The Real Impact of the Coronavirus Disease 2019 (covid-19) on the Pregnancy Outcome

Abstract

The COVID-19 outbreak is increasing around the world in the number of cases, deaths, and affected countries. Currently, the knowledge regarding the clinical impact of COVID-19 on maternal, fetal, and placental aspects of pregnancy is minimal. Although the elderly and men were the most affected population, in previous situations, such as the 2009 H1N1 influenza pandemic and the Ebola epidemic, pregnant women were more likely to develop complications than nonpregnant women. There are unanswered questions specific to pregnant women, such as whether pregnant women are more severely affected and whether intrauterine transmission occurs. Additional information is needed to inform key decisions, such as whether pregnant health care workers should receive special consideration, whether to separate infected mothers and their newborns, and whether it is safe for infected women to breastfeed.

Consequences and implications of the coronavirus disease (COVID‐19) on pregnancy and newborns: A comprehensive systematic review and meta‐analysis

“…The disease is transmitted from person to person and its presentation may range from a common cold to severe respiratory disease, ultimately leading to death. [1][2][3][4] It is recognized that symptoms become more aggressive and fatal in more vulnerable patients, including the elderly, patients with chronic diseases, patients on immunosuppression treatment, and pregnant women. 3,4 Pregnant patients are potentially vulnerable to COVID-19.…”

“…The coronavirus disease 2019 (COVID‐19) has spread worldwide, becoming one of humanity's most critical public health challenges. The disease is transmitted from person to person and its presentation may range from a common cold to severe respiratory disease, ultimately leading to death 1–4 …”

Evidencia actual de la infección por SARS-COV-2 en la gestación: Revisión de alcance

“…Teniendo que la COVID-19 es una enfermedad reciente, solo se han descrito las complicaciones a corto plazo, por lo que es importante hacer un seguimiento a las madres con esta enfermedad y a sus hijos para determinar los efectos a largo plazo 64 , pues se ha descrito aumento de la posibilidad de enfermedades psiquiátricas en hijos de madres con infecciones durante la gestación 25,37 . Así mismo, es importante hacer un seguimiento a los hijos de mujeres que se infectaron en el primer trimestre de gestación para indagar la transmisión vertical.…”

Os efeitos materno-fetais da covid-19 no período gestacional / The maternal-fetal effects of covid-19 in the gestational period

“…Não se pode descartar a possibilidade de transmissão vertical da doença, devido a relatos de positividade de reação em cadeia de polimerase (RT-PCR) de swab nasal, RT-PCR de líquido amniótico e imunoglobulina M (IgM) de recém-nascidos. Gonçalves (2020). O impacto real da doença do coronavírus 2019 (covid-19) no desfecho da gestação.…”