Impact of SARS-CoV-2 on the clinical outcomes and placental pathology of pregnant women and their infants: A systematic review.

COVID-19 Neonates Placenta diseases Placental pathology Pregnant women SARS-CoV-2

Journal

Heliyon
ISSN: 2405-8440
Titre abrégé: Heliyon
Pays: England
ID NLM: 101672560

Informations de publication

Date de publication:
Mar 2021
Historique:
received: 18 09 2020
revised: 18 11 2020
accepted: 25 02 2021
entrez: 10 3 2021
pubmed: 11 3 2021
medline: 11 3 2021
Statut: ppublish

Résumé

Pregnant women are susceptible to viral infections due to physiological changes such as cell-mediated immunity. No severe adverse pregnancy or neonatal outcomes have been consistently reported in 2019 novel coronavirus disease (COVID-19) positive pregnancy cases. There are controversies around the role of COVID-19 in pregnancy. A systematic review was conducted to examine clinical maternal and neonatal clinical outcomes. Studies were included if they reported SARS-CoV-2 infection among pregnant women and/or COVID-19 positive neonates as validated by positive antibody testing or viral testing using polymerase chain reaction. Case series, case reports, case-control studies, and comparative studies were included. Eight hundred and thirty-seven records were identified, resulting in 525 records for level I screening. Forty-one were included after full-text review. Results suggest elevated rates of intensive care unit (ICU) admission, gestational diabetes, preeclampsia, C-sections, pre-term birth, and C-reactive protein (CRP) in comparison to pregnant women without SARS-CoV-2. Careful monitoring of pregnancies with SARS-CoV-2 is recommended.

Identifiants

pubmed: 33688585
doi: 10.1016/j.heliyon.2021.e06393
pii: S2405-8440(21)00498-9
pmc: PMC7923950
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

e06393

Informations de copyright

© 2021 The Authors.

Déclaration de conflit d'intérêts

The authors declare no conflict of interest.

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Auteurs

Irina Oltean (I)

Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, K1H 8L1, Canada.

Jason Tran (J)

Department of Medicine, University of Ottawa, Ottawa, Ontario, K1H 8M5 Canada.

Sarah Lawrence (S)

Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, K1H 8L1, Canada.
Department of Medicine, University of Ottawa, Ottawa, Ontario, K1H 8M5 Canada.
Department of Pediatrics, Children's Hospital of Eastern Ontario, Ottawa, Ontario, K1H 8L1, Canada.

Brittany Ann Ruschkowski (BA)

Department of Medicine, University of Ottawa, Ottawa, Ontario, K1H 8M5 Canada.

Na Zeng (N)

Department of Medicine, University of Ottawa, Ottawa, Ontario, K1H 8M5 Canada.

Cameron Bardwell (C)

Department of Medicine, University of Ottawa, Ottawa, Ontario, K1H 8M5 Canada.

Youssef Nasr (Y)

Department of Medicine, University of Ottawa, Ottawa, Ontario, K1H 8M5 Canada.

Joseph de Nanassy (J)

Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, K1H 8L1, Canada.
Department of Medicine, University of Ottawa, Ottawa, Ontario, K1H 8M5 Canada.
Department of Pathology, Children's Hospital of Eastern Ontario, Ottawa, Ontario, K1H 8L1, Canada.

Dina El Demellawy (D)

Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, K1H 8L1, Canada.
Department of Medicine, University of Ottawa, Ottawa, Ontario, K1H 8M5 Canada.
Department of Pathology, Children's Hospital of Eastern Ontario, Ottawa, Ontario, K1H 8L1, Canada.

Classifications MeSH