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COVID-19 Management in Pregnancy

COVID-19 in pregnant women increases the risk of severe disease and obstetric complications; vaccination and follow-up standards are specialized in this group.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kadın Hastalıkları ve Doğum department. Book Appointment →

What is COVID-19 Management in Pregnancy?

SARS-CoV-2 is a coronavirus transmitted through respiratory droplets. Physiological immune and respiratory changes in pregnancy significantly increase the risk of severe COVID-19 compared to non-pregnant women. Increased maternal mortality has been reported in pregnant women during the Delta and Omicron variant periods.

COVID-19 in pregnancy increases the risk of preeclampsia, preterm birth, cesarean section, and thromboembolic events. Although vertical transmission is rarely reported, the main risk is related to perinatal adaptation problems and prematurity. Breastfeeding is generally safe; protective antibodies are present in breast milk.

Management includes symptomatic support, thrombotic prophylaxis, and in severe cases remdesivir, corticosteroids, and monoclonal antibody/antiviral therapies. Vaccination (mRNA-based vaccines) has been found safe and effective in pregnancy, providing protective antibody transfer to both mother and newborn.

Symptoms

Fever, cough, fatigue
Loss of taste and smell
Shortness of breath
Myalgia and headache
Decreased oxygen saturation
Preeclampsia-like presentation (in some severe cases)
Signs of thromboembolic events

Risk Factors

Being unvaccinated
Obesity
Pregestational diabetes or hypertension
Chronic lung disease
Advanced maternal age (≥35)
Immunodeficiency

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Shortness of breath, chest pain, or oxygen saturation below 94%
  • If high fever and severe weakness persist
  • When fetal movements decrease
  • When preeclampsia symptoms (headache, visual blurring) are added
  • When thromboembolic event is suspected (leg swelling, shortness of breath)

Treatment Methods

01
Home monitoring, fluid support, and symptomatic treatment in mild cases
02
Hospitalization and oxygen in moderate-severe cases
03
Thromboprophylaxis (low molecular weight heparin)
04
Corticosteroids (dexamethasone in severe cases)
05
Remdesivir and monoclonal antibody/antiviral decision
06
Vaccination: mRNA COVID-19 vaccine (safe in pregnancy)

Which Department to Visit?

You can visit our Kadın Hastalıkları ve Doğum department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Kadın Hastalıkları ve Doğum Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.