Alaszewski A, Brown P. Making health policy: a critical introduction.Cambridge: Polity Press; 2012

Alaszewski A, Burgess A. Risk, time and reason. Health, Risk & Society. 2007; 9:(4)349-358

Covid-19 and the UK's maternity services. 2020. (accessed 6 July 2020)

Giving birth amid a pandemic in Belgium: the challenges faced by mothers and midwives. 2020. (accessed 4 September 2020)

BBC. ‘Don't Die of Ignorance’ Aids Campaign. 2016. (accessed 31 July 2020)

Birthright. Coronavirus. 2020. (accessed 6 July 2020)

Burgess A. The development of risk politics in the UK: Thatcher's ‘Remarkable’ but forgotten ‘Don't Die of Ignorance’ AIDS campaign. Health, Risk & Society. 2017; 19:(5-6)227-245

Cabinet Office. Staying alert and safe (social distancing). 2020. (accessed 15 June 2020)

Centers for Disease Control. Zika Virus. 2019. (accessed 15 June 2020)

Centers for Disease Control. Coronavirus Disease 2019 (Covid-19) People Who Are at Higher Risk for Severe Illness. 2020. (accessed 15 June 2020)

Dowie J. Communication for better decisions: Not about ‘risk’. Health, Risk & Society. 1999; 1:(1)41-53

Government of Canada. Coronavirus disease (COVID-19): Prevention and risks. 2020. (accessed 15 June 2020)

Human Rights in Childbirth. Human Rights Violations in Pregnancy, Birth and Postpartum during the COVID-19 Pandemic. 2020. (accessed 6 July 2020)

Prime Minister's statement on coronavirus (COVID-19): 16 March 2020. 2020. (accessed 20 September 2020)

Characteristics and outcomes of pregnant women admitted to hospital with confirmed SARS-CoV-2 infection in UK: national population based cohort study. 2020. (accessed 6 August 2020)

New mother dies of coronavirus six days after giving birth. 2020. (accessed 20 July 2020)

Royal College of Midwives. Updated advice for pregnant healthcare workers and employers during the coronavirus outbreak. 2020. (accessed 6 August 2020)

Royal College of Obstetricians and Gynaecologists, Royal College of Midwives. Coronavirus (COVID-19) Infection in pregnancy: information for healthcare professionals. 2020. (accessed 16 April 2020)

The Telegraph. 50 years of drink driving campaigns. 2020. (accessed 30 July 2020)

Pregnant nurse's death adds to concern among health workers. 2020a. (accessed 24 April 2020)

UK woman dies from coronavirus eight days after giving birth. 2020. (accessed 20 July 2020)

Covid-19 UK press briefing, Downing Street. 2020. (accessed 15 June 2020)

Should pregnant women be in a high-risk COVID-19 category?

02 October 2020
Volume 28 · Issue 10


In the early stages of the pandemic, pregnant women were categorised high risk in several countries and advised to take extra precautions. This article examines the effect of this categorisation.

As COVID-19 spread round the world in early 2020, most governments introduced lockdown measures to reduce social interactions and so reduce the transmission of the virus. In some countries, including the UK (Cabinet Office, 2020), USA (Centres for Disease Control [CDC], 2020), and Canada (Government of Canada 2020), pregnant women were included in a high or higher risk category and were advised to take extra measures to protect themselves and their unborn foetuses. This article will examine why pregnant women were included in this higher risk category and whether such categorisation was beneficial.

In the UK, the lockdown was announced at a press briefing by the Prime Minister on 16 March (Johnson, 2020). At this briefing, Professor Chris Witty (2020) the government's chief medical officer, justified the inclusion of pregnant women in the high-risk category in the following way: ‘there is no evidence from other coronaviruses that this is a particularly dangerous virus as, for example, the Zika virus was particularly dangerous to pregnant women, but infections and pregnancy is not a good combination in general and that is why we have taken a very precautionary measure, whilst we find out more’.

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