Document Type
Article
Publication Date
12-1-2021
Abstract
Objective:To define the symptomatology of SARS-CoV-2 infection in pregnancy and associations between occupation, sociodemographic factors, and comorbidities with the severity of COVID-19 disease in pregnancy in all trimesters, regardless of hospitalization.Methods:We studied a retrospective cohort of a public health surveillance sample of persons with COVID-19 infection diagnosed during pregnancy. Data was collected March 2020 to August 2020 regarding symptoms, disease severity, comorbidities, obstetric history, and occupation.Results:One hundred sixty-three individuals were identified. Constitutional (64%) and lower respiratory symptoms (61%) were most common. Seventeen individuals (13.6%) were hospitalized, and one person (0.7%) died due to COVID-19. Risk factors for severe disease were age and an occupation that had high intensity exposure to people.Conclusions:Occupational exposure is a risk factor for severe COVID-19 disease in pregnancy, justifying policy measures to ensure protection of this vulnerable population.
Keywords
COVID-19, health personnel, occupation, pregnancy, SARS-CoV-2, symptomatology
Language
English
Publication Title
Journal of Occupational and Environmental Medicine
Rights
© 2021 The Author(s). This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/BY-NC-ND/4.0/), which permits non-commercial copying and redistribution of the material in any medium or format, provided the original work is not changed in any way and is properly cited.
Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.
Recommended Citation
Miracle, Jill E. MD, MPH; Ganesh, Prakash R. MD, MPH; Rose, Johnie MD, PhD; Terebuh, Pauline MD, MPH; Stange, Kurt C. MD, PhD; Wolfe, Honor M. MD; Szabo, Andrea BS; Gullett, Heidi MD, MPH; Pope, Rachel MD, MPH. COVID-19 in Pregnancy: Occupations With Higher Density of Population Exposure Associated With More Severe Disease. Journal of Occupational and Environmental Medicine 63(12):p 1024-1028, December 2021. | DOI: 10.1097/JOM.0000000000002374
Manuscript Version
Final Publisher Version