Column One: She's pregnant, she has COVID-19, and she can't breathe

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Column One: She's pregnant, she has COVID-19, and she can't breathe
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Very little is known about the impact of COVID-19 on women and the babies they carry.

It is still not clear how a pregnant woman passes the virus on in the rare cases in which a baby has become infected. Most of the early research on COVID-19 has used data from older men, because they have gotten sickest and died in greater numbers.

Her first coronavirus test came back negative. Two days later, still in Corona Regional, Ramirez texted her sister. It was July 9, 9:20 p.m.:The rapid-fire text conversation that followed hit all the high points of coronavirus panic.You guys should all get tested / No I can’t breathe ….: Who gave it to me / Is what I want to know ….On July 10, the sisters talked on the phone. Ramirez gasped for breath.

“We’re seeing the socio-economic disparity, I think, because either their partners or themselves are essential workers that need to go in and out of the home,” Martin posited. “And sometimes they have multi-family homes,” which can increase the chance of infection.Two days after Ramirez arrived by helicopter, doctors at Loma Linda knew she needed to give birth — fast.She wasn’t due for 10 weeks, but her amniotic sac, which protects the fetus from injury, had broken.

“I felt,” she said, “like somebody was suffocating me.” It took four tests at the hospital before she received a positive result for the virus. In emergency departments and ICUs, doctors use so-called “early warning scores” to predict the course of illness. The scores include such factors as age, gender, fever and CT scan findings; the higher the score, the more likely the patient will become very sick. Doctors tend to avoid ordering CT scans for pregnant patients, because they want to limit the baby’s exposure to radiation. But that also lowers the early warning score.

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