(via The Canadian Press)

(via The Canadian Press)

Conceived and born in a pandemic: December babies show unique experience of pregnancy

Most pregnant people with COVID experience mild sickness and recover, says experts

Michelle Farrugia was in the Dominican Republic on vacation with her husband when news hit in March that the COVID-19 health crisis had been declared a global pandemic.

The couple rushed back to their Bowmanville, Ont., home as case counts began climbing worldwide. Soon after, amid the stress and commotion of the early days of the pandemic, Farrugia found out she was pregnant with their first child.

“We were so excited, then reality kind of hit, like, ‘oh my goodness, we’re going to be pregnant during a pandemic,’” Farrugia said. “We absolutely didn’t think we’d still be in it nine months later.”

Farrugia, along with husband Mark Weldon, welcomed baby boy Nolan James Weldon on Dec. 3, about a week earlier than expected. Like other parents of December babies, Farrugia experienced her entire pregnancy in the COVID era.

While Farrugia avoided a COVID infection throughout her pregnancy, that wasn’t the case for every person expecting.

Canada has seen more than 2,000 COVID cases in pregnant people since March. And preliminary findings of a national surveillance project show that those who contracted the virus during pregnancy were at an increased risk of hospitalization (11 per cent of studied cases from March 1 to Sept. 30) and ICU admission (2.3 per cent)compared to non-pregnant women of similar ages. The survey also found that 15 per cent of babies born to women with COVID-19 in Canada were premature, approximately double the national average.

Dr. Deborah Money, an obstetrics and gynecology professor at UBC who’s leading the project, stressed that severe outcomes are rare, however, and most pregnant people with COVID experience mild sickness and recover.

Some of the uptick in hospitalization might be explained by cautious bias, she said, with pregnant patients more likely to be admitted to hospital when something’s wrong.

It also wasn’t surprising to see more serious COVID outcomes in pregnant people, she added, since that pattern exists with other respiratory viruses.

“We think it’s a combination, probably of the changes in the immune response and physiological changes related to being pregnant,” Money explained. “And later in pregnancy, there’s somewhat restricted lung capacity when the uterus is squeezing up there.”

A baby acquiring COVID, either while in the womb or shortly after birth is also rare, Money said, though it has happened. A newborn in Calgary tested positive for the virus in November and spent two weeks in hospital recovering.

While Farrugia didn’t have to worry about any of that as a healthy woman, the pandemic impacted her pregnancy in less direct ways.

In-person medical appointments were limited in the initial stages of the pandemic, unless the pregnant patient proved higher risk for complications. When in-person care was needed, those visits were modified with mask-wearing and distancing.

Some jurisdictions limited the patient to one support person while other areas requested they attend alone.

Farrugia had a telehealth appointment with her general practitioner after taking a home pregnancy test on April 1, but didn’t actually see a doctor until her first ultrasound at 12 weeks. Not knowing how her baby was doing in that time was tough to handle.

“You find out you’re pregnant but can’t get checked out (right away) to see if there’s a heartbeat or anything,” she said. “So you’re just trying to nurture your body hoping that everything’s gonna be OK.”

Farrugia’s husband was with her at the time of delivery, but no visitors were allowed in the hospital. With Christmas so soon after Nolan’s birth, Farrugia says it’s been disappointing to not share the baby’s first holiday with her large family.

Cristina Pereira of Brampton, Ont., is facing a similar experience.

Her second child, a daughter named Claudia, was delivered on Sunday in a planned C-section. While husband Pedro was allowed in the room, Pereira missed the social celebration she felt when son Samuel was born three years ago.

Going through her third trimester in a COVID hotspot — one Brampton neighbourhood recorded a positivity rate of nearly 20 per cent last month — was also tough, increasing Pereira’s anxiety for her and her baby’s health and further stifling her social interactions when a second lockdown hit.

While Pereira described her second pregnancy as “isolating,” her concern now is on how maternity leave will feel.

“I (have to) adapt to a new baby and being a mother of two while more closures are happening … I’m not able to join mommy groups or have extracurricular outlets available for my children and my own wellbeing.”

Dr. Vanessa Poliquin, an OBGYN and assistant professor at the University of Manitoba, says social isolation is a concern when it comes to pre- and postnatal mental health.

Poliquin reminds her patients to practice self-care, and urges them to “maximize virtual platforms to interact with their support system” when possible.

“Pregnancy and being a new parent to a little human is stressful at the best of times, but it’s heightened (now),” she said.

When it comes to COVID treatment or vaccines, pregnant people have been largely excluded from clinical trials, making it hard for health organizations to decipher safety data for those populations.

The Society of Obstetricians and Gynecologists of Canada (SOGC) released a statement last week saying that for those more likely to contract the virus or suffer a severe outcome, “the risk of not getting the COVID-19 vaccine outweighs the theorized and undescribed risk of being vaccinated during pregnancy or while breastfeeding.” They added, however, that advice could change “as further evidence becomes available.”

The experiences of those going through their pregnancies over the last nine months will have varied from person to person, Poliquin says, but she admires her patients’ resilience.

“Being pregnant, being a new parent, that demands a lot of courage,” she said. “And for people who are becoming new parents during this pandemic, I think they’re going to have a special variety of courage and strength.”

Melissa Couto Zuber, The Canadian Press

Like us on Facebook and follow us on Twitter.

Want to support local journalism? Make a donation here.

Coronavirus

Just Posted

(double-click to edit)
Daryl Jolly, his wife Kerry Pagdin, their sons Cole Jolly (left) and Graeme Jolly, and their dogs Gracie and Clover. Photo: Submitted
Selkirk College arts chair diagnosed with lung cancer, family launches fund drive

In mid-May, Daryl Jolly developed a chest cough and started feeling fatigued.… Continue reading

TELUS is proposing to construct a 5G tower at Pople Park. Photo: Sheri Regnier
First 5G tower in Trail proposed for placement in popular park

TELUS has a consultation process open until June 28

The Independent Investigations Office of BC is looking into a Castlegar incident. File photo
Police watchdog investigating Castlegar incident

IIO: Woman sustained a reportedly self-inflicted injury

West Kootenay Regional Airport. Photo: Betsy Kline
Central Mountain Air leaving Castlegar airport in July

The airline says market can’t handle two airlines

The Kootenay International Junior Hockey League met for their AGM and announced a number of new initiatives, new awards and changes in their executive committee, as well as the starting date for the 2021-22 season. Paul Rodgers file.
KIJHL announces start dates for 2021-22 season

Season set to begin Oct. 1 with league still following all health guidelines

People watch a car burn during a riot following game 7 of the NHL Stanley Cup final in downtown Vancouver, B.C., in this June 15, 2011 photo. THE CANADIAN PRESS/Geoff Howe
10 years ago: Where were you during the 2011 Vancouver Stanley Cup Riots?

Smashed-in storefronts, looting, garbage can fires and overturned cars some of the damage remembered today

Port Alberni court house (Alberni Valley News)
Inquest set into 2016 death of B.C. teen after a day spent in police custody

18-year-old Jocelyn George died of heart failure in hospital after spending time in jail cell

Children’s shoes and flowers are shown after being placed outside the Ontario legislature in Toronto on Monday, May 31, 2021. THE CANADIAN PRESS/Frank Gunn
Ontario commits $10 million to investigate burial sites at residential schools

Truth and Reconciliation Commission identified 12 locations of unmarked burial sites in Ontario

Singer-songwriter Jann Arden is pictured with a draft horse. (Canadian Horse Defence Coalition)
Jann Arden backs petition to stop ‘appalling’ live horse export, slaughter

June 14 is the International Day to End Live Export of Animals

Cannabis bought in British Columbia (Ashley Wadhwani/Black Press Media)
Is it time to start thinking about greener ways to package cannabis?

Packaging suppliers are still figuring eco-friendly and affordable packaging options that fit the mandates of Cannabis Regulations

Two hundred and fifteen lights are placed on the lawn outside the Residential School in Kamloops, B.C., Saturday, June, 13, 2021. The remains of 215 children were discovered buried near the former Kamloops Indian Residential School earlier this month. THE CANADIAN PRESS/Jonathan Hayward
Days after Kamloops remains discovery, Tk’emlups families gather to unite, move ahead

‘We have to work together because this is going to be setting a precedent for the rest of the country’

In this Saturday, May 29, 2021, file photo, people crowd the Santa Monica Pier in Santa Monica, Calif. California, the first state in America to put in place a coronavirus lockdown, is now turning a page on the pandemic. Most of California’s coronavirus restrictions will disappear Tuesday, June 15, 2021. (AP Photo/Damian Dovarganes, File)
With COVID tamed, it’s a ‘grand reopening’ in California

No more state rules on social distancing, no more limits on capacity, no more mandatory masks

Montreal Canadiens goaltender Carey Price (31) is scored on by Vegas Golden Knights defenseman Alec Martinez, not pictured, during the second period in Game 1 of an NHL hockey Stanley Cup semifinal playoff series Monday, June 14, 2021, in Las Vegas. (AP Photo/John Locher)
Habs fall 4-1 to Vegas Golden Knights in Game 1 of NHL semifinal series

Match was Montreal’s first game outside of Canada in 2021

Kelowna-Lake Country MLA Norm Letnick, assistant deputy speaker at the B.C. legislature, presides over committee discussions. The legislature is completing its delayed spring session this week, with most MLAs participating by video conference. (Hansard TV)
B.C.’s daily COVID-19 infections dip below 100 over weekend

Only 68 new cases recorded Monday, four additional deaths

Most Read