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Pregnancy

What is the risk to pregnant women of getting COVID-19? Is it easier for pregnant women to become ill with the disease? If they become infected, will they be more sick than other people?

We do not currently know if pregnant women have a greater chance of getting sick from COVID-19 than the general public nor whether they are more likely to have serious illness as a result. Pregnant women experience changes in their bodies that may increase their risk of some infections. With viruses from the same family as COVID-19, and other viral respiratory infections, such as influenza, women have had a higher risk of developing severe illness. It is always important for pregnant women to protect themselves from illnesses.

How can pregnant women protect themselves from getting COVID-19?

Pregnant women should do the same things as the general public to avoid infection. You can help stop the spread of COVID-19 by taking these actions: Cover your cough (using your elbow is a good technique) Avoid people who are sick Clean your hands often using soap and water or alcohol-based hand sanitizer You can find additional information on preventing COVID-19 disease at CDC’s (Prevention for 2019 Novel Coronavirus).

Can COVID-19 cause problems for a pregnancy?

We do not know at this time if COVID-19 would cause problems during pregnancy or affect the health of the baby after birth.

During Pregnancy or Delivery

Can COVID-19 be passed from a pregnant woman to the fetus or newborn?

We still do not know if a pregnant woman with COVID-19 can pass the virus that causes COVID-19 to her fetus or baby during pregnancy or delivery. No infants born to mothers with COVID-19 have tested positive for the COVID-19 virus. In these cases, which are a small number, the virus was not found in samples of amniotic fluid or breastmilk.
Infants

If a pregnant woman has COVID-19 during pregnancy, will it hurt the baby?

We do not know at this time what if any risk is posed to infants of a pregnant woman who has COVID-19. There have been a small number of reported problems with pregnancy or delivery (e.g. preterm birth) in babies born to mothers who tested positive for COVID-19 during their pregnancy. However, it is not clear that these outcomes were related to maternal infection.

Pregnancy and Breast Feeding

Interim Guidance on Breastfeeding for a Mother Confirmed or Under Investigation For COVID-19

This interim guidance is intended for women who are confirmed to have COVID-19 or are persons-under-investigation (PUI) for COVID-19 and are currently breastfeeding. This interim guidance is based on what is currently known about COVID-19 and the transmission of other viral respiratory infections. CDC will update this interim guidance as needed as additional information becomes available. For breastfeeding guidance in the immediate postpartum setting, refer to Interim Considerations for Infection Prevention and Control of 2019 Coronavirus Disease 2019 (COVID-19) in Inpatient Obstetric Healthcare Settings.

Transmission of COVID-19 through breast milk Much is unknown about how COVID-19 is spread. Person-to-person spread is thought to occur mainly via respiratory droplets produced when an infected person coughs or sneezes, similar to how influenza (flu) and other respiratory pathogens spread. In limited studies on women with COVID-19 and another coronavirus infection, Severe Acute Respiratory Syndrome (SARS-CoV), the virus has not been detected in breast milk; however we do not know whether mothers with COVID-19 can transmit the virus via breast milk.

CDC breastfeeding guidance for other infectious illnesses Breast milk provides protection against many illnesses. There are rare exceptions when breastfeeding or feeding expressed breast milk is not recommended. CDC has no specific guidance for breastfeeding during infection with similar viruses like SARS-CoV or Middle Eastern Respiratory Syndrome (MERS-CoV).

Outside of the immediate postpartum setting, CDC recommends that a mother with flu continue breastfeeding or feeding expressed breast milk to her infant while taking precautions to avoid spreading the virus to her infant.

Guidance on breastfeeding for mothers with confirmed COVID-19 or under investigation for COVID-19

Breast milk is the best source of nutrition for most infants. However, much is unknown about COVID-19. Whether and how to start or continue breastfeeding should be determined by the mother in coordination with her family and healthcare providers. A mother with confirmed COVID-19 or who is a symptomatic PUI should take all possible precautions to avoid spreading the virus to her infant, including washing her hands before touching the infant and wearing a face mask, if possible, while feeding at the breast. If expressing breast milk with a manual or electric breast pump, the mother should wash her hands before touching any pump or bottle parts and follow recommendations for proper pump cleaning after each use. If possible, consider having someone who is well feed the expressed breast milk to the infant.

Coronavirus Disease-2019 (COVID-19) and Children

Q:  What is the risk of my child becoming sick with COVID-19? A: Based on available evidence, children do not appear to be at higher risk for COVID-19 than adults. While some children and infants have been sick with COVID-19, adults make up most of the known cases to date. You can learn more about who is most at risk for health problems if they have COVID-19 infection on CDC’s current Risk Assessment page. Q: How can I protect my child from COVID-19 infection? You can encourage your child to help stop the spread of COVID-19 by teaching them to do the same things everyone should do to stay healthy.
  • Clean hands often using soap and water or alcohol-based hand sanitizer
  • Avoid people who are sick (coughing and sneezing)
  • Clean and disinfect high-touch surfaces daily in household common areas (e.g. tables, hard-backed chairs, doorknobs, light switches, remotes, handles, desks, toilets, sinks)
  • Launder items including washable plush toys as appropriate in accordance with the manufacturer’s instructions. If possible, launder items using the warmest appropriate water setting for the items and dry items completely. Dirty laundry from an ill person can be washed with other people’s items.
You can find additional information on preventing COVID-19 at Prevention for 2019 Novel Coronavirus and at Preventing COVID-19 Spread in Communities. Additional information on how COVID-19 is spread is available at How COVID-19 Spreads. Q: Are the symptoms of COVID-19 different in children than in adults? A:  No. The symptoms of COVID-19 are similar in children and adults. However, children with confirmed COVID-19 have generally presented with mild symptoms. Reported symptoms in children include cold-like symptoms, such as fever, runny nose, and cough. Vomiting and diarrhea have also been reported. It’s not known yet whether some children may be at higher risk for severe illness, for example, children with underlying medical conditions and special healthcare needs. There is much more to be learned about how the disease impacts children. Q: Should children wear masks? A: No. If your child is healthy, there is no need for them to wear a facemask. Only people who have symptoms of illness or who are providing care to those who are ill should wear masks.

Prevention and Treatment

There is currently no vaccine to prevent coronavirus disease 2019 (COVID-19). The best way to prevent illness is to avoid being exposed to this virus. However, as a reminder, CDC always recommends everyday preventive actions to help prevent the spread of respiratory diseases, including:

Avoid close contact with people who are sick. Avoid touching your eyes, nose, and mouth. Stay home when you are sick. Cover your cough or sneeze with a tissue, then throw the tissue in the trash. Clean and disinfect frequently touched objects and surfaces using a regular household cleaning spray or wipe. Follow CDC’s recommendations for using a facemask.

CDC does not recommend that people who are well wear a facemask to protect themselves from respiratory diseases, including COVID-19. Facemasks should be used by people who show symptoms of COVID-19 to help prevent the spread of the disease to others. The use of facemasks is also crucial for health workers and people who are taking care of someone in close settings (at home or in a health care facility).

Wash your hands often with soap and water for at least 20 seconds, especially after going to the bathroom; before eating; and after blowing your nose, coughing, or sneezing. If soap and water are not readily available, use an alcohol-based hand sanitizer with at least 60% alcohol. Always wash hands with soap and water if hands are visibly dirty.

For information about handwashing, see CDC’s Handwashing website For information specific to healthcare, see CDC’s Hand Hygiene in Healthcare Settings These are everyday habits that can help prevent the spread of several viruses. CDC does have specific guidance for travelers.

Frequently Asked Questions

About the COVID-19 Pandemic

Clicking the link below will take you to a listing of the health department in your state. If you can any question you can find contact information for resources in your local area. https://www.cdc.gov/publichealthgateway/healthdirectories/healthdepartments.html

Patients with confirmed COVID-19 infection have reportedly had mild to severe respiratory illness with symptoms of:

  • Fever
  • Cough
  • Difficulty breathing

COVID-19 is caused by a previously unrecognized coronavirus, called COVID-19. For more information about COVID-19 please visit:
https://www.cdc.gov/coronavirus/2019-ncov/index.html
https://www.who.int/westernpacific/emergencies/novel-coronavirus

COVID-19 can spread from person to person through small droplets from the nose or mouth, including when an individual coughs or sneezes. These droplets may land on objects and surfaces. Other people may contract COVID-19 by touching these objects or surfaces, then touching their eyes, nose or mouth.

Coronaviruses are a group of viruses that have a halo or crown-like (corona) appearance when viewed under a microscope. These viruses are a common cause of mild to moderate upper respiratory illness in humans and are associated with respiratory, gastrointestinal, liver and neurologic disease in animals.

There is not enough information about the new virus to determine the full range of illness that it might cause. Coronaviruses have occasionally been linked to pneumonia in humans, especially people with weakened immune systems. The viruses also can cause severe disease in animals, including cats, dogs, pigs, mice, and birds.

The length of time that the virus survives likely depends on a number of factors. These factors could include the type of material or body fluid containing the virus and various environmental conditions such as temperature or humidity. Researchers at the Centers for Disease Control and Prevention and other institutions are designing standardized experiments to measure how long COVID-19 can survive in situations that simulate natural environmental conditions.

Right now, there are no disinfectant products registered by the U.S. Environmental Protection Agency for use on environmental surfaces that are specifically listed as having the ability to kill COVID-19. However, related viruses that have similar physical and biochemical properties can be killed with bleach, ammonia or alcohol, or cleaning agents containing any of these disinfectants. Cleaning agents should be used according to the manufacturer's instructions.

  • Contact your county health department (CHD).

  • Consult a health-care provider as soon as possible. Call ahead and tell them before you visit that you think you may have COVID-19 so they can take precautions to prevent exposing other people.
  • Cover your mouth and nose with a tissue when coughing or sneezing.
  • If you have a surgical mask, wear it during close contact with other people. A mask can reduce the number of droplets coughed into the air.
  • Remember, very few respiratory infections will be COVID-19.
  • Please review your signs, symptoms and travel history thoroughly with your physician.
  • 24/7 Consultation is available to physicians through contacting their county health department (floridahealth.gov/chdepicontact) the Bureau of Epidemiology at (850) 245-4401.

The time between exposure to the COVID-19 virus and onset of symptoms is called the "incubation period." The incubation period for COVID-19 is typically 2 to 14 days, although in some cases it may be longer.

There are some common-sense precautions that you can take that apply to many infectious diseases. The most important is frequent hand washing with soap and water or use of alcohol-based hand rubs (see Prevention & Treatment https://www.cdc.gov/coronavirus/2019-ncov/about/prevention-treatment.html and Guideline for Hand Hygiene in Health-Care Settings https://www.cdc.gov/handhygiene/). You also should avoid touching your eyes, nose, and mouth with unclean hands and encourage people around you to cover their nose and mouth with a tissue when coughing or sneezing.

There is information for people who have had close contact with a person confirmed to have, or being evaluated for, COVID-19 infection available online.

Currently, there is no vaccine available to protect against COVID-19

There is no specific antiviral treatment recommended for COVID-19 infection. People infected with COVID-19 should receive supportive care to help relieve symptoms.
Learn about COVID-19 Treatment.

If you develop a fever and symptoms of respiratory illness, such as cough or shortness of breath, within 14 days after travel from China, Iran, Italy, Japan or South Korea, you should call ahead to a healthcare provider and mention your recent travel or close contact. If you have had close contact with someone showing these symptoms who has recently traveled from these areas, you should call ahead to a healthcare provider and mention your recent travel or close contact. Your healthcare provider will work with the Florida Department of Health and CDC to determine if you need to be tested for COVID-19.

Your healthcare professional will work with your county health department to determine if you need to be tested for COVID-19.

A person who is tested will have three specimens taken: oral, nasal, and saliva. The samples will be given to the county health department, who will then either ship or deliver them to the closest state laboratory. If a specimen is tested positive, it will be identified as ‘presumptive positive’ until the result is confirmed at the Centers for Disease Control and Prevention (CDC).

For more information on COVID-19 testing see CDC Tests for COVID-19.

No. Coronaviruses are a large family of viruses, some causing illness in people and others that circulate among animals, including camels, cats and bats. The recently emerged COVID-19 is not the same as the coronavirus that causes Middle East Respiratory Syndrome (MERS) or the coronavirus that caused Severe Acute Respiratory Syndrome (SARS) in 2003. There are ongoing investigations to learn more. This is a rapidly evolving situation and information will be updated as it becomes available.

While this virus seems to have emerged from an animal source, it is now spreading from person-to-person. The Florida Department of Health and CDC recommend that people traveling to China avoid animals both live and dead, but there is no reason to think that any animals or pets in the United States might be a source of infection with this new coronavirus.

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