The effects of COVID-19 on pregnancy and implications for reproductive medicine

COVID-19 during pregnancy is associated with adverse maternal and obstetrical outcomes.

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VOLUME 115, ISSUE 4, P824-830


Naima T. Joseph, M.D., M.P.H., Sonja A. Rasmussen, M.D., M.S., Denise J. Jamieson, M.D., M.P.H. 


COVID-19 was officially declared a pandemic in March 2020. Since then, our understanding of its effects on pregnancy have evolved rapidly. Emerging surveillance data and large cohort studies suggest that pregnancy is associated with an increased risk of intensive care unit hospitalization, invasive ventilation, and death. Pregnancies complicated by SARS-CoV-2 infection are associated with increased likelihood of cesarean delivery and preterm birth. Intrauterine transmission occurs, but seems to be rare. Critical gaps remain, and rigorous high-quality data are needed to better ascertain pregnancy risks and to inform antenatal and obstetrical management.

Fertility and Sterility

Editorial Office, American Society for Reproductive Medicine

Fertility and Sterility® is an international journal for obstetricians, gynecologists, reproductive endocrinologists, urologists, basic scientists and others who treat and investigate problems of infertility and human reproductive disorders.