Placenta, the Key Witness of COVID-19 Infection in Premature Births.

COVID-19 SARS-CoV-2 placenta preterm birth

Journal

Diagnostics (Basel, Switzerland)
ISSN: 2075-4418
Titre abrégé: Diagnostics (Basel)
Pays: Switzerland
ID NLM: 101658402

Informations de publication

Date de publication:
26 Sep 2022
Historique:
received: 31 08 2022
revised: 22 09 2022
accepted: 23 09 2022
entrez: 27 10 2022
pubmed: 28 10 2022
medline: 28 10 2022
Statut: epublish

Résumé

Adverse perinatal outcomes, such as increased risks of pre-eclampsia, miscarriage, premature birth, and stillbirth have been reported in SARS-CoV-2 infection. For a better understanding of COVID-19 complications in pregnancy, histopathological changes in the placenta, which is the interface between mother and foetus, could be the place to look at. The aim of this study was to determine placental histopathological changes and their role in preterm birth in pregnant women with SARS-CoV-2 infection. We performed a prospective, observational study in a COVID-only hospital, which included 39 pregnant women with SARS-CoV-2 infection and preterm birth compared with a control group of 39 women COVID-19 negative with preterm birth and a placental pathology exam available. The microscopic examination of all placentas revealed placental infarction (64.1% vs. 30.8%), decidual arteriopathy (66.7% vs. 23.1%), intervillous thrombi (53.8% vs. 38.5%), perivillous fibrin deposits (59% vs. 46.2%), inflammatory infiltrate (69.2% vs. 46.2%), chorangiosis (17.9% vs. 10.3%), and accelerated maturation of the villi (23.1% vs. 28.2%).

Identifiants

pubmed: 36292012
pii: diagnostics12102323
doi: 10.3390/diagnostics12102323
pmc: PMC9600231
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Tina-Ioana Bobei (TI)

Department PhD, IOSUD, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Department of Obstetrics and Gynecology, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania.

Romina-Marina Sima (RM)

Department of Obstetrics and Gynecology, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania.
"Bucur" Maternity, Saint John Hospital, 012361 Bucharest, Romania.

Gabriel-Petre Gorecki (GP)

"Bucur" Maternity, Saint John Hospital, 012361 Bucharest, Romania.
Faculty of Medicine, Titu Maiorescu University, 040441 Bucharest, Romania.

Mircea-Octavian Poenaru (MO)

Department of Obstetrics and Gynecology, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania.
"Bucur" Maternity, Saint John Hospital, 012361 Bucharest, Romania.

Octavian-Gabriel Olaru (OG)

Department of Obstetrics and Gynecology, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania.
"Bucur" Maternity, Saint John Hospital, 012361 Bucharest, Romania.

Anca Bobirca (A)

Department of Internal Medicine and Rheumatology, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania.

Catalin Cirstoveanu (C)

Department of Pediatrics, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Pediatrics Department, "Maria Sklodowska Curie" Emergency Children Clinical Hospital, 041451 Bucharest, Romania.

Radu Chicea (R)

Faculty of Medicine, "Lucian Blaga" University of Sibiu, 550024 Sibiu, Romania.

Oana-Maria Topirceanu-Andreoiu (OM)

OncoTeam Diagnostic, 010719 Bucharest, Romania.

Liana Ples (L)

Department of Obstetrics and Gynecology, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania.
"Bucur" Maternity, Saint John Hospital, 012361 Bucharest, Romania.

Classifications MeSH