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Facing a Pandemic While Pregnant

Educational Objective
To understand how to manage pregnancy while during a pandemic
1 Credit CME

December 15, 2019, was one of the happiest days of my life. After longing for a baby for years, I finally found out I was carrying a life inside of me. As a second-year hematology-oncology fellow in a busy fellowship program, I knew that pregnancy would come with its own set of challenges, which I was prepared to face. Many of my predecessors had gone through this before, and I did not think the experience would be any different for me. What I was absolutely not prepared for was facing a pandemic while living and training in one of the most populous cities in the world during the time I was carrying my first child.

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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.

Article Information

Corresponding Author: Coral Olazagasti, MD, Zucker School of Medicine at Hofstra/Northwell Health, 450 Lakeville Road, New Hyde Park, NY 11042 (colazagasti@northwell.edu).

Published Online: April 24, 2020. doi:10.1001/jamaoncol.2020.1652

Conflict of Interest Disclosures: None reported.

Additional Contributions: This article reflects the first-person account of Dr Olazagasti. Dr Seetharamu is her mentor at Hofstra/Northwell Health and reviewed the article for agreement with the institution’s guidelines.

References
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World Health Organization. Pneumonia of unknown cause—China. January 5, 2020. Accessed April 20, 2020. https://www.who.int/csr/don/05-january-2020-pneumonia-of-unkown-cause-china/en/
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World Health Organization. Novel coronavirus—China. January 12, 2020. Accessed April 20, 2020. https://www.who.int/csr/don/12-january-2020-novel-coronavirus-china/en/
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Chan  JF-W , Yuan  S , Kok  K-H ,  et al.  A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster.   Lancet. 2020;395(10223):514-523. doi:10.1016/S0140-6736(20)30154-9 PubMedGoogle ScholarCrossref
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Holshue  ML , DeBolt  C , Lindquist  S ,  et al; Washington State 2019-nCoV Case Investigation Team.  First case of 2019 novel coronavirus in the United States.   N Engl J Med. 2020;382(10):929-936. doi:10.1056/NEJMoa2001191PubMedGoogle ScholarCrossref
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Huang  C , Wang  Y , Li  X ,  et al.  Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China.   Lancet. 2020;395(10223):497-506. doi:10.1016/S0140-6736(20)30183-5 PubMedGoogle ScholarCrossref
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Influenza case at Vienna International Centre now tested positive as COVID-19. News release. United Nations Office on Drugs and Crime. Accessed April 20, 2020. http://www.unodc.org/unodc/en/press/releases/2020/March/influenza-case-at-vienna-international-centre-now-tested-positive-as-covid-19.html.
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Chen  H , Guo  J , Wang  C ,  et al.  Clinical characteristics and intrauterine vertical transmission potential of COVID-19 infection in nine pregnant women: a retrospective review of medical records.   Lancet. 2020;395(10226):809-815. doi:10.1016/S0140-6736(20)30360-3PubMedGoogle ScholarCrossref
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Chen  Y , Peng  H , Wang  L ,  et al.  Infants born to mothers with a new coronavirus (COVID-19).   Front Pediatr. 2020;8:104. doi:10.3389/fped.2020.00104PubMedGoogle ScholarCrossref
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Coronavirus: newborn becomes youngest person diagnosed with virus. BBC News. February 6, 2020. Accessed April 20, 2020. https://www.bbc.com/news/world-asia-china-51395655
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Bryner  J . Newborn tests positive for COVID-19 in London. March 15, 2020. Accessed April 20, 2020. Live Science. https://www.livescience.com/newborn-has-coronavirus-london.html
AMA CME Accreditation Information

Credit Designation Statement: The American Medical Association designates this Journal-based CME activity activity for a maximum of 1.00  AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:

  • 1.00 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program;;
  • 1.00 Self-Assessment points in the American Board of Otolaryngology – Head and Neck Surgery’s (ABOHNS) Continuing Certification program;
  • 1.00 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program;
  • 1.00 Lifelong Learning points in the American Board of Pathology’s (ABPath) Continuing Certification program; and
  • 1.00 CME points in the American Board of Surgery’s (ABS) Continuing Certification program

It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.

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