Literature DB >> 33821521

Maternal and perinatal outcomes and placental pathologic examination of 29 SARS-CoV-2 infected patients in the third trimester of gestation.

Luis Blasco Santana1, Eduardo Miraval Wong1, Jorge Álvarez-Troncoso2, Laura Sánchez García3, José L Bartha4, Rita M Regojo-Zapata1.   

Abstract

AIM: On December 31, 2019, an unknown outbreak of pulmonary disease was reported in China. The novel coronavirus SARS-CoV-2 was the etiologic agent of this disease, and responsible of the current pandemic of COVID-19. Accumulated evidence on placental features is based most on case-reports and small case-series, with differing results.
METHODS: We gathered a cohort of 29 infected pregnant mothers who delivered 32 newborns, and had placentas available for pathologic examination. Placentas were compared with a control group.
RESULTS: Of the 29 mothers, clinical and radiological features were similar to what was already described in COVID-19. Pregnancy modified some analytical parameters. One of the mothers succumbed to the disease. Of the 32 newborns, 1 developed an early infection, with positive reverse-transcriptase polymerase chain reaction (RT-PCR) at 48 h of life, with an initial RT-PCR negative. SARS-CoV-2 presence was assessed on placental tissue with immunohistochemistry and RT-PCR, both were negative. All newborns had good clinical outcomes. No differences in morphological placental findings were found among both groups.
CONCLUSION: Lack of statistically significant differences among case and control groups suggest that placentas from SARS-CoV-2 infected mothers represent a cohort of normal placentas only submitted because of maternal SARS-CoV-2 status. To the best of our knowledge, no irrefutable cases of vertical transmission have been yet described. Other authors have failed to demonstrate presence of viral RNA in placental tissue. Accumulated knowledge suggests that if vertical transmission is possible, it is a rare event.
© 2021 Japan Society of Obstetrics and Gynecology.

Entities:  

Keywords:  COVID-19; SARS-CoV-2; coronavirus; placental pathology; vertical transmission

Year:  2021        PMID: 33821521     DOI: 10.1111/jog.14784

Source DB:  PubMed          Journal:  J Obstet Gynaecol Res        ISSN: 1341-8076            Impact factor:   1.730


  9 in total

1.  Correlation between placental histopathology and perinatal outcome in COVID-19.

Authors:  Devendra Arora; K S Rajmohan; Sanjay Singh; Vinod Nair; Sanghita Barui; Madhusudan Dey; Abhijeet Kumar
Journal:  Tzu Chi Med J       Date:  2022-01-10

Review 2.  Pathological involvement of placenta in COVID-19: a systematic review.

Authors:  Rohini Motwani; Vishwajit Deshmukh; Ashutosh Kumar; Chiman Kumari; Khursheed Raza; Hare Krishna
Journal:  Infez Med       Date:  2022-06-01

3.  Acute SARS-CoV-2 alpha variant infection leading to placental insufficiency and fetal distress.

Authors:  Sander Dumont; Jonas Balduyck; Marijke Reynders; Lieve Vanwalleghem; Barbara Lebbe
Journal:  J Med Virol       Date:  2021-10-12       Impact factor: 20.693

4.  Meta-analysis on COVID-19-pregnancy-related placental pathologies shows no specific pattern.

Authors:  Jan-Theile Suhren; Andre Meinardus; Kais Hussein; Nora Schaumann
Journal:  Placenta       Date:  2021-10-19       Impact factor: 3.481

Review 5.  SARS-CoV-2-associated cytokine storm during pregnancy as a possible risk factor for neuropsychiatric disorder development in post-pandemic infants.

Authors:  Claudia P Figueiredo; Fabrícia L Fontes-Dantas; Andrea T da Poian; Julia R Clarke
Journal:  Neuropharmacology       Date:  2021-10-16       Impact factor: 5.250

6.  Placental pathological findings in coronavirus disease 2019: Perinatal outcomes.

Authors:  Gelson Farias Arcos Júnior; Rossana Pulcineli Vieira Francisco; Beatriz Kill; Stela Verzinhasse Peres; Maria Augusta B C Gibelli; Silvia Maria Ibidi; Werther Brunow de Carvalho; Angelica Braz Simões; Maria de Lourdes Brizot; Regina Schultz; Mariana Azevedo Carvalho
Journal:  Placenta       Date:  2022-08-28       Impact factor: 3.287

7.  Fetoplacental transmission and placental response to SARS-CoV-2: Evidence from the literature.

Authors:  Henry C Ezechukwu; Jiahua Shi; Muinah A Fowora; Cornelius A Diya; Faiz Elfaki; Oyelola A Adegboye
Journal:  Front Med (Lausanne)       Date:  2022-08-16

Review 8.  Can Coronavirus Disease 2019 Effect on Human Reproduction?

Authors:  Ali Abdolrazaghnejad; Sepideh Miraj
Journal:  Adv Biomed Res       Date:  2022-06-29

9.  Effect of asymptomatic COVID-19 infection on the placenta in the third trimester of pregnancy: A prospective case-control study.

Authors:  Orhan Şahin; Ali Yılmaz Altay; Emine Aydın; Helin Bağcı; Özben Yalçın
Journal:  Turk J Obstet Gynecol       Date:  2022-09-23
  9 in total

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