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Nederlands Tijdschrift voor Geneeskunde

Publication date: 2020-07-06
Volume: 164
Publisher: Bohn Stafleu van Loghum BV

Author:

Ceulemans, Michael
Cuppers, Benedikte ; de Vries, Loes ; Allegaert, Karel ; Duvekot, Hans JJ ; van Puijenbroek, Eugene

Keywords:

Breast Feeding, COVID-19, Carrier State, Female, Humans, Infant, Newborn, Infectious Disease Transmission, Vertical, Lactation, Pregnancy, Pregnancy Complications, Infectious, Pregnancy Outcome, Risk Factors, SARS-CoV-2, General & Internal Medicine

Abstract:

SARS-CoV-2 has rapidly spread worldwide since December 2019. Obviously, pregnant and lactating women will also be infected with SARS-CoV-2. Pregnant women, however, are a risk population for developing severe respiratory infections. Currently, the knowledge on potential risks and consequences of COVID-19 during pregnancy and lactation is limited. Available data show that pregnant women suffer from similar symptoms compared to non-pregnant patients. There is no evidence as yet that COVID-19 has a more serious course during pregnancy. Although pregnant women might suffer from a wide variety of symptoms, most of them are asymptomatic. Maternal SARS-CoV-2 infection might lead to adverse neonatal outcomes, such as prematurity or respiratory symptoms. There is currently no conclusive evidence of absence of intrauterine transmission of the virus; the virus has not been detected in breastmilk in most studies, although passage into breastmilk cannot be completely excluded.