What do we know about pregnancy, #COVID19 and vaccination? A thread.

@HSEImm @RCPI_news @RCPI_ObsGyn
(1/13)
Most pregnant women who are infected with SARS-CoV-2 – the virus that causes COVID – have mild or no symptoms and don’t experience serious complications.

However, there is increasing evidence that #COVID19 can affect your pregnancy.
(2/13)
For example, pregnant women with COVID-19 are at higher risk of preterm birth, high blood pressure, postpartum haemorrhage and stillbirth than those who are not infected with #COVID19.
In addition, some pregnant women with COVID-19 will become severely unwell.
(3/13)
There is growing evidence that pregnant women may be at increased risk of severe illness from #COVID19 compared with non-pregnant women, particularly in the third trimester.
(4/13)
From June to Oct 2021;
- 1 in 3 women (n=12) aged 25-44 yrs admitted to ICU were pregnant.
- None had been fully vaccinated.
- 10/12 were in the third trimester.
- 6 required mechanical ventilation.
- 5 more women were admitted to ICU in the 6 weeks after pregnancy.
(5/13)
UK data from Feb to Sept 2021 shows that >98% of women admitted with symptomatic COVID-19 in pregnancy were unvaccinated. Of 235 women admitted to ICU, only 3 had received a single dose of vaccine, and none had received both doses. npeu.ox.ac.uk/news/2171-covi… via @NPEU_Oxford
(6/13)
If you have already had #COVID19 you should still consider getting the COVID-19 vaccine.
Although previous infection does provide some protection, vaccination is still recommended.
(7/13)
If you have had laboratory-confirmed COVID-19 in the previous 6 months, you will only need one dose of vaccine.

COVID-19 vaccines can be given at any time in pregnancy.

Breastfeeding women can receive a #COVIDvaccine without having to stop breastfeeding.
(8/13)
There is no evidence to suggest that COVID-19 #vaccines affect fertility.

Women planning a pregnancy or #fertility treatment can receive a #COVID19 vaccine and do not need to delay conception.
(9/13)
There is now a growing body of evidence on the safety and effectiveness of #COVID19 vaccination – in both animal and human studies – clearly indicating that the benefits of vaccination outweigh any known or potential risks of COVID-19 vaccination during pregnancy.
(10/13)
Lots more information is available here:
www2.hse.ie/screening-and-…

and here:
rcpi.ie/news/releases/…
If you have concerns or questions please talk to your obstetrician, midwife, GP or pharmacist.

(11/13)
Along with the #COVID19 vaccine, women who are pregnant should also get vaccinated against
- Pertussis (Whooping cough) - during each pregnancy, between weeks 16 & 36 of pregnancy
- The ‘flu - during each pregnancy, at any time of pregnancy
www2.hse.ie/wellbeing/preg…
@HSEImm
(12/13)
Vaccines save lives and getting the #COVID19, pertussis and flu vaccines can keep you, your baby and your loved ones, safe and out of hospital. #vaccineswork

(13/13)

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More from @ronan_glynn

14 Dec 20
2020 has been an incredibly difficult year for everyone.

But this has also been a year of very significant medical and scientific achievement.

And now, at least two #COVID19 vaccines are on the horizon.

(a thread)
Many are now asking, how has it all happened so quickly?
...to make sure the vaccine is safe and effective, and to make enough of it for everyone who needs it.

There are several reasons why this timeline has been really cut down for #COVID19 vaccine candidates;
1. There have been enormous levels of investment and scientific and medical research, on a scale never previously seen in vaccine development.
Read 13 tweets
4 Dec 20
News on #vaccines against #COVID19 is very encouraging. Its timely to remember the fantastic impact that other vaccines have had over the last 200 yrs in Ireland - apart from clean water, vaccines have saved more lives than any other public health intervention @HSEImm @RCPI_news
In 1863 vaccination against smallpox was made compulsory for all children born in Ireland. Deaths fell from 7,550 for the decade to 1880 to the last reported death here in 1907. Smallpox was declared eradicated in 1979 – this one vaccine saved 100s of millions of lives globally. Image
Diphtheria was a very common cause of death among children until the 1940s - there were 318 deaths reported in 1938. With the introduction of a vaccine, the number of deaths fell year on year with 5 deaths in 1950; the last death notified from diphtheria was in 1967. @HSELive Image
Read 9 tweets
20 Sep 20
There has very understandably been a particular focus on Dublin over the past few days.

However, most other counties are also seeing increasing numbers of cases of #COVID19. Three in particular are already high and continuing to rise fast; 1/n
Louth
14 day incidence 53/100,000 last Sunday; 102/100,000 this evening
131 cases in last fortnight

Donegal
26/100,000 last Sunday; 84/100,000 this evening
133 cases in last fortnight

Waterford
55/100,000 last Sunday; 89/100,000 this evening
103 cases in last fortnight
It is vital that people in all counties, but in these in particular, do all they can to break chains of transmission over the next 7 days. We are not powerless in dictating the course of this disease;
1. Wash your hands regularly
2. Take a step back and keep your distance
Read 5 tweets
19 Aug 20
The number of #COVID19 cases that we have now in Ireland is substantially more than we were seeing even just a few weeks ago.

On average over the past 5 days we have reported 96 new cases. Our 14 day incidence now stands at over 23 per 100,000. 1/12

While we are still in a relatively good position compared to many countries, our upward growth rate is now the 3rd highest among EU member states. 2/12
While there has been a particular focus on Kildare, Laois and Offaly in recent weeks, 11 other counties have a 14 day incidence above 10/100,000 – these are Carlow, Clare, Donegal, Dublin, Kilkenny, Limerick, Louth, Meath, Monaghan, Tipperary and Wexford. 3/12
Read 12 tweets
13 Mar 20
ADVICE FOR PARENTS: From the data so far children are the group least affected by #COVID19. We can say that there is a very good chance your child will not be severely affected even if exposed.

#COVID19 #COVID2019IRELAND #coronavirusireland
However, children may play a significant role in spreading this virus. Parents should try and avoid arranging play dates for groups of young children at this early stage of the outbreak.

#COVID19 #COVID2019IRELAND #coronavirusireland
If children continue to still mix with other children, the impact of our measures, liking closing schools, will not be as effective as we need them to be.

#COVID19 #COVID2019IRELAND #coronavirusireland
Read 10 tweets

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