Fetal Complications in COVID-19 Infected Pregnant Woman: A Systematic Review and Meta-Analysis

Background Pregnancy is an immunocompromised state and, for this reason, a pregnant woman is at a higher risk of getting infected as compared with a healthy individual. There is limited data available regarding the impact of COVD-19 on pregnancy; however, the case of miscarriage due to placental inf...

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Autores principales: Arjola Agolli, Olsi Agolli, Diana Fiorela Sánchez Velazco, Md Ripon Ahammed, Mehrie Patel, Jose Cardona-Guzman, Radhika Garimella, Natcha Rummaneethorn, Seema Bista, Rafael Abreu, Nikole Czapp, Manuel Garcia
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Publicado: Thieme Medical and Scientific Publishers Pvt. Ltd. 2021
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Acceso en línea:https://doaj.org/article/88a0068af68845b9999e9f5e49e56582
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spelling oai:doaj.org-article:88a0068af68845b9999e9f5e49e565822021-12-02T18:25:58ZFetal Complications in COVID-19 Infected Pregnant Woman: A Systematic Review and Meta-Analysis2231-07702249-446410.1055/s-0041-1736540https://doaj.org/article/88a0068af68845b9999e9f5e49e565822021-11-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1736540https://doaj.org/toc/2231-0770https://doaj.org/toc/2249-4464Background Pregnancy is an immunocompromised state and, for this reason, a pregnant woman is at a higher risk of getting infected as compared with a healthy individual. There is limited data available regarding the impact of COVD-19 on pregnancy; however, the case of miscarriage due to placental infection caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in second trimester has already been reported. Methods We searched for all published articles in PubMed, Science Direct, Cochrane, Scopus, and Embase. The literature search produced 167 relevant publications; 67 manuscripts were further excluded because they did not satisfy our inclusion criteria. Out of the remaining 100 articles, 78 were excluded after full text screening. Therefore, a total of 22 articles were eligible for review in our study. Results Overall, these 22 studies included a total of 7,034 participants: 2,689 (38.23%) SARS-CoV-2 positive pregnant women, of which 2,578 (95.87%) were laboratory confirmed and 111 (4.13%) were clinically diagnosed. Among the positive patients, there were 174 (6.47%) cases of abortion, of them 168 (96.55%) were spontaneous abortions and 6 (3.45%) were missed. Most patients either reported mild symptoms of fever, cough, fatigue, and anosmia or they presented asymptomatic. Conclusion Additional investigation and rigorous research are warranted to confirm placental pathology mechanisms concerning COVID-19 to protect maternal and fetal health.Arjola AgolliOlsi AgolliDiana Fiorela Sánchez VelazcoMd Ripon AhammedMehrie PatelJose Cardona-GuzmanRadhika GarimellaNatcha RummaneethornSeema BistaRafael AbreuNikole CzappManuel GarciaThieme Medical and Scientific Publishers Pvt. Ltd.articlecoronaviruscovid-19pregnancy lossabortionpregnancyMedicineRENAvicenna Journal of Medicine (2021)
institution DOAJ
collection DOAJ
language EN
topic coronavirus
covid-19
pregnancy loss
abortion
pregnancy
Medicine
R
spellingShingle coronavirus
covid-19
pregnancy loss
abortion
pregnancy
Medicine
R
Arjola Agolli
Olsi Agolli
Diana Fiorela Sánchez Velazco
Md Ripon Ahammed
Mehrie Patel
Jose Cardona-Guzman
Radhika Garimella
Natcha Rummaneethorn
Seema Bista
Rafael Abreu
Nikole Czapp
Manuel Garcia
Fetal Complications in COVID-19 Infected Pregnant Woman: A Systematic Review and Meta-Analysis
description Background Pregnancy is an immunocompromised state and, for this reason, a pregnant woman is at a higher risk of getting infected as compared with a healthy individual. There is limited data available regarding the impact of COVD-19 on pregnancy; however, the case of miscarriage due to placental infection caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in second trimester has already been reported. Methods We searched for all published articles in PubMed, Science Direct, Cochrane, Scopus, and Embase. The literature search produced 167 relevant publications; 67 manuscripts were further excluded because they did not satisfy our inclusion criteria. Out of the remaining 100 articles, 78 were excluded after full text screening. Therefore, a total of 22 articles were eligible for review in our study. Results Overall, these 22 studies included a total of 7,034 participants: 2,689 (38.23%) SARS-CoV-2 positive pregnant women, of which 2,578 (95.87%) were laboratory confirmed and 111 (4.13%) were clinically diagnosed. Among the positive patients, there were 174 (6.47%) cases of abortion, of them 168 (96.55%) were spontaneous abortions and 6 (3.45%) were missed. Most patients either reported mild symptoms of fever, cough, fatigue, and anosmia or they presented asymptomatic. Conclusion Additional investigation and rigorous research are warranted to confirm placental pathology mechanisms concerning COVID-19 to protect maternal and fetal health.
format article
author Arjola Agolli
Olsi Agolli
Diana Fiorela Sánchez Velazco
Md Ripon Ahammed
Mehrie Patel
Jose Cardona-Guzman
Radhika Garimella
Natcha Rummaneethorn
Seema Bista
Rafael Abreu
Nikole Czapp
Manuel Garcia
author_facet Arjola Agolli
Olsi Agolli
Diana Fiorela Sánchez Velazco
Md Ripon Ahammed
Mehrie Patel
Jose Cardona-Guzman
Radhika Garimella
Natcha Rummaneethorn
Seema Bista
Rafael Abreu
Nikole Czapp
Manuel Garcia
author_sort Arjola Agolli
title Fetal Complications in COVID-19 Infected Pregnant Woman: A Systematic Review and Meta-Analysis
title_short Fetal Complications in COVID-19 Infected Pregnant Woman: A Systematic Review and Meta-Analysis
title_full Fetal Complications in COVID-19 Infected Pregnant Woman: A Systematic Review and Meta-Analysis
title_fullStr Fetal Complications in COVID-19 Infected Pregnant Woman: A Systematic Review and Meta-Analysis
title_full_unstemmed Fetal Complications in COVID-19 Infected Pregnant Woman: A Systematic Review and Meta-Analysis
title_sort fetal complications in covid-19 infected pregnant woman: a systematic review and meta-analysis
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
publishDate 2021
url https://doaj.org/article/88a0068af68845b9999e9f5e49e56582
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