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report about Covid-19 getting to placenta
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Anonymous
I want to believe this because I am an older patient doing an FET but I was shocked that NO ONE screened me during my pre-appointment correspondence and much more worrisome during my in-person appointment. This is a big red flag! |
Anonymous
I'll also add that the monographer said (and I quote!) "It's perfectly safe to be pregnant right now." Uhh... it's never 100% safe but ok... I know she meant to be reassuring and probably meant there is no evidence we need to be concerned right now but it was bizarre. |
Anonymous
*sonographer |
Anonymous
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7:55
They are in need of the consultation billing apparently. It's not hysteria to find this approach to ads and social media and pushing for consults is gross. Do no harm. |
Anonymous
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It would be even worse if the REs are not educating the sonographers and others communicating with patients regarding risks. The REs need to be frank with women about the risks of pregnancy at this time.
Any OB-GYN doing preconception counseling should do the same. The problem with most pregnancies is that there is no consultation with a doctor beforehand. But when a doctor is consulted, they need to provide the information available regarding risks. If they are not, or those in their practice are not, at every stage from social media ads to pre-appointment screening, that is unethical. |
Anonymous
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More coverage of late miscarriage and stillbirth. Are REs discussing this?
https://www.cnbc.com/2020/05/01/second-trimester-miscarriage-attributed-to-a-coronavirus-infection-of-placenta.html?__source=sharebar&fbclid=IwAR0iQviVVYvDLGTMb5tRnzrzOl1Ufd3CKxjDsMjJN6YhTCOlUUWSQ3mFIaM |
Anonymous
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Northwestern study showing the placenta is affected by Covid
A study conducted by researchers at Northwestern University, Chicago, has found that the placentas of pregnant women who were infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) showed abnormalities, compared with those of uninfected women. The placentas had more features of maternal vascular malperfusion (MVM), a recognized pattern of damage to the placenta that is associated with adverse pregnancy outcomes. https://www.news-medical.net/news/20200513/Placentas-of-pregnant-women-with-COVID-19-showed-abnormalities.aspx |
Anonymous
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I think it’s important to stay alert, but keep in mind the jama letter says: “Limitations include the single case and that other causes of miscarriage, such as spontaneous preterm birth, cervical insufficiency, or undetected systemic or local bacterial infection, cannot be ruled out.”
No need to fuel anxiety, just stay alert and read attentively. |
Anonymous
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An OB I know at Penn Medicine told me they have experienced IUFDs among covid+ people due to problems with the placenta (they think its similar mechanism that is causing stroke and blood clots in non-pregnant covid patients). They are studying the issue; so far it still a small # of patients but a worrisome rate.
Covid is an emerging disease; we dont know all the problems it will cause. I am pregnant, 3rd tri and keeping a v. strict quarantine. I hope everyone stays as safe as they can. |
Anonymous
No, I don’t. This is a public form. And it’s not rude to point out to someone their excessive and irrational level of anxiety. I’m pregnant and likely was exposed already to COVID and probably already got it from my 3 year old who had several serious flu like illnesses in my first trimester. But you know what? I have to live my life. Am I freaking out about this? No, I’m not. I have far more of a reason to be concerned than the Op. But you know what? Kids choke to death every day on food. I still eat and I still feed my family even though we could each choke to death from eating. There’s literally risk in everything. Nothing is ever, ever without risk. One case of one woman whose placenta tested showed transmission of COVID is ONE person. It doesn’t mean Shady Grove’s REs are lying to you. The reason it sounds like the woman lost her baby was preeclampsia anyway. Excessively speculating and drumming up every study you can find in an uncertain time will not give you certainty. It will just drive you crazy and fuel your anxiety. Accept the uncertainty—it’s the only healthy way to live right now. |
Anonymous
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The point of this thread is not for PP to make absurd guess about anxiety levels in other people. Rather, it is to discuss the reports linked above in the thread and to discuss whether REs and clinics are informing patients, including potential patients, of these developments.
Every patient should receive all of this information. It should be publicly discussed. It should also be discussed by clinics in their social media posts. Why aren't they doing that? I can guess it is because they are not prioritizing respect for the patient. Individuals have different risk thresholds. Whatever your comfort level with risk is, these reports are SERIOUS. ASRM cited the case reports in its guidance that doctors move ahead with carefully managed and informed return to care. If patients decide to wait because of these reports, that is their right to choose that. If clinics withhold information or take actions to hide it does not help PATIENTS who deserve to know. |
Anonymous
| This is the most incoherent thread here. OP seems to have posted a poorly researched study and is trying to get people agitated about it. I can’t tell who is arguing and posting about what or what anyone is trying to accomplish. Also, if it’s about a PLACENTA, it’s not about infertility, it’s about an existing pregnancy. This hardly seems the right forum to be debating risks to pregnancy among women who have been desperately trying to get pregnant. |
Anonymous
Please list the REs that are not sharing this info. Mine had me sign a waiver form listing the risks and unknowns. They also rarely post on social media about anything. |
Anonymous
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It is also important to note that the links above refer to different case reports from different countries and the link from Northwestern is another study entirely.
It is not one random case. It is not a case where there needs to be further "testing" of this. That can't be done. Yale scientists' pathological study linked above showed clearly that COVID-19 gets to part of the placenta. The damage can result in late-term miscarriage or stillbirth, or lead to a decision for late-term termination. This is very serious. |
Anonymous
| The ASRM guidance [for IVF doctors, thus this thread] refers to these studies in discussing known risks of resuming ART treatment during this pandemic. |