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Open AccessReview

Effects of COVID-19 Infection during Pregnancy and Neonatal Prognosis: What Is the Evidence?

1
Global Health and Tropical Medicine, Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, 1349-008 Lisboa, Portugal
2
Human Exposome and Infectious Diseases Network (HEID), Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, 14040-902 Ribeirão Preto, Brazil
3
Nursing Department, Universidade Federal do Ceará, 60430-160 Fortaleza, Brazil
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(11), 4176; https://doi.org/10.3390/ijerph17114176
Received: 24 April 2020 / Revised: 29 May 2020 / Accepted: 8 June 2020 / Published: 11 June 2020
(This article belongs to the Special Issue COVID-19: Prognosis, Outcomes and Long-Term Sequelae)
Background: This study’s aims are to assess the current evidence presented in the literature regarding the potential risks of COVID-19 infection among pregnant women and consequent fetal transmission. Methods: a systematic literature review assessing papers published in the most comprehensive databases in the field of health intended to answer the question, “What are the effects of COVID-19 infection during pregnancy, and what is the neonatal prognosis?” Results: 49 papers published in 2020 were eligible, presenting low levels of evidence. A total of 755 pregnant women and 598 infants were assessed; more than half of pregnant women had C-sections (379/65%). Only 493 (82%) infants were tested for SARS-CoV-2, nine (2%) of whom tested positive. There is, however, no evidence of vertical transmission based on what has been assessed so far, considering there are knowledge gaps concerning the care provided during and after delivery, as well as a lack of suitable biological samples for testing SARS-CoV-2. Conclusions: We cannot rule out potential worsening of the clinical conditions of pregnant women infected with SARS-CoV-2, whether the infection is associated with comorbidities or not, due to the occurrence of respiratory disorders, cardiac rhythm disturbances, and acid-base imbalance, among others. We recommend relentless monitoring of all pregnant women in addition to testing them before delivery or the first contact with newborns. View Full-Text
Keywords: COVID-19; SARS-CoV-2; pregnancy; fetal transmission; mother-to-child transmission COVID-19; SARS-CoV-2; pregnancy; fetal transmission; mother-to-child transmission
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MDPI and ACS Style

Lopes de Sousa, Á.F.; Carvalho, H.E.F.d.; Oliveira, L.B.d.; Schneider, G.; Camargo, E.L.S.; Watanabe, E.; de Andrade, D.; Fernandes, A.F.C.; Mendes, I.A.C.; Fronteira, I. Effects of COVID-19 Infection during Pregnancy and Neonatal Prognosis: What Is the Evidence? Int. J. Environ. Res. Public Health 2020, 17, 4176. https://doi.org/10.3390/ijerph17114176

AMA Style

Lopes de Sousa ÁF, Carvalho HEFd, Oliveira LBd, Schneider G, Camargo ELS, Watanabe E, de Andrade D, Fernandes AFC, Mendes IAC, Fronteira I. Effects of COVID-19 Infection during Pregnancy and Neonatal Prognosis: What Is the Evidence? International Journal of Environmental Research and Public Health. 2020; 17(11):4176. https://doi.org/10.3390/ijerph17114176

Chicago/Turabian Style

Lopes de Sousa, Álvaro F.; Carvalho, Herica E.F.d.; Oliveira, Layze B.d.; Schneider, Guilherme; Camargo, Emerson L.S.; Watanabe, Evandro; de Andrade, Denise; Fernandes, Ana F.C.; Mendes, Isabel A.C.; Fronteira, Inês. 2020. "Effects of COVID-19 Infection during Pregnancy and Neonatal Prognosis: What Is the Evidence?" Int. J. Environ. Res. Public Health 17, no. 11: 4176. https://doi.org/10.3390/ijerph17114176

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