Thinking of trying for a baby during COVID?

posted by: Jonathan Shaw

Many people are currently considering planning for a pregnancy, but are unsure what the risks are. We can share what we know so far.

What are the risks associated with Covid-19 in pregnancy?

Unfortunately little is known about Covid-19 in pregnancy. The Royal College of Obstetricians and Gynaecologists currently advises (on 22/05/20) that pregnant women appear to be no more likely than everyone else to catch COVID.

Pregnancy does alter how the body reacts to infections. So far we have seen that most pregnant women with Covid-19 are expected to have mild symptoms (or none). However a small number (particularly those in the last 3 months of pregnancy) may have more severe symptoms with Covid-19.

Current expert opinion, based on experience with other coronaviruses as well as limited experience with Covid-19, is that your baby is unlikely to be infected with Covid-19 whilst in the womb. There also is not likely to be an increased risk of miscarriage or damage to the baby if you catch COVID, although the risk of early (premature) delivery is not known.

So what is the current advice?

At present anybody who is pregnant, particularly those over 6 months pregnant, are advised that social distancing is especially important. However it is also essential to attend routine antenatal appointments.

Please call your midwife if you are pregnant and worried about going in to your clinic appointments. They can talk you through how the clinics are keeping people as safe as possible.

Are you thinking of stopping contraception to plan a pregnancy at this time?

Covid-19 is likely to remain a problem for many months. Very little is known for certain at this time about the risks associated with Covid-19 for pregnant women and their babies. We are learning all the time and advice for pregnant women could change frequently.

It remains important (as always) to be as healthy as possible before and during pregnancy including stopping smoking and for your doctor to look at your medicines to see if they will affect pregnancy. It is also important to take folic acid before you stop contraception to try for a baby. More advice can be found here.

To have an implant or a coil removed you’ll need to come to clinic to see a trained healthcare professional. You should consider your risk of coming into contact with Covid-19 at this time. At the time of writing, non-essential contact between healthcare professionals and patients should be avoided to maintain social distancing. We would recommend contacting our triage line if you want to discuss this [link].

How long until its safe to try?

The Faculty of Sexual and Reproductive Healthcare (FSRH) suggests that this may not be the best time to plan for a pregnancy. There is still not enough known about the effects of Covid-19 infection on a pregnancy. Also if you are pregnant you will have more contact with healthcare workers but this may increase your risk of catching Covid-19.

Please keep an eye on our website and on your news channels for more updates as we learn more about Covid-19.

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Accessing our service during the COVID pandemic

How to access our service:

We have now implemented a telephone triage system for all of our clinics. This system will be in place for the duration of the pandemic. Please contact our services to access this triage system. Our central telephone number is 0300 303 3989.

If you are experiencing symptoms of Coronavirus please do not attend the clinic. Clear advice for people with symptoms of coronavirus is available at nhs.uk/coronavirus .

Advice from our service:

We have updated information on the provision of routine contraception during this pandemic here.

We are currently prioritising these groups for coil and implant (LARC) fits:

  • Those with vulnerabilities including but not limited to those who are: <18, attending abortion and maternity services, homeless, sex workers, victims of sexual assault, people with language barriers, drug and alcohol problems, learning disability, serious mental illness
  • Those aged <30 years

More details on LARC fittings at our service are found here

There is also specific advice on coronavirus available for People Living with HIV here, and for pregnant women here

Self-requested Sexual Health screening by post is available for for under 25s only - more info here

For others with testing requirements please contact the service on 0300 303 3989.

Information is now also available to advise on sexual contact during a time of social distancing here.

Alternative provision:

Please be aware that we may have to cancel, rearrange or shut clinical services in response to changing clinical and staffing pressures created by the Coronavirus pandemic. 

If you are struggling to access sexual health services, alternatives may be available:

  • Emergency Contraception - at your local pharmacy - more info
  • Contraceptive pills and LARC procedures - obtained from your GP
  • HIV postal testing - available to at-risk groups for a small fee -  more info
  • HIV PEPSE - available via A+E departments - more info
  • Condoms by post (for gay and bisexual men only) - more info