(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

Get local stories you won't find anywhere else right to your inbox.
Sign up here

Just Posted

Police tape is shown in Toronto Tuesday, May 2, 2017. Statistics Canada says the country's crime rate ticked up again in 2018, for a fourth year in a row, though it was still lower than it was a decade ago. THE CANADIAN PRESS/Graeme Roy
CRIME STOPPERS: ‘Most wanted’ for the week of May 9

Crime Stoppers’ weekly list based on information provided by police investigators

Fraser Health held a COVID-19 vaccine clinic at Gurdwara Dukh Nivaran Sahib in Surrey, which would be in what the BCCDC refers to as the Panorama community, on Friday, May 7, 2021. Roughly 400 people pre-registered to get their vaccine the week before. (Photo: Lauren Collins
Surrey communities recording more COVID-19 cases also seeing lower vaccination rates

Those same communities were highlighted in the SPEAK survey, which highlighted disparities in the city

Twenty-nine staff members at Sunrise Poultry Processors Ltd. in Newton have tested positive for the virus, according to an information bulletin from Fraser Health Saturday (May 8). The health authority issued a 10-day closure order, effective May 7. (Image: Google Maps)
29 staff test positive for COVID-19 at Surrey poultry processing plant

Meantime, outbreak over at Surrey Memorial Hospital

The College of Massage Therapists of B.C. says Van (William) Dinh, a registered massage therapist in Surrey and Langley, has had his licence suspended while an inquiry committee panel investigates allegations of sexual misconduct. (Unsplash photo)
Surrey massage therapist suspended amid sexual misconduct investigation

CMTBC received complaint Van (William) Dinh allegedly exposed ‘sensitive areas of the patient’s body’

Hundreds gathered for a candlelight vigil Friday evening (May 7) to remember 29-year-old corrections officer Bikramdeep Randhawa, who was killed in last weekend’s brazen daylight shooting outside North Delta’s Scottsdale Centre mall. (James Smith photo)
Hundreds gather to remember victim of North Delta shooting

Corrections officer Bikramdeep Randhawa, 29, was killed in what police say was a targeted incident

(The Canadian Press)
Trudeau won’t say whether Canada supports patent waiver for COVID-19 vaccines

‘Canada is at the table to help find a solution’

Edmonton Oilers’ Connor McDavid (97) celebrates his 100th point this season with Leon Draisaitl (29) against the Vancouver Canucks during second period NHL action in Edmonton on Saturday, May 8, 2021.THE CANADIAN PRESS/Jason Franson
Edmonton superstar McDavid hits 100-point mark as Oilers edge Canucks 4-3

NHL scoring leader needs just 53 games to reach century mark

Nuns of Mother Teresa’s Missionaries of Charity, carry some of her relics during a vigil of prayer in preparation for the canonization of Mother Teresa in the St. John in Latheran Basilica at the Vatican, Friday, Sept. 2, 2016. In which city did she do much of her charitable work? (AP Photo/Gregorio Borgia)
QUIZ: How much do you know about these motherhood issues?

In honour of Mother’s Day, take this 10-question quiz

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

A map showing where the most number of cases were recorded from April 23 to 29. This map, revealing a breakdown of infections by neighborhood, was pulled from a data package leaked to the Vancouver Sun last week (and independently verified).
36 Abbotsford schools flagged for COVID-19 exposures in the last 2 weeks, shattering record

Clearbrook Elementary recorded an ‘exposure’ on all 11 school days

Canada’s chief public health officer is reminding Canadians even those who are fully vaccinated are not immune from transmitting the COVID-19. THE CANADIAN PRESS/Adrian Wyld
Canada’s top doctor warns full vaccination does not equal full protection from COVID-19

Post-inoculation, Theresa Tam says the risk of asymptomatic infection and transmission is far lower but not obsolete

The dash cam footage, taken May 7 at 8:18 a.m. belonged to the driver of a southbound vehicle that recently travelled out of the tunnel. (Reddit/Screen grab)
VIDEO: Dash cam captures dramatic rollover crash on Highway 99

Only one person sustained injuries from the collision, says B.C. Ambulance Services

Chevy stranded on a ledge above a rocky canyon at Mimi Falls near Logan Lake, April 28, 2021. (Photo credit: Margot Wikjord)
Police officer and fire chief team up in risky rescue of stranded dog near Logan Lake

Chevy, a rescue dog, needed rescuing again after getting stuck on a ledge above rocky canyon

Most Read