08 April 2021

Navigating pregnancy during the COVID-19 pandemic

Pregnancy is a special time full of excitement and anticipation. But for many expectant mothers, the COVID-19 pandemic has clouded this time with fear, anxiety and uncertainty.  To help women navigate this time, we spoke to experts about pregnancy and COVID-19 vaccines and tips on how to have a  safe pregnancy during the COVID-19 pandemic .  , Pregnancy and COVID-19 vaccines, The development of safe and effective COVID-19 vaccines is a huge step forward in our global effort to end the pandemic and to get back to doing more of the things we enjoy with the people we love. Here are the answers to come commonly asked questions about pregnancy and COVID-19 vaccines.  , Should I get the COVID-19 vaccine if I’m pregnant?, Although the overall risk of severe illness from COVID-19 remains low, pregnancy puts you at higher risk of severe illness compared to people who are not pregnant. Research is still ongoing to understand the safety and effects of COVID-19 vaccination in pregnant women, but there is no known reason that would outweigh the benefits of vaccination…, Can COVID-19 vaccines affect fertility?, No, you may have seen false claims on social media, but there is no evidence that any vaccine, including COVID-19 vaccines, can affect fertility in women or men. If you are currently trying to become pregnant, you do not need to avoid pregnancy after receiving a COVID-19 vaccine.  , Should I get the COVID-19 vaccine if I’m breastfeeding?, Researchers are currently studying COVID-19 vaccination in breastfeeding women, but there is still limited information at this time. WHO advises that vaccinations are offered if a lactating woman is part of a priority group for vaccinations, for example if you are a health worker. Breastfeeding can continue after vaccination and remains one of the…, Having a safe pregnancy during the COVID-19 pandemic, To learn more about how women can protect themselves and their little one, we spoke with Franka Cadée, President of the International Confederation of Midwives. COVID-19 is a new virus and research into it is ongoing. We will update this article as new information becomes available.  , Is it safe to continue prenatal check-ups?, Many expectant mothers are fearful of going to appointments while they are taking precautions, such as staying home and practicing physical distancing when outside. “You do see a lot of adaptation happening at the moment in the world where midwives are doing clinics or certain appointments by phone, so that the actual looking at the baby and the…, If I have COVID-19 will I pass it to my baby?, We still do not know if the virus can be transmitted from a mother to her baby during pregnancy. “The COVID-19 virus has not been found in vaginal fluid, in cord blood or breastmilk,” says Cadée, although information is still emerging. To date, COVID-19 has also not been detected in amniotic fluid or the placenta. The best thing you can do is to…, I was planning on giving birth in a hospital or healthcare clinic. Is this still a good option?, “Women should ask their midwife [or health care professional] what they feel is the safest place for them and how precautions are being taken from situation to situation,” recommends Cadée. “It depends on the woman, on her situation and on the healthcare system.”  “You would hope that most healthcare facilities have different facilities where…, Can my partner or family member be nearby when I give birth?, While policies vary by country, Cadée believes women should have someone nearby to support them, as long as the proper precautions are taken, such as wearing a mask while in the delivery room and washing their hands. “We are finding that in certain countries people are not being allowed to be with women, and that is worrying me. I can understand…, I’m feeling incredibly anxious about giving birth. What should I do to cope?, Having a plan in place for your birth can help ease feelings of anxiety by giving you more of a sense of control, but recognizing that the current situation means there may be less predictability depending where you live. “This should include who to phone when the labour begins, who will provide support during labour and where. Establish what…, What questions should I be asking my healthcare professional?, Cadée underlines the importance of establishing a trusting relationship with your healthcare provider. “All of those questions that have to do with you and your health, I would ask them freely. If you have an open relationship with your healthcare provider – with your midwife, with your obstetrician – they will discuss these things with you and…, What should women pack to go into hospital during the pandemic?, “I don’t think women need to take anything extra, but they should take precautions well into account,” advises Cadée. She expects some hospitals may ask women to go home more quickly than normal if they’re healthy. “Again, that will be different from area to area, from woman to woman, from hospital to hospital,” she says, recommending expecting…, Once I have given birth, what can I do to protect my newborn from the COVID-19 virus?, The best thing you can do is to keep it simple: stick to just your family and don’t ask for visitors right now.  Although it’s a difficult time, Cadée recommends trying to see the positive side of having this time to bond as a family. “Sometimes it can be very busy for young mothers and fathers to have so many visitors. Enjoy the quietness of your…, I am an expecting mother. What should I be doing to keep myself safe during the COVID-19 virus outbreak?, As far as the research shows, pregnant women are not at a higher risk of contracting the COVID-19 virus than any other group of people. That being said, due to changes in their bodies and immune systems, pregnant women in the last months of pregnancy can by badly affected by some respiratory infections, and so it’s important to take precautions. “…, Can I safely breastfeed my baby?, “As far as we know, it is perfectly safe to continue breastfeeding. It's the best thing a mother can do for her baby," says Cadée. Transmission of active COVID-19 (virus that can cause infection) through breast milk and breastfeeding has not been detected to date. If you suspect you may have the COVID-19 virus, it is important to seek medical care…, What should I do if I live in a crowded space?, Many women around the world live in close proximity to lots of other people, making physical distancing much more challenging. In such places, “I would really ask the whole community to take care of their pregnant women,” urges Cadée. She recommends that people keep their distance from pregnant women as much as possible and that certain toilets be…
18 July 2019

Our goals for children

Action for children, UNICEF works for and with children and young people across 21 countries and territories in Europe and Central Asia (ECA). This is a Region with resources to meet the needs of every citizen. Yet, too often, the poorest children –those living with disabilities, those who are refugees and migrants, and those from ethnic minorities – are left behind.…, Thriving, Every child learns, Learning, Every child is protected, Protecting, Every child has a chance, Participating, Thriving, for every child, good health Priority goal By 2021: Every country in the Region has 95 per cent of its children at national level, and at least 80 per cent in every district, vaccinated with diphtheria-tetanus-pertussis (DTP 3) or the Penta vaccine, which protects children against diphtheria, tetanus, pertussis (whooping cough), hepatitis B and…, The facts, Half of all deaths among children under the age of five in the Region occur in the first month of life. 400,000 children under the age of one have not received the recommended three doses of DTP vaccine, and immunization rates are falling because of system failures and vaccine hesitancy. Less than 30 per cent of Roma children are fully immunized…, UNICEF in action, We help governments strengthen their health systems, including the skills of health workers, while mobilizing public demand for good health care. We help governments transform care for newborns so they have the healthiest start in life. We help governments procure vaccines and support national immunization campaigns to tackle outbreaks and…, Learning, for every child, a quality education Priority goal By 2021, 700,000 girls and boys who would have otherwise been out of school are enrolled in high quality, inclusive pre-primary, primary and secondary education. SDG 4 (quality education for all) target 4.1: By 2030, ensure that all girls and boys complete free, equitable and quality primary and…, The facts, 5.8 million children and adolescents, typically aged 5 to 17, are out of school across the Region. Only 60 per cent of children, typically aged 3 to 5, are enrolled in pre-primary schooling. Of the estimated 5.1 million children with disabilities in the Region, only 1.5 million are registered as having a disability, and only 15 per cent of these…, UNICEF in action, We work with partners to expand access to quality pre-schooling so that all children arriving at primary school are ready to make the most of their education . We aim to make all schools inclusive, helping to increase the number of children and adolescents with disabilities who attend regular schools. We support monitoring to identify children who…, Protecting, for every child, safety from harm Priority goal By 2021, zero children in institutional care in the Region. SDG 16 (peace, justice and strong institutions) target 16.2: end abuse, exploitation, trafficking and all forms of violence against and torture of children.   Jeta, 24, and Fabliona, age 4, play in a park in Tirana UNICEF/UN0220726/…, The facts, Around 664,000 children in the Region are growing up in institutional care - this is more than five times higher than the global average. Around 50 per cent of the children and adolescents in institutional care in the Region are living with disabilities. Most unaccompanied migrant and refugee children are hosted in sub-standard reception…, UNICEF in action, We work with governments to prevent family separation , support outreach to vulnerable families to catch problems before they escalate, and develop community-based services to address the complex needs of children and families. We help governments to systematically increase the number of qualified professional social workers and expand services…, Participating, for every child, a voice Priority goal By 2021, 20 million adolescents in the Region, including the most vulnerable, have a chance to be connected, engaged and empowered. SDG 16 (peace, justice and strong institutions) target 16.7: ensure responsive, inclusive, participatory and representative decision-making at all levels.   On 29 June 2016,…, The facts, 2.7 million adolescents of lower and upper secondary age are not in school, with those who feel unwelcome and excluded most likely to drop out. In Bulgaria and Romania, over 70 per cent of young people, aged 16 to 30, say they feel excluded from economic, social and democratic life. In Ukraine, only around half of all girls and boys, aged 15, see…, UNICEF in action, We support the creation of legislation, policies, partnerships and programmes that recognize adolescents as one of the Region’s greatest assets. We work to shift attitudes and social norms that under-value adolescents, aiming to amplify their voices and their influence. We help to build the skills, confidence and abilities of adolescents so that…