Potential Maternal and Infant Outcomes from (Wuhan) Coronavirus 2019-nCoV Infecting Pregnant Women: Lessons from SARS, MERS, and Other Human Coronavirus Infections

In early December 2019 a cluster of cases of pneumonia of unknown cause was identified in Wuhan, a city of 11 million persons in the People's Republic of China. Further investigation revealed these cases to result from infection with a newly identified coronavirus, termed the 2019-nCoV. The inf...

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Published inViruses Vol. 12; no. 2; p. 194
Main Authors Schwartz, David A, Graham, Ashley L
Format Journal Article
LanguageEnglish
Published Switzerland MDPI 10.02.2020
MDPI AG
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Abstract In early December 2019 a cluster of cases of pneumonia of unknown cause was identified in Wuhan, a city of 11 million persons in the People's Republic of China. Further investigation revealed these cases to result from infection with a newly identified coronavirus, termed the 2019-nCoV. The infection moved rapidly through China, spread to Thailand and Japan, extended into adjacent countries through infected persons travelling by air, eventually reaching multiple countries and continents. Similar to such other coronaviruses as those causing the Middle East respiratory syndrome (MERS) and severe acute respiratory syndrome (SARS), the new coronavirus was reported to spread via natural aerosols from human-to-human. In the early stages of this epidemic the case fatality rate is estimated to be approximately 2%, with the majority of deaths occurring in special populations. Unfortunately, there is limited experience with coronavirus infections during pregnancy, and it now appears certain that pregnant women have become infected during the present 2019-nCoV epidemic. In order to assess the potential of the Wuhan 2019-nCoV to cause maternal, fetal and neonatal morbidity and other poor obstetrical outcomes, this communication reviews the published data addressing the epidemiological and clinical effects of SARS, MERS, and other coronavirus infections on pregnant women and their infants. Recommendations are also made for the consideration of pregnant women in the design, clinical trials, and implementation of future 2019-nCoV vaccines.
AbstractList In early December 2019 a cluster of cases of pneumonia of unknown cause was identified in Wuhan, a city of 11 million persons in the People’s Republic of China. Further investigation revealed these cases to result from infection with a newly identified coronavirus, initially termed 2019-nCoV and subsequently SARS-CoV-2. The infection moved rapidly through China, spread to Thailand and Japan, extended into adjacent countries through infected persons travelling by air, eventually reaching multiple countries and continents. Similar to such other coronaviruses as those causing the Middle East respiratory syndrome (MERS) and severe acute respiratory syndrome (SARS), the new coronavirus was reported to spread via natural aerosols from human-to-human. In the early stages of this epidemic the case fatality rate is estimated to be approximately 2%, with the majority of deaths occurring in special populations. Unfortunately, there is limited experience with coronavirus infections during pregnancy, and it now appears certain that pregnant women have become infected during the present 2019-nCoV epidemic. In order to assess the potential of the Wuhan 2019-nCoV to cause maternal, fetal and neonatal morbidity and other poor obstetrical outcomes, this communication reviews the published data addressing the epidemiological and clinical effects of SARS, MERS, and other coronavirus infections on pregnant women and their infants. Recommendations are also made for the consideration of pregnant women in the design, clinical trials, and implementation of future 2019-nCoV vaccines.
In early December 2019 a cluster of cases of pneumonia of unknown cause was identified in Wuhan, a city of 11 million persons in the People's Republic of China. Further investigation revealed these cases to result from infection with a newly identified coronavirus, termed the 2019-nCoV. The infection moved rapidly through China, spread to Thailand and Japan, extended into adjacent countries through infected persons travelling by air, eventually reaching multiple countries and continents. Similar to such other coronaviruses as those causing the Middle East respiratory syndrome (MERS) and severe acute respiratory syndrome (SARS), the new coronavirus was reported to spread via natural aerosols from human-to-human. In the early stages of this epidemic the case fatality rate is estimated to be approximately 2%, with the majority of deaths occurring in special populations. Unfortunately, there is limited experience with coronavirus infections during pregnancy, and it now appears certain that pregnant women have become infected during the present 2019-nCoV epidemic. In order to assess the potential of the Wuhan 2019-nCoV to cause maternal, fetal and neonatal morbidity and other poor obstetrical outcomes, this communication reviews the published data addressing the epidemiological and clinical effects of SARS, MERS, and other coronavirus infections on pregnant women and their infants. Recommendations are also made for the consideration of pregnant women in the design, clinical trials, and implementation of future 2019-nCoV vaccines.
Author Graham, Ashley L
Schwartz, David A
AuthorAffiliation 2 Department of Anthropology, University of Connecticut, Storrs, CT 06269, USA; ashley.graham@uconn.edu
1 Medical College of Georgia, Augusta University, Augusta, GA 30912, USA
AuthorAffiliation_xml – name: 1 Medical College of Georgia, Augusta University, Augusta, GA 30912, USA
– name: 2 Department of Anthropology, University of Connecticut, Storrs, CT 06269, USA; ashley.graham@uconn.edu
Author_xml – sequence: 1
  givenname: David A
  surname: Schwartz
  fullname: Schwartz, David A
  organization: Medical College of Georgia, Augusta University, Augusta, GA 30912, USA
– sequence: 2
  givenname: Ashley L
  surname: Graham
  fullname: Graham, Ashley L
  organization: Department of Anthropology, University of Connecticut, Storrs, CT 06269, USA
BackLink https://www.ncbi.nlm.nih.gov/pubmed/32050635$$D View this record in MEDLINE/PubMed
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Issue 2
Keywords Wuhan coronavirus
epidemic
maternal morbidity
SARS-CoV
pregnancy
maternal death
coronavirus
MERS-CoV
Middle East respiratory syndrome
severe acute respiratory syndrome
pneumonia
China
emerging infection
pregnancy complications
2019-nCoV
Wuhan coronavirus outbreak
maternal mortality
Language English
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PublicationTitle Viruses
PublicationTitleAlternate Viruses
PublicationYear 2020
Publisher MDPI
MDPI AG
Publisher_xml – name: MDPI
– name: MDPI AG
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Snippet In early December 2019 a cluster of cases of pneumonia of unknown cause was identified in Wuhan, a city of 11 million persons in the People's Republic of...
In early December 2019 a cluster of cases of pneumonia of unknown cause was identified in Wuhan, a city of 11 million persons in the People’s Republic of...
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StartPage 194
SubjectTerms 2019-ncov
Betacoronavirus
china
China - epidemiology
coronavirus
Coronavirus - immunology
Coronavirus Infections - epidemiology
Coronavirus Infections - prevention & control
Coronavirus Infections - therapy
Coronavirus Infections - transmission
COVID-19
Disease Outbreaks
emerging infection
epidemic
Female
Humans
Infant, Newborn
Infectious Disease Transmission, Vertical
maternal death
Maternal Exposure
maternal morbidity
maternal mortality
mers-cov
middle east respiratory syndrome
Placenta - pathology
pneumonia
Pneumonia, Viral - epidemiology
Pregnancy
pregnancy complications
Pregnancy Complications, Infectious - epidemiology
Pregnancy Complications, Infectious - prevention & control
Pregnancy Complications, Infectious - therapy
Pregnancy Outcome
sars-cov
SARS-CoV-2
severe acute respiratory syndrome
Severe Acute Respiratory Syndrome - epidemiology
Severe Acute Respiratory Syndrome - pathology
Severe Acute Respiratory Syndrome - transmission
Viral Vaccines
wuhan coronavirus
wuhan coronavirus outbreak
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Title Potential Maternal and Infant Outcomes from (Wuhan) Coronavirus 2019-nCoV Infecting Pregnant Women: Lessons from SARS, MERS, and Other Human Coronavirus Infections
URI https://www.ncbi.nlm.nih.gov/pubmed/32050635
https://pubmed.ncbi.nlm.nih.gov/PMC7077337
https://doaj.org/article/8c2d75b688834ab7b987ac83c775ca7b
Volume 12
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