COVID-19: Uncertainties from Conception to Birth

Carvalho, Bruno Ramalho de; Adami, K; Gonçalves‐Ferri, Walusa Assad; Samama, Marise; Ferriani, Rui Alberto; Marcolin, Alessandra Cristina

doi:10.1055/s-0040-1721856

Cited by 10 publications

(4 citation statements)

References 73 publications

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“…This age group deserves attention as there is a rising number of infected pregnant women and the factors related to fetal or postnatal transmission are still not well understood. 24 , 25 In addition, this age group has also a higher risk of severity in other respiratory diseases, such as bronchiolitis by respiratory syncytial virus. 26 …”

Section: Discussionmentioning

confidence: 99%

Risk factors for severe COVID-19 infection in Brazilian children

Hendler

Lago

Müller

et al. 2021

The Brazilian Journal of Infectious Diseases

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Section: Discussionmentioning

confidence: 99%

Risk factors for severe COVID-19 infection in Brazilian children

Hendler

Lago

Müller

et al. 2021

The Brazilian Journal of Infectious Diseases

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“…It is known that the cesarean section, by submitting the woman to surgery, can entail risks, demand greater attention in the recovery and, in cases of Covid-19, be another risk factor that can negatively influence the maternal clinical condition. Positive testing for Covid-19, by itself, is not indicative of a cesarean section (ALLOTEY et al, 2020;CARVALHO et al, 2021;KHALIL et al, 2020;METZ et al, 2022). However, the clinical worsening of the pregnant woman may be a factor that increases the indication of cesarean sections among those infected with SARS-CoV-2.…”

Section: Discussionmentioning

confidence: 99%

Characterization of Newborn Born to Mothers Infected and Not Infected by Sars-Cov-2 During the Pregnancy Period

Santos¹,

Silva²,

Viera³

2022

JHS

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Justification and Purpose: To characterize the mothers affected by SARS-CoV-2 during the gestational period, as well as to present and compare the birth variables of Newborns (NB) of mothers who were infected by SARS-CoV-2 during the gestational period in relation to babies whose mothers were not infected by the virus during the gestational period. Method: Quantitative, retrospective research, carried out in the databases of health information systems: SIVEP -Influenza (Information System for Epidemiological Surveillance of Influenza), Notifies Covid-19 and Information System for Live Births (SINASC). The sample consisted of all live births and their mothers in the municipality of Cascavel/PR, from July 2020 to December 2021, compared to those newborns of mothers who were infected with SARS-CoV-2 during pregnancy in that period. Descriptive analysis of data using mean, standard deviation and proportion. Results: The study population consisted of 1578 women, 271 (17%) cases of Covid-19 Positive during pregnancy (GCP) and 1307 (83%) cases of Covid-19 Negative (GCN). From this population, the sample was constituted with 1302 live births of these women, in the city of Cascavel/PR, considering nine twins. The GCP was composed of 214 (16%) live births and the GCN with 1088 (84%). The mean gestational age at birth in the GCP was 37 (±3) weeks, in the GCN it was 38 (±2) weeks. Regarding premature births, these occurred in 46 (21.5%) of the deliveries in the PCG, and in 134 (12.3%) of the deliveries in the CGN. Birth via cesarean section occurred in 136 (63%) of the deliveries in the PCG and in 499 (46%) of the deliveries in the CGN. Mean birth weight was 3042 grams (±662 grams) in the GCP and 3163 grams (±589 grams) in the GCN.Conclusion: Observing the data presented, a higher proportion of births via cesarean section, a greater tendency for premature births in the PCG, can be observed. The follow-up of pregnant women with adequate prenatal care related to exposure to the virus, as well as the monitoring of babies born under this condition, must be a guideline to be followed by primary care health services, in order to ensure adequate conditions of care. development for these children, given the repercussions related to prematurity and lack of knowledge about possible changes resulting from SARS-CoV-2 contamination during the gestational period.

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“…30 To this day, there has been increasing evidence suggesting that COVID-19 can be related to increased need for hospitalization and admission to the intensive care unit (ICU), severe disease, and poor obstetric outcomes in pregnant and in puerperium women. [31][32][33] However, to this day, there are numerous controversial aspects of COVID-19 that remain unexplained, and many of them involve pregnancy, puerperium and childbirth.…”

Section: Clinical Presentation and Diagnosismentioning

confidence: 99%

Dyspnea and COVID-19: A Review of Confounding Diagnoses during the Postpartum Period

Castro

Lopes

Mayrink

2021

Rev Bras Ginecol Obstet

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The puerperium is a complex period that begins with placental delivery and lasts for 6 weeks, during which readaptation of the female organism and redistribution of blood volume occur. This period is conducive to the occurrence of thromboembolic events. In the context of the SARS-CoV-2 pandemic, the virus responsible for COVID-19, the attention of the scientific community and health professionals has been focused on obtaining insights on different aspects of this disease, including etiology, transmission, diagnosis, and treatment. Regarding the pregnancy–postpartum cycle, it is opportune to review the clinical conditions that can occur during this period and to investigate dyspnea as a postpartum symptom in order to avoid its immediate association with COVID-19 without further investigation, which can lead to overlooking the diagnosis of other important and occasionally fatal conditions.

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COVID-19: Uncertainties from Conception to Birth

Cited by 10 publications

References 73 publications

Risk factors for severe COVID-19 infection in Brazilian children

Risk factors for severe COVID-19 infection in Brazilian children

Characterization of Newborn Born to Mothers Infected and Not Infected by Sars-Cov-2 During the Pregnancy Period

Dyspnea and COVID-19: A Review of Confounding Diagnoses during the Postpartum Period

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