We are still learning about COVID-19 (coronavirus). We don't fully know how it affects pregnant women and their babies.
But most pregnant women who get the virus give birth normally. The risk of passing COVID-19 onto their baby is low.
You are no more likely to get the virus during pregnancy than women of a similar age who are not pregnant - according to the evidence that we have.
Contact your local hospital if you are worried that your baby is not moving as much as usual or you have concerns about their wellbeing. The hospital will carry out tests to confirm that your baby is okay
Protecting yourself and your baby
To protect yourself and your baby, take extra care to protect yourself from COVID-19. Avoid situations where you could pick up the virus.
Follow the advice for:
Phone your GP for advice if you have any of the symptoms of COVID-19.
If you get COVID-19
If you test positive for COVID-19, contact your maternity unit or hospital. This is so they can monitor your pregnancy more closely if you get the virus.
Most pregnant women who get COVID-19 have mild to moderate symptoms. They give birth normally and the risk of passing COVID-19 onto their baby is low.
Contact your local hospital or maternity unit immediately if you are worried that your baby is not moving as much as usual or you have concerns about their wellbeing. The hospital will carry out tests to confirm that your baby is okay.
If you have symptoms of COVID-19, you may be more likely to be admitted to hospital and to ICU.
There may also be an increased risk of premature labour and stillbirth, whether or not you have symptoms.
COVID placentitis and stillbirth
A very small number of stillbirths are linked to a condition called COVID placentitis.
COVID placentitis is when the placenta becomes infected with COVID-19. It can affect the placenta’s ability to pass oxygen and nutrients to your baby.
Stillbirths linked to COVID placentitis have mostly happened when COVID-19 infection rates were very high. It is likely to become of less concern as COVID-19 infection rates fall.
Contact your maternity unit or hospital immediately if you notice your baby is not moving as much as usual.
High temperature during pregnancy
One of the symptoms of COVID-19 is fever (high temperature). This can increase the risk of complications during the first trimester (week 0 to 13).
If you have a high temperature and you are pregnant, phone your GP or midwife.
Vaccines during pregnancy
When you are pregnant, your body naturally changes your immune system. This is to help your pregnancy continue successfully. It means that when you are pregnant you may pick up some infections more easily.
All pregnant women should get the:
The team caring for you should involve you in all decisions.
If you have any concerns about your pregnancy, phone your hospital for advice. Maternity hospitals have helplines open. You should still go to hospital if you have any concerns about your baby’s movements.
Appointments and scans
Hospitals are continuing to give antenatal care. If your care is shared with your GP, this should continue.
Many appointments are happening by phone followed up by a shorter visit at the hospital. You’ll need to go to hospital for examinations, blood tests and ultrasound scans. At this time, you may have to go to these visits or scans on your own to reduce the number of people in the hospital.
Foetal anatomy scan - 20-week scan
The foetal anatomy scan usually happens between 18 to 22 weeks of pregnancy. It is also called an anomaly scan.
Birth partners can usually go with you to the foetal anatomy scan. But it will depend on the hospital and current Government restrictions. Check with them in advance. If they cannot accommodate your partner, they will let you know why.
Before the birth, if you have COVID-19
If you have COVID-19, your healthcare team will take extra precautions. This will be before, during and after your baby's birth. Your obstetrician or midwife will talk to you about the safest way and time for your baby to be born.
Other specialists may also be involved in your care. These might include a doctor who specialises in infectious diseases and a neonatologist. This is a doctor who specialises in the care of newborn babies.
You may be in an isolation room with en-suite facilities during labour. You may need to stay in this room throughout your hospital stay.
During birth and labour
In most cases, your partner can be there for the delivery. Every effort will be made to ensure your partner is present at the birth. But in some hospitals, this may not be possible. Any restrictions in place are to keep everyone safe.
If your partner can be there, they will need to wear protective equipment. This is to minimise the risk of infection.
You will not have to wear a face mask during labour and birth. But you will need to wear a surgical mask when you’re outside your room.
After the birth
Visitors in hospital
All maternity units now have a strict no visitor policy. All restrictions that are in place are for the safety of you and your baby. They will be lifted as soon as possible.
Early transfer home
Many women are choosing to go home early because of hospital visitor restrictions. Some hospitals are offering phone support from postnatal midwives. Where it is available, community midwives are doing home visits.
Heel prick screening is carrying on as normal.
Neonatal care in NICU
In most neonatal intensive care units (NICU), visiting for mothers has been limited to 15 minutes per day. This is to protect babies who are most vulnerable from infection. These restrictions will be lifted as soon as it is safe to do so.
Many units have technology in place to help parents have contact with their babies.
After the birth, if you have COVID-19
If you have COVID-19, your doctor or midwife will discuss your options for after your baby is born.
One option may be to arrange for someone else to care for your baby while you wait for COVID-19 to pass. This is to protect your baby from catching the virus.
A family member or healthcare worker can provide this care. This could be provided at home or in the hospital. How long this lasts for will vary. The advice will depend on your symptoms and the results of any tests you have had.
Caring for your baby, if you have COVID-19
If you choose to care for your baby after the birth, your doctor or midwife will explain the risk.
You and your baby will then be isolated in a single room with an en-suite bathroom. Your baby will be in an enclosed incubator in your room. An incubator is a special crib made of plastic, it keeps your baby warm. You will be able to see your baby in the incubator.
When your baby is outside the incubator, you should:
- wear a long-sleeved gown and surgical mask
- clean your hands properly and often with soap and water or alcohol rub - before and after interacting with your baby
Your healthcare team will observe your baby for signs of infection. This will be for at least 14 days after the last contact with you. If your baby develops any signs of infection, they will need to be tested.
Perinatal mental health services are for any woman with mental health problems who:
- is planning a pregnancy
- is pregnant
- has a baby up to one year old
Last updated: 16 April 2021 at 4.35pm