SARS-CoV-2 Infection in Pregnancy: Clues and Proof of Adverse Outcomes Article Swipe
Rosa Sessa
,
Simone Filardo
,
Luisa Masciullo
,
Marisa Di Pietro
,
Antonio Angeloni
,
Gabriella Brandolino
,
Roberto Brunelli
,
Rossella D’Alisa
,
Maria Federica Viscardi
,
Emanuela Anastasi
,
Maria Grazia Porpora
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3390/ijerph20032616
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3390/ijerph20032616
Background: Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) represents one of the most threatening viral infections in the last decade. Amongst susceptible individuals, infected pregnant women might be predisposed to severe complications. Despite the extensive interest in SARS-CoV-2 research, the clinical course of maternal infection, the vertical transmission and the neonatal outcomes have not been completely understood yet. The aim of our study was to investigate the association between SARS-CoV-2 infection, obstetric outcomes and vertical transmission. Methods: A prospective observational study was performed, enrolling unvaccinated pregnant patients positive for SARS-CoV-2 (cases) and matched with uninfected pregnant women (controls). Maternal and neonatal nasopharyngeal swabs, maternal and cord blood, amniotic fluid and placenta tissue samples were collected; blood samples were tested for anti-S and anti-N antibodies, and histologic examination of placental tissues was performed. Results: The cases showed a significant association with the development of some obstetric complications, such as intrauterine growth restriction and pregnancy-associated hypothyroidism and diabetes, as compared to controls; their newborns were more likely to have a low birth weight and an arterial umbilical pH less than 7. The viral genome was detected in maternal and cord blood and placental samples in six cases. Conclusions: Pregnant women positive for SARS-CoV-2 infection are more likely to develop severe obstetric outcomes; their newborns could have a low birth weight and arterial pH. Vertical transmission seems a rare event, and further investigation is strongly needed.
Related Topics
Concepts
Medicine
Pregnancy
Obstetrics
Umbilical cord
Placenta
Transmission (telecommunications)
Prospective cohort study
Intrauterine growth restriction
Amniotic fluid
Fetus
Cord blood
Low birth weight
Birth weight
Immunology
Internal medicine
Genetics
Electrical engineering
Biology
Engineering
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/ijerph20032616
- https://www.mdpi.com/1660-4601/20/3/2616/pdf?version=1675226089
- OA Status
- gold
- Cited By
- 12
- References
- 45
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4318778193
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4318778193Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.3390/ijerph20032616Digital Object Identifier
- Title
-
SARS-CoV-2 Infection in Pregnancy: Clues and Proof of Adverse OutcomesWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-02-01Full publication date if available
- Authors
-
Rosa Sessa, Simone Filardo, Luisa Masciullo, Marisa Di Pietro, Antonio Angeloni, Gabriella Brandolino, Roberto Brunelli, Rossella D’Alisa, Maria Federica Viscardi, Emanuela Anastasi, Maria Grazia PorporaList of authors in order
- Landing page
-
https://doi.org/10.3390/ijerph20032616Publisher landing page
- PDF URL
-
https://www.mdpi.com/1660-4601/20/3/2616/pdf?version=1675226089Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://www.mdpi.com/1660-4601/20/3/2616/pdf?version=1675226089Direct OA link when available
- Concepts
-
Medicine, Pregnancy, Obstetrics, Umbilical cord, Placenta, Transmission (telecommunications), Prospective cohort study, Intrauterine growth restriction, Amniotic fluid, Fetus, Cord blood, Low birth weight, Birth weight, Immunology, Internal medicine, Genetics, Electrical engineering, Biology, EngineeringTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
12Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 3, 2024: 5, 2023: 4Per-year citation counts (last 5 years)
- References (count)
-
45Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.Severe | 1 |
| abstract_inverted_index.anti-N | 122 |
| abstract_inverted_index.anti-S | 120 |
| abstract_inverted_index.blood, | 106 |
| abstract_inverted_index.cases. | 194 |
| abstract_inverted_index.course | 41 |
| abstract_inverted_index.event, | 226 |
| abstract_inverted_index.genome | 181 |
| abstract_inverted_index.growth | 149 |
| abstract_inverted_index.likely | 164, 204 |
| abstract_inverted_index.severe | 30, 207 |
| abstract_inverted_index.showed | 135 |
| abstract_inverted_index.swabs, | 102 |
| abstract_inverted_index.tested | 118 |
| abstract_inverted_index.tissue | 111 |
| abstract_inverted_index.weight | 170, 217 |
| abstract_inverted_index.(cases) | 90 |
| abstract_inverted_index.Amongst | 20 |
| abstract_inverted_index.Despite | 32 |
| abstract_inverted_index.between | 68 |
| abstract_inverted_index.decade. | 19 |
| abstract_inverted_index.develop | 206 |
| abstract_inverted_index.further | 228 |
| abstract_inverted_index.matched | 92 |
| abstract_inverted_index.needed. | 232 |
| abstract_inverted_index.samples | 112, 116, 191 |
| abstract_inverted_index.tissues | 129 |
| abstract_inverted_index.Maternal | 98 |
| abstract_inverted_index.Methods: | 76 |
| abstract_inverted_index.Pregnant | 196 |
| abstract_inverted_index.Results: | 132 |
| abstract_inverted_index.Syndrome | 4 |
| abstract_inverted_index.Vertical | 221 |
| abstract_inverted_index.amniotic | 107 |
| abstract_inverted_index.arterial | 173, 219 |
| abstract_inverted_index.clinical | 40 |
| abstract_inverted_index.compared | 157 |
| abstract_inverted_index.detected | 183 |
| abstract_inverted_index.infected | 23 |
| abstract_inverted_index.interest | 35 |
| abstract_inverted_index.maternal | 43, 103, 185 |
| abstract_inverted_index.neonatal | 50, 100 |
| abstract_inverted_index.newborns | 161, 211 |
| abstract_inverted_index.outcomes | 51, 72 |
| abstract_inverted_index.patients | 86 |
| abstract_inverted_index.placenta | 110 |
| abstract_inverted_index.positive | 87, 198 |
| abstract_inverted_index.pregnant | 24, 85, 95 |
| abstract_inverted_index.strongly | 231 |
| abstract_inverted_index.vertical | 46, 74 |
| abstract_inverted_index.controls; | 159 |
| abstract_inverted_index.diabetes, | 155 |
| abstract_inverted_index.enrolling | 83 |
| abstract_inverted_index.extensive | 34 |
| abstract_inverted_index.infection | 201 |
| abstract_inverted_index.obstetric | 71, 144, 208 |
| abstract_inverted_index.outcomes; | 209 |
| abstract_inverted_index.placental | 128, 190 |
| abstract_inverted_index.research, | 38 |
| abstract_inverted_index.umbilical | 174 |
| abstract_inverted_index.SARS-CoV-2 | 37, 69, 89, 200 |
| abstract_inverted_index.collected; | 114 |
| abstract_inverted_index.completely | 55 |
| abstract_inverted_index.histologic | 125 |
| abstract_inverted_index.infection, | 44, 70 |
| abstract_inverted_index.infections | 15 |
| abstract_inverted_index.performed, | 82 |
| abstract_inverted_index.performed. | 131 |
| abstract_inverted_index.represents | 8 |
| abstract_inverted_index.understood | 56 |
| abstract_inverted_index.uninfected | 94 |
| abstract_inverted_index.(controls). | 97 |
| abstract_inverted_index.Background: | 0 |
| abstract_inverted_index.Coronavirus | 5 |
| abstract_inverted_index.Respiratory | 3 |
| abstract_inverted_index.antibodies, | 123 |
| abstract_inverted_index.association | 67, 138 |
| abstract_inverted_index.development | 141 |
| abstract_inverted_index.examination | 126 |
| abstract_inverted_index.investigate | 65 |
| abstract_inverted_index.predisposed | 28 |
| abstract_inverted_index.prospective | 78 |
| abstract_inverted_index.restriction | 150 |
| abstract_inverted_index.significant | 137 |
| abstract_inverted_index.susceptible | 21 |
| abstract_inverted_index.threatening | 13 |
| abstract_inverted_index.(SARS-CoV-2) | 7 |
| abstract_inverted_index.Conclusions: | 195 |
| abstract_inverted_index.individuals, | 22 |
| abstract_inverted_index.intrauterine | 148 |
| abstract_inverted_index.transmission | 47, 222 |
| abstract_inverted_index.unvaccinated | 84 |
| abstract_inverted_index.investigation | 229 |
| abstract_inverted_index.observational | 79 |
| abstract_inverted_index.transmission. | 75 |
| abstract_inverted_index.complications, | 145 |
| abstract_inverted_index.complications. | 31 |
| abstract_inverted_index.hypothyroidism | 153 |
| abstract_inverted_index.nasopharyngeal | 101 |
| abstract_inverted_index.pregnancy-associated | 152 |
| cited_by_percentile_year.max | 98 |
| cited_by_percentile_year.min | 97 |
| corresponding_author_ids | https://openalex.org/A5018651121 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 11 |
| corresponding_institution_ids | https://openalex.org/I861853513 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.8600000143051147 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.94032373 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |