19 patient admitted to Victoria Hospital in Karnataka, India (click here). Report 31 March.

65. An unnamed pregnant woman age 35 from the Kharpora Kokernag area of Anantnag in Indian administered South Kashmir was admitted to the Maternity and Child Care Hospital in Anantnag (click here). She gave birth to stillborn twins and died soon after. Her test results later confirmed that she was Covid-19 positive. It is reported that Syed Yasir, the commissioner of the region, believes the cause of death was negligence rather than Covid-129. An enquiry is ongoing. Report 27 April.

64. Amanda Joyce, age 33, who works at Newton Wellesley Hospital on the outskirts of Boston, Massachusetts, developed Covid-19 while pregnant (click here). She self-isolated at home, and the pregnancy is ongoing. Report  17 April.

63. Andrea Circle Bear, age 30, from Eagle Butte, South Dakota was pregnant and an inmate in a US Federal prison when she developed Covid-19 (click here). She was transferred to Carswell, a federal prison medical facility in Fort Worth, Texas, and thence to a local hospital where she was delivered by Caesarean section on 2 April. She died on 28 April. The baby’s status was not reported. Report 29 April.

28 April update – cases 58 to 62 added

62. Morgan Brink, age 30, from Roodeport in South Africa, tested positive for coronavirus on 25 March (click here). She had a cough and is self-isolating at home. Report 9 April.

61. Marie Youri, age 19, who had Covid-19, gave birth on 11 April in Yaoundé, the capital of Cameroon (click here). She is on oxygen therapy, & baby Foraya, birth weight 2.1kg, is in isolation. Report 12 April. Accidental duplicate

59 & 60. The deaths of two unidentified women in Mexico (click here). (Report cited in Study 66 here). Report 9th April.

58. Viviane Albuquerque, age 33 from Pernambuco, Brazil, died from Covid-19 at 32 weeks gestation (click here). The baby, delivered by Caesarean, survived. (Report cited in Study 66 (here) which also cites two other newspaper reports of maternal deaths in Brazil, but the links provided miss the reports.) Report 6th April.

26 April update – cases 55 to 57 added

57. Danielle Martin, age 32, from Belfast, Northern Ireland, developed Covid-19 while pregnant with twins at nine weeks (click here). She required artificial ventilation but recovered, and the pregnancy is ongoing. Report 23 April.

56. Molly Burdick, from Portland in Oregon had Covid-19. 18 days later she was treated for a ruptured (tubal) ectopic pregnancy (click here). She recovered. Report 21 April

55. Sally Nuza, from Ascot, Berkshire developed Covid-19 at 8 months gestation (click here). She recovered, the pregnancy is ongoing, and her unborn baby son is ‘perfectly healthy’. Report 24 April.

24 April update – Cases 53 & 54 added.

54. Wogene Debele from Maryland died of Covid-19 three weeks after giving birth (click here).  Report 23 April

53. Fozia Hanif age 29 developed Covid-19 and gave birth by Caesarean section on 2nd April. She died in Birmingham Heartlands Hospital on April 8th (click here). Report 23rd April

21 April update – Cases 50 to 52 added.

52. Jasmine Jones age 26 from Indianapolis, Indiana, and pregnant with twins, tested positive on March 22nd, at 33 weeks (click here). She was symptomatic, self-isolated at home and the pregnancy is ongoing. Report 20 April.

51.  Silvana Vergara from New York caught the virus at 22 weeks gestation (click here). She was “reassured”, so presumably has recovered and the pregnancy is ongoing, although this is not specifically stated. Report 18 April.

50. Sarah Manning tested positive for SARS-COV-2 a few days before giving birth in Jersey’s midwifery unit (click here). Presumably a normal vaginal birth. Mother and baby are pictured, unmasked, bottle feeding and not separated. Report 20 April.

19 April update Cases 47 to 49 added.

49. An unnamed woman developed symptoms of Covid-19 soon after giving birth in Strong Memorial Hospital, Rochester, New York. Whether she, her partner, or the baby, tested positive has not been disclosed. Report 31 March.

48. Jennifer Kruman, age 33, of Crown Heights, Brooklyn, tested positive 12 hours after giving birth to baby Isaac Hai Kruman, om March 31, at Mount Sinai West Hospital, Manhattan (click here). Isaac tested negative and both went home after 24 hours. Report 17 April.

47. Octobeya Scott, age 30, developed COVID-19 pneumonia at 33 weeks gestation (click here). She was delivered by Caesarean section under general anaesthesia, on March 22 at Jack D. Weiler Hospital of the Albert Einstein College of Medicine, The Bronx, and ventilated for a further five hours. The baby, Alicia Anderson, was separated for five days. Both have now returned home. Report 18 April.

18 April update Cases 42 to 46 added.

46. Salina Shaw, age 37, from Southend in Essex, who had tested positive for Covid-19, gave birth on 4 April and died on 12 April (click here). Report 17 April.

45. Kilee Coye, age 25, from Canastota, New York State, has tested positive for the virus, and has some symptoms. She is 35 weeks pregnant (click here). Her partner also has Covid-19 and is on a ventilator. Report 15 April.

44. Lidia Puerta, age 26, from Spain tested positive at eight months gestation (click here, para 10). She was in quarantine in a hospital in Singapore, and the pregnancy ongoing at the time of the report. Report 22 March.

43. Yanira Soriano, age 36, developed Covid-19 at 34 weeks gestation. She required ventilation and the baby was delivered by caesarean at Southside Hospital in Bay Shore, New York. The baby tested negative. Mother and baby have been discharged. Report 16 April.

42. Megan Sites age 27 from Celina, Ohio, contracted Covid-19 at 29 weeks gestation (click here). She required ventilation, and later ECMO, and the baby was delivered by Caesarean section at 29 weeks. The baby, tested negative twice, is currently on NICU. The mother has improved slightly. Now off ECMO, but still ventilated.  Report 16 April.

16 April update Case 40 & 41 added.

41. Actress Patti Murin, age 39, probably has Covid-19, but has not been tested, and is self-isolating at home in California (click here). She is pregnant and due in July, so about 27 weeks gestation. Report 9 April.

40. Mary Agyeiwaa Boateng, née Agyapong, age 28, died on 12 April, in Luton & Dunstable Hospital UK from Covid-19 (click here). Her baby was reported to be “doing very well”. Report 15 April.

14 April update Cases 35-39 added

39. An unnamed woman with Covid-19 is delivered by Caesarean section at 32 weeks gestation at a public hospital in Nairobi (click here). The obstetrician used a pseudonym because she was not authorised to speak to the media.  No further details were given. Report 13 April.

38. Angela Primachenko age 27 from Vancouver was diagnosed with Covid-19 at 33 weeks and became seriously ill. She gave birth at 34 weeks after induced labour, while being ventilated at Legacy Salmon Creek Medical Center (click here). Her daughter was isolated in intensive care and has tested negative. Mrs. Primachneko has been discharged home. Report 13 April.

35-37. This report in The New York Times (click here) describes Precious Anderson, pregnant & critically ill with Covid-19, and two other unnamed women. The piece also mentions 29 pregnant or delivering women with suspected or confirmed Covid-19 in the Brooklyn Hospital Center. No mother or baby had died, and there had been no confirmed cases among newborns. The Brooklyn Hospital Centre is separate from the Presbyterian Allen Hospital & Columbia Irving Medical Center, so presumably these cases have not been reported in an academic paper yet. Report 12 April.

13 April update Cases 32-34 added. HT @danieladrandic.

34. An unnamed woman, delivered by Caesarean section at the MedLife Grivita private maternity hospital in Bucharest on March 13th, developed pneumonia after birth (click here). A test taken on March 20th was positive and she was transferred to Matei Bals Hospital, the Covid-19 treatment center in Bucharest. At the time of transfer mother and baby were reported to be in good condition (click here). Report 24 March.

33. These ten asymptomatic babies, in a maternity unit in the Romanian city of Timisoara, were apparently not infected in pregnancy or by their mothers (click here). “The mothers tested negative, but the babies tested positive so we have to consider their contacts with medical staff.” Report 7 April.

32. An unnamed mother died in the University Clinic of Gynaecology & Obstetrics in Skopje, North Macedonia. Her baby had died before birth. Neither death was directly due to Covid-19, but according to the report the mother, who had been transferred from Ohrid General Hospital, had her treatment delayed while Covid-19 test results (eventually negative) were awaited. This delay may have contributed to her death (click here). An investigation is ongoing. Report 6 April.

12 April update

31. An unnamed woman with Covid-19 was delivered by Caesarean section in the King Abdullah University Hospital in Irbid, northern Jordan (click here). The baby was isolated from the mother and has reportedly tested negative. Mother and baby doing well. Report 29 March.

30. Sophie Biddle, age 37, was diagnosed with Covid-19 on March 7th, but has recovered (click here). Her 20 week scan on March 23 was reportedly normal and the pregnancy is ongoing. Report 30 March.

10 April update cases 26 – 29 added.

29. An unnamed woman in Ritsona refugee camp 40 miles north of Athens tested positive for Covid-19 a day or two after giving birth (click here). Report 2 April.

28. 19-year old Marie Youri with Covid-19 gave birth prematurely in Yaounde, Cameroon (click here and here). She is said to be doing well with oxygen treatment. The baby Foraya weighed 2,100 grams and has not displayed any coronavirus symptoms. Report 8 April.

27. An unnamed 22-year-old woman with Covid-19 from Kyengera, Wakiso District, Uganda gave birth by Caesarean Section at Entebbe Grade B Hospital on April 5th (click here). Mother and baby were said to be in good health. Report 6 April.

26. An unnamed pregnant woman from Nallasopara died at Nair Hospital in Mumbai on April 4 (click here). Her baby was reported to have died in-utero before admission. She had been referred from a local hospital in Nallasopara after her condition deteriorated. It is reported that doctors suspect she died of Covid-19. A committee is investigating. Report 7 April.

A separate report (click here) of a 30 year old, nine month pregnant woman dying of Covid-19 in Mumbai may refer to the same woman. Report 6 April.

9 April update case 25 added.

25. Mallory Pease gave birth at Oaklawn Hospital in Marshall, Michigan to daughter Alivia on March 23 at term. She was symptomatic and tested positive for Covid-19. Alivia was not infected. Route of delivery not reported. Mother and baby both now discharged. Report 8 April.

8 April update cases 19 – 24 added.

24. Raquel Iacurto, age 32, a teacher from New York, was admitted to Long Island Jewish Medical Center with respiratory symptoms at 25 weeks gestation on March 11 and tested positive (click here).  She was discharged after three days. The pregnancy is ongoing. Report 28 March.

23. Simone Shoffman, a beauty blogger from Bothwell, near Glasgow in Scotland is pregnant and has tested positive. She is undelivered at home (click here). Report 6 April.

21. & 22. Two unnamed pregnant women with COVID-19 gave birth in Rebagliati Hospital in Lima, Peru, the first on March 22, the second on March 31st, both by Caesarean (click here). Both mothers were reported to be in good health, and neither baby was infected. Report April 8th.

20. Karen Mannering, from Herne Bay, UK, was admitted to the Queen Elizabeth the Queen Mother Hospital in Margate on 21 March with respiratory infection. She tested positive on 25th March, when she was seven months gestation. She has since been discharged home and the pregnancy is ongoing (click here). Report 31 March, updated 1 April.

19. Michelle Wright, aged 37, who is 29-weeks pregnant, has tested positive for coronavirus. The pregnancy is ongoing. She is an inpatient at Russells Hall Hospital in Dudley, UK (click here). Report 7 April.

7 April update cases 16 – 18 added.

18. A newborn baby has reportedly tested positive for coronavirus at James Paget Hospital in Norfolk (click here). No details of the mother have been given. Report 18 March.

17. An unnamed woman with Covid-19 from Baton Rouge, Louisiana, is reported to have gone into preterm labour at 21 weeks (click here). The baby did not survive. The death was reported to the coroner so presumably the baby was born alive. The mother is reported to be on a ventilator. Report 6th April.  The coroner has reportedly decided that the death was due to coronavirus. The mother remains on a ventilator, update 7 April (click here).

16. An unnamed woman with Covid-19 has died during labour at The Whittingdon Hospital, London (click here). The baby survived. Covid-19 has not been ruled out as the cause, and the death has been referred to the Coroner. Report 6 April.

6 April update. Case 10, the first report, scientific or otherwise, of a COVID-19 birth from France, case 11 from Detroit, case 12, the first report from Greece, and two cases 13 & 14 from Egypt added. I’ve also belatedly added a case from Portugal from 17 March.

15. An unnamed woman with Covid-19 (click here) gave birth in Porto’s São João hospital on 17th March. She was described as “doing well”. No further details were given. Report 17 March.

14. An unnamed woman who had recently recovered from COVID-19 gave birth on 4 April by Caesarean section in Hurghada Hospital, (click here). Report 5th April.

13. A 30-year-old eight months pregnant woman infected with COVID-19, treated at Esna Specialized Hospital in Egypt is recovering (click here). The pregnancy is ongoing. Report 3rd April.

12. An unnamed 24 year old woman infected with Covid-19 has given birth at 40 weeks (term) at Attikon General Hospital in Athens, as reported by the state-run news agency ANA-MPA on 27th March (click here). She had tested positive on March 15 and was kept in the hospital for 2 weeks. The baby boy tested negative. No further details are given but both mother and baby are healthy and ready to go home.

11. First reported in the Detroit Free Press, (link broken). For “Click on Detroit” (click here). Jennifer Thompson from Warren, a Detroit suburb, developed symptoms on March 7th at 8 months. She tested positive on March 13th, and her son, Hollis, was born in Beaumont Hospital in Royal Oak, on March 28th. Birth details not reported, but mother and baby back home and doing well. Report 4 April.

10. The artist Ariane Chang @Arianechang describes her baby’s birth by elective Caesarean section under regional block at term on March 19th in “a private birthing clinic in the 15th arrondissement” in Paris, [Presumably Maternité Catholique Sainte Félicité] in the New York Review of Books (click here). She had had symptoms of COVID-19 for two days, and tested positive prior to a second operation under general anaesthesia to control intra-abdominal bleeding, the following day. Baby Clare, reportedly the first baby born to a COVID-19 mother in that clinic, was breast fed but not tested. Mother and baby recovering at home. Ariane Chang illustrates the article with her own paintings and drawings. Report 2nd April.

9. Carrie Symonds, the partner of British Prime Minister Boris Johnson is reported to have had symptoms of Covid-19 for a week (click here and many other sources). According to reports she has not been tested. Since the PM with whom she is living has had confimed COVID-19, it seems likely that she does too. Her due date has been reported as early July. Working back from a hypothetical EDD of 4th July would make her 27 weeks today.  Report 4 April. Update 29 April. She gave birth to a healthy baby boy.

8. Vanesa Muro “a carrier of Covid-19” gave birth to Oscar, birth weight 3.6 kg, by Caesarean on March 13 at the “Madrid hospital in La Paz” [more likely either La Paz university hospital or La Paz maternity hospital in Madrid] (click here).  (El Mundo report click here.) The date of her scheduled Caesarean had been brought forward by three days. Mother and baby were separated for 10 days. Oscar tested negative. Both well. Report 3rd April.

7. Urszula Osborne, age 41, a nurse in Boston Mass, contracted Covid-19 while eight months pregnant (click here). She is recovering and the pregnancy is ongoing. But her husband had severe disease requiring ventilation.  Report 3rd April

6. A 37 year old pregnant woman reportedly infected with Covid-19 died on 29 March after a Caesarean section at the Teresa Herrera Hospital in Coruña. The fetus had reportedly already died (click here). Details conflict, and the family are reported as disputing whether the death was due to Covid-19. An investigation is ongoing (click here). Report 30 March.

5. An unnamed woman age 27 is reported to have died from Covid-19 after giving birth in Łańcut in the south of Poland (click here and here). Report 20th March

4. Allegedly the first birth in Galicia to a mother with Covid-19 (click here). Baby Fabio, born at Álvaro Cunqueiro Hospital in Vigo by Caesarean section at 35 weeks. Birth weight 2.6 kg. Not infected. Mother and baby both doing well. Report 19 March.

3. Model, Michela Persico, partner of Juventus footballer, Daniele Rugani, (click here) is reported to be infected with SARS-COV-2 and is pregnant. The pregnancy is ongoing.  Report 19 March.

2. North Middlesex Hospital UK. Mother with Covid-19 pneumonia gives birth to an infected baby (click here). No further details. Report 14 March.

1 Valentina, is the partner of Matteo, who has been claimed to be Italy’s “patient one”. Matteo was seriously ill with Covid-19, but is reported to be recovering. Valentina is also reported to have developed less severe Covid-19, and is recovering at home. She is reported by La Republica (click here) to be eight months pregnant. At the time of the report, Valentina was undelivered. Report 9 March.

Jim Thornton

 

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