2. No conflict of interest
• This slide was prepared for the Webinar Demystifying the
COVID-19 Vaccine Booster on 8th Dec 2021, by Dr. Muniswaran
Ganeshan, Maternal Fetal Medicine Consultant, Women and
Children’s Kuala Lumpur Hospital, Malaysia.
•This is intended to share within healthcare professionals, not for
public.
•Kindly acknowledge “Clinical Updates in COVID-19
http://www.nih.gov.my/covid-19” should you plan to share the
information obtained from this slide with your colleagues.
7. COVID 19 statistics (31st
November 2021)
US
148,327
screened
positive
241 deaths 0.016%
UK 3371
symptomatic
14 deaths 0.4%
Malaysia
14,491
screened
positive
184 deaths 1.27%
8.
9.
10.
11. Living systematic review
Covid-19 pregnant vs non pregnant women
Mortality
ICU admissions
Stillbirth
Neonatal death
NICU admissions
Fetal distress
C
O
V
I
D
Mothers
12.
13. Systematic reviews
& pregnancy outcomes
Oxygen support
Mechanical ventilation
Caesarean section
Preterm delivery
Fetal distress
C
O
V
I
D
Mothers
25. COVID 19 & Pregnancy
Pregnant mothers
are vulnerable
1 in 7 mothers
needed ICU
admissions
Risk of ventilation &
death is increased in
pregnancy
Fetal risk
Preterm, stillbirth,
neonatal death,
caesarean section
Risk of transmission
to fetus – 1-2%
27. The Malaysian Experience
Medical & non medical frontlines
(Pregnant & Breastfeeding)
February – April 2021
High risk pregnancies
April- August 2021
All pregnant mothers
August 2021
Booster
All pregnant mothers
28. V safe pregnancy registry US
Total
vaccinated
177,736
Enrolled
6,685
29. V safe pregnancy registry US
Total
vaccinated
177,736
Enrolled
6,685
Malaysia
176,761 till 30th
November 2021
64. Summary
Fear COVID-19, not the vaccine
No evidence does not mean it is unsafe
Appreciate physiological adaptations in pregnancy
Science of probability
mRNA vaccines are safe
Be holistic, not fetal centric
65. Women don’t die
because of illness that
we cannot treat.
They die because
society still hasn’t
decided that their lives
are worth saving
Prof Mahmoud Fathalla