This information is current as of May 12th 2020.

Can Covid-19 be transmitted from mother to fetus during pregnancy?

There is currently SOME evidence that women can infect their babies with Covid-19 while pregnant or through giving birth to them.

A baby born to a mother infected with COVID-19 had elevated IgM antibody levels 2 hours after birth. IgM antibodies are not transferred to the fetus via the placenta. The mother’s vaginal secretions were negative for SARS-CoV-2. This suggests (BUT DOES NOT PROVE) that the baby was infected in utero.

Another report of 6 infants born to infected mother with mild symptoms found that all 6 infants had IgM antibodies in their blood. None of the infants had shown evidence of symptoms as of the time of publication.

Although infection at delivery cannot be ruled out, IgM antibodies usually do not appear until 3 to 7 days after infection.

A report from two hospital in New York City in which 18 women delivered. 8 by C-section.

— 15 babies tested negative immediately. 2 more with uncertain results tested negative the next day.
— 1 baby had an “indeterminate” result. At 6 days old, the baby had no signs of infection
All 18 babies were also tested for antibodies to the virus
— All tested negative (no antibodies)

In a large study from the UK, of the babies born to infected women, , 5% tested positive for SARS-CoV-2. Half of those positive tests were taken immediately after birth suggesting infection occurred during pregnancy.

SO FAR IT SEEMS THAT THE RISK TO A FETUS DURING A PREGNANCY IN WHICH THE MOTHER IS INFECTED IN THE 3RD TRIMESTER IS SMALL*

Can Covid-19 cause infertility?

Studies have not been done to see if having COVID-19 could make it harder to get pregnant.

Can Covid-19 cause male infertility?

A report published online that suggested the novel coronavirus – Covid19 may lead to male #infertility has now been removed. There is NO EVIDENCE currently that Covid-19 infection leads to male #fertility problems.

The report was based on a THEORY which has NOT been proven or even studied.

The THEORY is based on the fact that a receptor that is used by Covid-19 to enter the cells called #ACE2 is also found in the testes.

A report from China tested the semen of men who tested positive for SARS-CoV-2. some of the men were very sick but others had minimal symptoms. Some of the men’s semen tested positive for SARS-CoV-2.

The report did not specify what type of test was done on the semen. We do not know if there was complete virus or fragments of virus. We do not know if this means that Covid-19 can be transmitted by semen

If I contract Covid-19 while I am pregnant, would my illness be more severe?

There is some evidence, that pregnant women who contract Covid-19 are at risk for becoming more ill than others.

There are two reported cases of women who did not appear to be sick prior to delivery, who shortly after delivery became very ill and needed care in the intensive care unit.

A small study from NYC found.
43 pregnant women who tested positive for SARS-CoV-2
— Average age 27
— 37 weeks pregnant (average)
— 60% were obese (BMI > 30)
— 41% had another medical risk factor (asthma, diabetes, high blood pressure)

The percentage of pregnant women with mild, severe or critical disease was similar to what is seen for non pregnant adults.

A study from the U.K. of pregnant women admitted to the hospital found that on average, women were 34 weeks pregnant at the time of admission. Overall 0.5% of all pregnant women were admitted to the hospital. 10% needed ICU admission (both percentages were about the same rate as non-pregnant women).

Those at higher risk for hospitalization included
— Women from minority ethnic groups
— Women who were overweight (twice as likely to be hospitalized)
— Women with pre-existing medical problems (52% more likely to be hospitalized)

A study from Sweden of 53 women found that compared to non-pregnant women, women who were pregnant and infected were five times more likely to require mechanical ventilation.


Does infection with Covid-19 increase my risk for pregnancy complications like miscarriage?

We have no information, at all, about whether women infected with Covid-19 are at greater risk for miscarriage. However, prolonged, high fevers in pregnancy FROM ANY CAUSE, particularly in the 1st trimester, have been linked to some birth defects. With ANY viral infection during pregnancy, the fetus is at risk of miscarriage, stillbirth, growth restriction, and malformation

A woman with Covid-19 became sick and delivered a baby at 19 weeks. This is too early for any baby to survive. The placenta tested positive for SARS-CoV-2. This does not proved that the early delivery or loss was the result of Covid 19.