Pregnant women are more likely to acquire and become seriously ill from Covid-19 infection and all relevant professional bodies agree that the vaccination is safe for all stages of pregnancy and breastfeeding. Ideally all moms should also be boostered according to CDC/FDA guidelines when indicated in order to insure their babies are protected by maternal antibodies after birth until the vaccine is able to be given to newborns in the future.
Due to the high infectivity rate of the Omicron variant, we’ve been getting a lot of calls from worried patients who have tested positive. While pregnancy is a risk factor for severe disease, those patients who have been fully vaccinated are unlikely to become ill enough to require hospitalization. Unless you have a very high fever (>101) or feel very short of breath/have chest pain, most symptomatic infections can be managed at home with the usual cold remedies: Tylenol/acetaminophen, cough syrup/drops, antihistamines like Benedryl/diphenhydramine. Limit decongestant sprays or tablets to 3 days maximum, and stay well hydrated and rested. A vaporizer or humidifier can be helpful, as can saltwater gargles. Isolate in your “bubble” at home until you are asymptomatic for at least 5 days. Use a mask in public settings for at least a week after that as well.
While vaccines/boosters are highly recommended, if you have not chosen to be vaccinated, you may want to have a lower threshold for seeking medical attention with symptomatic infection, particularly if you are older or have asthma, diabetes, hypertension or obesity. When supplies of monoclonal antibodies become more plentiful, we expect pregnancy to once again become an indication for treatment. Currently the oral treatments are not yet approved for general usage or for pregnancy but we will continue to watch for more updated information.