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COVID-19 Poses Pregnancy Risks

Educational Objective
To identify the key insights or developments described in this article
1 Credit CME

Preventing and identifying coronavirus disease 2019 (COVID-19) in pregnant women is essential, as new data suggest some are at risk of severe illness or pregnancy loss.

Surveillance data from hospitals in 13 states showed that among 598 pregnant women aged 15 to 49 years with COVID-19 who were hospitalized between March and August, about half were asymptomatic at admission. They were admitted most often during their third trimester of pregnancy. Among 324 women for whom the reason for hospitalization was known, asymptomatic women were almost always admitted to give birth rather than for COVID-19–related reasons.

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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.

Preventing and identifying coronavirus disease 2019 (COVID-19) in pregnant women is essential, as new data suggest some are at risk of severe illness or pregnancy loss.

Surveillance data from hospitals in 13 states showed that among 598 pregnant women aged 15 to 49 years with COVID-19 who were hospitalized between March and August, about half were asymptomatic at admission. They were admitted most often during their third trimester of pregnancy. Among 324 women for whom the reason for hospitalization was known, asymptomatic women were almost always admitted to give birth rather than for COVID-19–related reasons.

Admissions among symptomatic women occurred most often during their first or second trimester of pregnancy, and they were slightly more likely to be admitted for COVID-19–related illness than for labor and delivery. About 16% of symptomatic pregnant women were admitted to an intensive care unit (ICU), 8.5% required mechanical ventilation, and 2 died. None of the asymptomatic women received ICU care or ventilation and none died.

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 credit toward the CME [and Self-Assessment requirements] of the American Board of Surgery’s Continuous 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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