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Direct and indirect effects of COVID-19 on perinatal outcomes in low- and middle-income countries.

Felisita Tupou RatuKathleen RyanNetsanet Workneh GidiIlisapeci VeretiTsinuel GirmaJeremy OatsIngrid BucensAlexandra RobinsonClaire von MollendorfFiona M Russell
Published in: Gates open research (2021)
Similar to previous outbreaks, the coronavirus disease 2019 (COVID-19) pandemic will have both direct and indirect effects on perinatal outcomes, especially in low- and middle-income countries. Limited data on the direct impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection during pregnancy shows women who are Black, obese and with co-morbidities are at higher risk of hospitalisation due to COVID-19. Younger age groups in Africa and South Asia have shown increased COVID-19 mortality. Indigenous pregnant women in Pacific Island countries are likely to be high risk for severe outcomes from COVID-19 due to high rates of diabetes and obesity. It is important to involve pregnant women in research, especially with regards to vaccine development and therapeutics.
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