Please be aware that outpatient appointments may be delayed due to the impacts of the COVID-19 surge. More info can be found here.

pregnant with covid header
During pregnancy, most people with COVID-19 will have a mild flu-like illness and it won’t cause problems for you or your baby, especially if you have been vaccinated.

This section also gives practical information for you and your whaanau on how to keep well during this time. You can also refer to our main Maternity pages for general pregnancy and maternity information and advice.

I’m pregnant and isolating at home with COVID-19, what happens now?

  • Your family doctor or health worker should call you within 24 hours of receiving your positive result. If they do not call you please call Healthline 0800 358 5453.
  • Your family doctor or health worker will ask you some questions and tell you what to look out for and how to look after yourself.
  • Your family doctor or health worker may give you some equipment (such as a pulse oximeter) to help check your COVID-19 symptoms.
  • Your midwife should have been told that you have COVID-19, but it is a good idea for you to contact your midwife and let them know.
  • Unless you become very unwell, your LMC midwife will continue to provide your pregnancy care. This may be by phone or video call.
  • Your midwife will refer you to a team at the hospital to get a plan for your care while you have COVID-19.
  • If you become very unwell with COVID-19 you will get extra care from the team at the hospital.

What are the symptoms of COVID-19?

Most people will have mild symptoms or no symptoms at all. When symptoms occur, they can include:

For most people symptoms usually, only last a few days. Unless your symptoms make you feel very ill you can usually stay at home and look after yourself.

If you are unsure if you have COVID-19 call the COVID-19 healthline for free on 0800 358 5453 for further advice.

What can I do (or take to manage my symptoms) look after myself at home?

You can do simple things to help yourself:

  • Soothing drinks (honey and lemon), warm tea, lemon in hot water for cough or sore throat
  • Cool showers, a fan, cool face washers for fever
  • Steamy showers for a blocked nose
  • Always check with your midwife, family doctor, or health worker before taking any medicine when pregnant, even if you have COVID-19
  • Paracetamol (also known as Panadol) is safe to take for fever, headaches, or muscle aches

Be careful to follow the instructions on the packet

  • Do not take Ibuprofen (also known as Nurofen or Brufen) as this may harm your unborn baby. Many products may contain this, so read all the contents before taking anything sold to help with colds, fevers, and blocked noses
  • Rest as much as possible but do some gentle walking around the house every 2- 4 hours during the day
  • Drink lots of fluids (water, tea, juice, soups) but don’t have too many sugary drinks

Check and record your symptoms THREE times a day

Click on the link: How to monitor your COVID-19 symptoms and when to seek medical advice - Ministry of Health video

  If you have no symptoms or your symptoms are mild continue to check THREE times a day Call your GP or healthcare team Call 111 for an ambulance Call your midwife or the Birthing & Assessment Unit at Middlemore Hospital - (09) 276 0262
 Breathing You should be breathing comfortably If your breathing is becoming more difficult If you have severe breathing problems or severe chest pains

If you:

  • Have tummy pain, cramps or contractions
  • Have vaginal bleeding
  • Are concerned that your baby's movements are less than usual
  • Have sudden puffiness in the face
  • Have ongoing headaches
  • Have blurred vision
  • Have pain under your ribs or the right side
  
Oxygen level % (if you are given a pulse oximeter Your oxygen level should be 95-100% If your oxygen level is 92-94% If your oxygen level is below 92%
 Heart rate Your heart rate should be less than or equal to 100 beats per minute If your heart rate is 100-119 beats per minute

 If your oxygen level is below 92%

Temperature Your temperature should be less than or equal to 38 degrees If your temperature is greater than 38.5 degrees even if you have had Paracetamol  
Other symptoms  

Your symptoms are getting worse
You start getting better and then get worse
You have symptoms of severe dehydration such as:

  • a very dry mouth
  • passing only a little urine (pee)
  • feeling very light-headed

If you are very confused or not thinking clearly

If you feel faint or pass out (lose consciousness)

Some useful links:

Examples of diaries you can download or you can make your own dairy:

Depending on your symptoms, you may be given a pulse oximeter

 

After you have recovered

  • After you have recovered from COVID-19 and have finished isolation your midwife will continue to provide your regular check ups before and after your baby is born.
  • If you had mild or no symptoms, you will be offered an extra scan at around 37-38 weeks to check the growth of your baby. Sometimes having COVID-19 can affect your baby’s growth
  • If you were very unwell with COVID-19 in pregnancy you may have a new plan of care until your baby is born. Your midwife will let you know about any changes in your pregnancy care.

Vaccination after your recovery

What happens if I need to have my baby while I am still in isolation?

  • If you are expecting that your midwife will care for you when you have your baby, please call your
    midwife before you go to the hospital.
  • If you are expecting that a midwife from the hospital will care for you when you have your baby, please
    call (09) 276 0262 for the Birthing and Assessment Unit.
  • You will be able to bring one support person with you when you are in labour.
  • Make sure your support person does not have any COVID-19 symptoms.
  • Tell your support person that they will need to wear a mask.
  • If you are both well, you and your baby will stay together and can have skin to skin.
  • After you have had your baby, we will do our best to make sure a member of your whaanau can be
    with you while you are in hospital.

Click here for information about our visiting policy

Will my baby get COVID-19?

If your baby catches Covid, it is likely that your baby will be mildly unwell or have no symptoms.

To help protect your baby from catching COVID-19:

  • Make sure that you wash your hands with soap and water for 20 seconds before you touch your
    baby.
  • Wear a mask when closer than 2 metres from your baby.
  • Wear a mask for 10 days from when you started to have symptoms.
  • If you are worried that your baby is unwell contact your midwife or family doctor for advice.
  • Click here to find some useful information about breastfeeding and caring for your newborn if you have COVID-19

Can I breastfeed if I have COVID-19?

  • Breastfeeding your baby is recommended if you have COVID-19
  • There are antibodies in your breast milk that will protect your baby from COVID-19
  • You can get breastfeeding and infant feeding support from your LMC Midwife and also Te Rito Ora on 0800 HelpBF ( 0800 435723)

Click here to watch a short video about vaccination, pregnancy and breastfeeding. 

Feeling anxious and stressed about COVID-19?

It is completely normal to feel a wide range of emotions, including being worried, anxious, upset or stressed about COVID-19.

You can talk to your midwife, family doctor, or health worker

If you feel very worried or upset and want to talk to someone you can call 0800 111 757 or text 4202 for free, anytime to speak to a trained counselor for free, 24 hours a day, 7 days a week

Here are some helpful resources to help you look after your mental health if you have COVID-19:

Useful Counties Manukau Health Phone Numbers:

  • Healthline - COVID-19 0800 358 5453
  • Middlemore Hospital Birthing and Assessment - (09) 276 0262
  • Middlemore Hospital Community Midwives: Clerk 7 days 8am-4:30pm - (09) 276 0049
  • Middlemore Obstetric Appointments: Monday to Friday 8am-4:30pm - (09) 276 0187
  • Botany Downs Birthing Unit: 24 hours 09) 259 5032
  • Papakura Birthing Unit: 24 hours (09) 299 9102
  • Pukekohe Birthing Unit 24 hours (09) 237 0640
  • Plunket Line Freephone 0800 933 922
  • Healthline Freephone  0800 611 116

Click here to download a copy of the resource "You're pregnant with COVID" (PDF, 296 KB)

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