COVID-19 and Pregnancy: Interrelationships With Asthma and Allergy

被引:1
|
作者
Mustafa, S. Shahzad [1 ,2 ,5 ]
Huang, Jenny [3 ]
Perrotta, Kirstie [4 ]
Chambers, Christina [4 ]
Namazy, Jennifer
机构
[1] Rochester Reg Hlth, Rochester, NY USA
[2] Univ Rochester, Sch Med & Dent, Dept Med, Rochester, NY USA
[3] Scripps Clin, San Diego, CA USA
[4] Univ Calif San Diego, Dept Pediat, La Jolla, CA USA
[5] Rochester Reg Hlth, 222 Alexander St, Ste 3000, Rochester, NY 14607 USA
来源
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY-IN PRACTICE | 2023年 / 11卷 / 12期
关键词
COVID-19; Pregnancy; vaccine; COVID-19 treatments in pregnancy; Asthma during COVID-19; Paxlovid; OUTCOMES; PREVALENCE; SAFETY; STATES; BIRTH; WOMEN;
D O I
10.1016/j.jaip.2023.08.022
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
Pregnant individuals are at higher risk of complications from respiratory viruses such as coronavirus-19 disease (COVID-19). Altered lung function, vaccine hesitancy, and resistance to taking necessary medications because of a lack of safety data in pregnancy make this population especially vulnerable to the effects of COVID-19. Like many medical conditions, the treatment of allergic conditions, including asthma and allergic rhinitis, were affected during the pandemic, with decreased numbers of in-person visits and interruptions in medical treatment. There were initially no data to allow pregnant women with asthma know whether the condition put them at higher risk of complications from COVID-19. There are now increasing data for the efficacy and safety of vaccines for COVID-19 in at risk populations, including pregnant women. Vaccine studies show no increased risk for spontaneous abortion, congenital anomalies, or pregnancy complications. Furthermore, infants of individuals vaccinated during pregnancy have been shown to obtain protective antibodies via the placenta, providing protection against COVID-19 after birth. Although overall risks are low, pregnant women who become infected with COVID-19 are at higher risk for maternal and pregnancy complications. Antiviral treatment is available for pregnant women with mild to moderate symptoms of COVID-19, with reassuring safety data to date. Dexamethasone is the mainstay of inpatient therapy.(c) 2023 American Academy of Allergy, Asthma & Immunology (J Allergy Clin Immunol Pract 2023
引用
收藏
页码:3597 / 3604
页数:8
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