I don a gown, gloves and a mask to enter the hospital room of a new mother who is sick with Covid-19.
She lies in bed, exhausted between coughing spells; her day-old infant rests comfortably across the room. She contracted Covid-19 the week before her due date and was hospitalized when her labor began.
Unfortunately, scenarios like this have become far too common for me and other care providers during the Covid-19 pandemic. During the latest omicron surge, it was not unusual to have four or five patients with active Covid-19 infections on the labor and delivery unit at a time.Pregnancy is often a time of sweet anticipation. But the ongoing pressure to make the right decisions for the health and well-being of both the pregnant person and the unborn child tempers this excitement.
In making the decision about getting vaccinated against Covid-19, pregnant people must consider the potential risks of the vaccine, as well as any potential harm from becoming infected with SARS-CoV-2, the virus that causes Covid-19. These two sides of the same coin are important in the discussion and the ultimate decision the patient makes.
Health disparities have become more evident during the pandemic. Black and Latino populations have disproportionately experienced Covid-19 infection, serious illness and death. This disparity remains in pregnant people, with the infection rate in pregnant Latino people nearly twice that of white counterparts.
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