Coronavirus Disease 2019 (COVID-19): A Systematic Review of Pregnancy and the Possibility of Vertical Transmission

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ASHRAF MOHAMMAD ALI; Keshavarz Pedram; HOSSEINPOUR PARISA; Erfani Amirhossein; Roshanshad Amirhossein; POURDAST ALIEH; Nowrouzi Sohrabi Peyman; CHAICHIAN SHAHLA; POORDAST TAHEREH

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Journal: Journal of Reproduction & Infertility Year:2020 | Volume:21 | Issue:3 Page(s): 157-168

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Title

Coronavirus Disease 2019 (COVID-19): A Systematic Review of Pregnancy and the Possibility of Vertical Transmission

Author(s)

Keywords

Coronavirus Disease 2019 (COVID-19)

Neonatal outcomes

Pregnancy

Pregnant women

SARS-CoV-2

Systematic review

Vertical transmission

Abstract

Background: There is a growing need for information regarding maternal and Neonatal outcomes during coronavirus pandemic. In this study, a comprehensive investigation was done regarding the possibility of Vertical transmission using the available data in the literature. Methods: A systematic search was conducted using electronic databases, including PubMed, Scopus, Web of Science, Embase, and Scholar. All studies containing infected COVID-19 Pregnant women who had given birth were included, and the search was done up to April 14, 2020. Results: Overall, 21 articles were reviewed, and clinical characteristics of 90 pregnant patients and 92 neonates born to mothers infected with COVID-19 were reviewed. The most common symptoms included fever, cough, and dyspnea. The main laboratory findings included leukocytosis, lymphopenia, thrombocytopenia, and elevated C-reactive protein. The most commonly reported complications were preterm labor and fetal distress. Three mothers were admitted to ICU and required mechanical ventilation; among them, one died, and one was on extracorporeal membrane oxygenation. Overall, 86 neonates were tested for the possibility of Vertical transmission and 82 cases were negative in RT-PCR, while 4 were positive. Out of 92 neonates, one died, and one was born dead. Nineteen patients reported having no symptoms, while breathing problems and pneumonia were reported as the most common neonatal complications. Conclusion: There were no differences in the clinical characteristics of Pregnant women and non-pregnant COVID-19 patients. COVID-19 infection has caused higher incidence of fetal distress and premature labor in Pregnant women. Although the possibility of Vertical transmission in infected Pregnant women is rare, four neonates’ test results for COVID-19 infection were positive in this review.

Cites

Perinatal Vertical Transmission of Coronavirus Disease 2019 (COVID-19); A Remarkable Challenge for Healthcare Systems

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APA: Copy

ASHRAF, MOHAMMAD ALI, Keshavarz, Pedram, HOSSEINPOUR, PARISA, Erfani, Amirhossein, Roshanshad, Amirhossein, POURDAST, ALIEH, Nowrouzi Sohrabi, Peyman, CHAICHIAN, SHAHLA, & POORDAST, TAHEREH. (2020). Coronavirus Disease 2019 (COVID-19): A Systematic Review of Pregnancy and the Possibility of Vertical Transmission. JOURNAL OF REPRODUCTION AND INFERTILITY, 21(3), 157-168. SID. https://sid.ir/paper/738970/en

Vancouver: Copy

ASHRAF MOHAMMAD ALI, Keshavarz Pedram, HOSSEINPOUR PARISA, Erfani Amirhossein, Roshanshad Amirhossein, POURDAST ALIEH, Nowrouzi Sohrabi Peyman, CHAICHIAN SHAHLA, POORDAST TAHEREH. Coronavirus Disease 2019 (COVID-19): A Systematic Review of Pregnancy and the Possibility of Vertical Transmission. JOURNAL OF REPRODUCTION AND INFERTILITY[Internet]. 2020;21(3):157-168. Available from: https://sid.ir/paper/738970/en

IEEE: Copy

MOHAMMAD ALI ASHRAF, Pedram Keshavarz, PARISA HOSSEINPOUR, Amirhossein Erfani, Amirhossein Roshanshad, ALIEH POURDAST, Peyman Nowrouzi Sohrabi, SHAHLA CHAICHIAN, and TAHEREH POORDAST, “Coronavirus Disease 2019 (COVID-19): A Systematic Review of Pregnancy and the Possibility of Vertical Transmission,” JOURNAL OF REPRODUCTION AND INFERTILITY, vol. 21, no. 3, pp. 157–168, 2020, [Online]. Available: https://sid.ir/paper/738970/en

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