Prevalence and Risk Factors of SARS-CoV-2 Infection among Parturients and Newborns from Luanda, Angola

SARS-CoV-2 emerged in China in December 2019, creating a massive public health concern. Although previous studies have identified SARS-CoV-2 in pregnant women, the possibility of transmission to newborns remains uncertain. Herein, we investigated SARS-CoV-2 infection and risk factors among parturien...

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Autores principales: Cruz S. Sebastião, Paolo Parimbelli, Manuela Mendes, Euclides Sacomboio, Joana Morais, Jocelyne Neto de Vasconcelos, Miguel Brito
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Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/595d0ad97f8242068d2f7cc8b66aa023
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spelling oai:doaj.org-article:595d0ad97f8242068d2f7cc8b66aa0232021-11-25T18:38:42ZPrevalence and Risk Factors of SARS-CoV-2 Infection among Parturients and Newborns from Luanda, Angola10.3390/pathogens101114942076-0817https://doaj.org/article/595d0ad97f8242068d2f7cc8b66aa0232021-11-01T00:00:00Zhttps://www.mdpi.com/2076-0817/10/11/1494https://doaj.org/toc/2076-0817SARS-CoV-2 emerged in China in December 2019, creating a massive public health concern. Although previous studies have identified SARS-CoV-2 in pregnant women, the possibility of transmission to newborns remains uncertain. Herein, we investigated SARS-CoV-2 infection and risk factors among parturients and newborns. This was a cross-sectional study carried out with 3633 parturients from Luanda, Angola, between January and April 2021, with an age ranging from 13 to 48 years. SARS-CoV-2 infection of the parturients was further confirmed with RT-PCR after COVID-19 Ag Rapid Testing. About 0.4% of parturients tested positive on the day of delivery. Surprisingly, parturients from urbanized areas (OR: 0.18, <i>p</i> = 0.025) had a low chance of infection. None of the newborns tested positive in the first 24 h after birth, while one (9.1%, 1/10) of the newborns tested positive with pharyngeal swabs seven days after birth. However, whether the case was due to vertical transmission from mother to child remains to be confirmed. The mother’s residence, education level, antenatal follow-up, and delivery category were related to SARS-CoV-2 transmission (<i>p</i> < 0.05). Our findings showed a relatively low SARS-CoV-2 infection from parturients to newborns, regardless of the severity of the maternal disease. Furthermore, these findings are an early assessment of COVID-19 cases in late pregnancy, which could indicate the need for intensive management of SARS-CoV-2 infection among parturients in Angola. Further studies are needed on the consequences of SARS-CoV-2 among pregnant women and neonates from Angola.Cruz S. SebastiãoPaolo ParimbelliManuela MendesEuclides SacomboioJoana MoraisJocelyne Neto de VasconcelosMiguel BritoMDPI AGarticleSARS-CoV-2COVID-19pregnant womenmaternal breastfeedingnewborn screeningLuandaMedicineRENPathogens, Vol 10, Iss 1494, p 1494 (2021)
institution DOAJ
collection DOAJ
language EN
topic SARS-CoV-2
COVID-19
pregnant women
maternal breastfeeding
newborn screening
Luanda
Medicine
R
spellingShingle SARS-CoV-2
COVID-19
pregnant women
maternal breastfeeding
newborn screening
Luanda
Medicine
R
Cruz S. Sebastião
Paolo Parimbelli
Manuela Mendes
Euclides Sacomboio
Joana Morais
Jocelyne Neto de Vasconcelos
Miguel Brito
Prevalence and Risk Factors of SARS-CoV-2 Infection among Parturients and Newborns from Luanda, Angola
description SARS-CoV-2 emerged in China in December 2019, creating a massive public health concern. Although previous studies have identified SARS-CoV-2 in pregnant women, the possibility of transmission to newborns remains uncertain. Herein, we investigated SARS-CoV-2 infection and risk factors among parturients and newborns. This was a cross-sectional study carried out with 3633 parturients from Luanda, Angola, between January and April 2021, with an age ranging from 13 to 48 years. SARS-CoV-2 infection of the parturients was further confirmed with RT-PCR after COVID-19 Ag Rapid Testing. About 0.4% of parturients tested positive on the day of delivery. Surprisingly, parturients from urbanized areas (OR: 0.18, <i>p</i> = 0.025) had a low chance of infection. None of the newborns tested positive in the first 24 h after birth, while one (9.1%, 1/10) of the newborns tested positive with pharyngeal swabs seven days after birth. However, whether the case was due to vertical transmission from mother to child remains to be confirmed. The mother’s residence, education level, antenatal follow-up, and delivery category were related to SARS-CoV-2 transmission (<i>p</i> < 0.05). Our findings showed a relatively low SARS-CoV-2 infection from parturients to newborns, regardless of the severity of the maternal disease. Furthermore, these findings are an early assessment of COVID-19 cases in late pregnancy, which could indicate the need for intensive management of SARS-CoV-2 infection among parturients in Angola. Further studies are needed on the consequences of SARS-CoV-2 among pregnant women and neonates from Angola.
format article
author Cruz S. Sebastião
Paolo Parimbelli
Manuela Mendes
Euclides Sacomboio
Joana Morais
Jocelyne Neto de Vasconcelos
Miguel Brito
author_facet Cruz S. Sebastião
Paolo Parimbelli
Manuela Mendes
Euclides Sacomboio
Joana Morais
Jocelyne Neto de Vasconcelos
Miguel Brito
author_sort Cruz S. Sebastião
title Prevalence and Risk Factors of SARS-CoV-2 Infection among Parturients and Newborns from Luanda, Angola
title_short Prevalence and Risk Factors of SARS-CoV-2 Infection among Parturients and Newborns from Luanda, Angola
title_full Prevalence and Risk Factors of SARS-CoV-2 Infection among Parturients and Newborns from Luanda, Angola
title_fullStr Prevalence and Risk Factors of SARS-CoV-2 Infection among Parturients and Newborns from Luanda, Angola
title_full_unstemmed Prevalence and Risk Factors of SARS-CoV-2 Infection among Parturients and Newborns from Luanda, Angola
title_sort prevalence and risk factors of sars-cov-2 infection among parturients and newborns from luanda, angola
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/595d0ad97f8242068d2f7cc8b66aa023
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