Coronavirus disease 2019 in pregnancy

•Most pregnant women with SARS-CoV-2 infection present as mild to moderate type.•Pregnant women have clinical courses and outcomes that are comparable with reproductive-aged non-pregnant women infected with SARS-CoV-2.•No evidence supports vertical transmission of COVID-19, including vaginal deliver...

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Published in	International journal of infectious diseases Vol. 95; pp. 376 - 383
Main Authors	Qiancheng, Xu, Jian, Shen, Lingling, Pan, Lei, Huang, Xiaogan, Jiang, Weihua, Lu, Gang, Yang, Shirong, Li, Zhen, Wang, GuoPing, Xiong, Lei, Zha
Format	Journal Article
Language	English
Published	Canada Elsevier Ltd 01.06.2020 The Author(s). Published by Elsevier Ltd on behalf of International Society for Infectious Diseases Elsevier
Subjects	Adult Betacoronavirus Cesarean Section clinical feature Coronavirus Infections - complications Coronavirus Infections - transmission COVID-19 Female Humans infection Infectious Disease Transmission, Vertical Pandemics Pneumonia, Viral - complications Pneumonia, Viral - transmission Pregnancy Pregnancy Complications, Infectious - virology Retrospective Studies SARS-CoV-2 virus COVID-19 infection SARS-CoV-2 virus pregnancy clinical feature
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Abstract	•Most pregnant women with SARS-CoV-2 infection present as mild to moderate type.•Pregnant women have clinical courses and outcomes that are comparable with reproductive-aged non-pregnant women infected with SARS-CoV-2.•No evidence supports vertical transmission of COVID-19, including vaginal delivery. This study aimed to compare clinical courses and outcomes between pregnant and reproductive-aged non-pregnant women with COVID-19, and to assess the vertical transmission potential of COVID-19 in pregnancy. Medical records of pregnant and reproductive-aged non-pregnant women hospitalized with COVID-19 from January 15 to March 15, 2020 were retrospectively reviewed. The severity of disease, virus clearance time, and length of hospital stay were measured as the primary objective, while the vertical transmission potential of COVID-19 was also assessed. Eighty-two patients (28 pregnant women, 54 reproductive-aged non-pregnant women) with laboratory-confirmed COVID-19 were enrolled in this study. Univariate regression indicated no association between pregnancy and severity of disease (OR 0.73, 95% CI 0.08–5.15; p=0.76), virus clearance time (HR 1.16, 95% CI 0.65–2.01; p=0.62), and length of hospital stay (HR 1.10, 95% CI 0.66–1.84; p=0.71). Of the pregnant women, 22 delivered 23 live births, either by cesarean section (17, 60.7%) or vaginal delivery (5, 17.9%), and no neonate was infected with SARS-CoV-2. Pregnant women have comparable clinical courses and outcomes with reproductive-aged non-pregnant women when infected with SARS-CoV-2. No evidence supported vertical transmission of COVID-19 in the late stage of pregnancy, including vaginal delivery.
AbstractList	•Most pregnant women with SARS-CoV-2 infection present as mild to moderate type.•Pregnant women have clinical courses and outcomes that are comparable with reproductive-aged non-pregnant women infected with SARS-CoV-2.•No evidence supports vertical transmission of COVID-19, including vaginal delivery. This study aimed to compare clinical courses and outcomes between pregnant and reproductive-aged non-pregnant women with COVID-19, and to assess the vertical transmission potential of COVID-19 in pregnancy. Medical records of pregnant and reproductive-aged non-pregnant women hospitalized with COVID-19 from January 15 to March 15, 2020 were retrospectively reviewed. The severity of disease, virus clearance time, and length of hospital stay were measured as the primary objective, while the vertical transmission potential of COVID-19 was also assessed. Eighty-two patients (28 pregnant women, 54 reproductive-aged non-pregnant women) with laboratory-confirmed COVID-19 were enrolled in this study. Univariate regression indicated no association between pregnancy and severity of disease (OR 0.73, 95% CI 0.08–5.15; p=0.76), virus clearance time (HR 1.16, 95% CI 0.65–2.01; p=0.62), and length of hospital stay (HR 1.10, 95% CI 0.66–1.84; p=0.71). Of the pregnant women, 22 delivered 23 live births, either by cesarean section (17, 60.7%) or vaginal delivery (5, 17.9%), and no neonate was infected with SARS-CoV-2. Pregnant women have comparable clinical courses and outcomes with reproductive-aged non-pregnant women when infected with SARS-CoV-2. No evidence supported vertical transmission of COVID-19 in the late stage of pregnancy, including vaginal delivery. This study aimed to compare clinical courses and outcomes between pregnant and reproductive-aged non-pregnant women with COVID-19, and to assess the vertical transmission potential of COVID-19 in pregnancy. Medical records of pregnant and reproductive-aged non-pregnant women hospitalized with COVID-19 from January 15 to March 15, 2020 were retrospectively reviewed. The severity of disease, virus clearance time, and length of hospital stay were measured as the primary objective, while the vertical transmission potential of COVID-19 was also assessed. Eighty-two patients (28 pregnant women, 54 reproductive-aged non-pregnant women) with laboratory-confirmed COVID-19 were enrolled in this study. Univariate regression indicated no association between pregnancy and severity of disease (OR 0.73, 95% CI 0.08-5.15; p=0.76), virus clearance time (HR 1.16, 95% CI 0.65-2.01; p=0.62), and length of hospital stay (HR 1.10, 95% CI 0.66-1.84; p=0.71). Of the pregnant women, 22 delivered 23 live births, either by cesarean section (17, 60.7%) or vaginal delivery (5, 17.9%), and no neonate was infected with SARS-CoV-2. Pregnant women have comparable clinical courses and outcomes with reproductive-aged non-pregnant women when infected with SARS-CoV-2. No evidence supported vertical transmission of COVID-19 in the late stage of pregnancy, including vaginal delivery. This study aimed to compare clinical courses and outcomes between pregnant and reproductive-aged non-pregnant women with COVID-19, and to assess the vertical transmission potential of COVID-19 in pregnancy.OBJECTIVESThis study aimed to compare clinical courses and outcomes between pregnant and reproductive-aged non-pregnant women with COVID-19, and to assess the vertical transmission potential of COVID-19 in pregnancy.Medical records of pregnant and reproductive-aged non-pregnant women hospitalized with COVID-19 from January 15 to March 15, 2020 were retrospectively reviewed. The severity of disease, virus clearance time, and length of hospital stay were measured as the primary objective, while the vertical transmission potential of COVID-19 was also assessed.METHODSMedical records of pregnant and reproductive-aged non-pregnant women hospitalized with COVID-19 from January 15 to March 15, 2020 were retrospectively reviewed. The severity of disease, virus clearance time, and length of hospital stay were measured as the primary objective, while the vertical transmission potential of COVID-19 was also assessed.Eighty-two patients (28 pregnant women, 54 reproductive-aged non-pregnant women) with laboratory-confirmed COVID-19 were enrolled in this study. Univariate regression indicated no association between pregnancy and severity of disease (OR 0.73, 95% CI 0.08-5.15; p=0.76), virus clearance time (HR 1.16, 95% CI 0.65-2.01; p=0.62), and length of hospital stay (HR 1.10, 95% CI 0.66-1.84; p=0.71). Of the pregnant women, 22 delivered 23 live births, either by cesarean section (17, 60.7%) or vaginal delivery (5, 17.9%), and no neonate was infected with SARS-CoV-2.RESULTSEighty-two patients (28 pregnant women, 54 reproductive-aged non-pregnant women) with laboratory-confirmed COVID-19 were enrolled in this study. Univariate regression indicated no association between pregnancy and severity of disease (OR 0.73, 95% CI 0.08-5.15; p=0.76), virus clearance time (HR 1.16, 95% CI 0.65-2.01; p=0.62), and length of hospital stay (HR 1.10, 95% CI 0.66-1.84; p=0.71). Of the pregnant women, 22 delivered 23 live births, either by cesarean section (17, 60.7%) or vaginal delivery (5, 17.9%), and no neonate was infected with SARS-CoV-2.Pregnant women have comparable clinical courses and outcomes with reproductive-aged non-pregnant women when infected with SARS-CoV-2. No evidence supported vertical transmission of COVID-19 in the late stage of pregnancy, including vaginal delivery.CONCLUSIONSPregnant women have comparable clinical courses and outcomes with reproductive-aged non-pregnant women when infected with SARS-CoV-2. No evidence supported vertical transmission of COVID-19 in the late stage of pregnancy, including vaginal delivery. • Most pregnant women with SARS-CoV-2 infection present as mild to moderate type. • Pregnant women have clinical courses and outcomes that are comparable with reproductive-aged non-pregnant women infected with SARS-CoV-2. • No evidence supports vertical transmission of COVID-19, including vaginal delivery. Objectives: This study aimed to compare clinical courses and outcomes between pregnant and reproductive-aged non-pregnant women with COVID-19, and to assess the vertical transmission potential of COVID-19 in pregnancy. Methods: Medical records of pregnant and reproductive-aged non-pregnant women hospitalized with COVID-19 from January 15 to March 15, 2020 were retrospectively reviewed. The severity of disease, virus clearance time, and length of hospital stay were measured as the primary objective, while the vertical transmission potential of COVID-19 was also assessed. Results: Eighty-two patients (28 pregnant women, 54 reproductive-aged non-pregnant women) with laboratory-confirmed COVID-19 were enrolled in this study. Univariate regression indicated no association between pregnancy and severity of disease (OR 0.73, 95% CI 0.08–5.15; p = 0.76), virus clearance time (HR 1.16, 95% CI 0.65–2.01; p = 0.62), and length of hospital stay (HR 1.10, 95% CI 0.66–1.84; p = 0.71). Of the pregnant women, 22 delivered 23 live births, either by cesarean section (17, 60.7%) or vaginal delivery (5, 17.9%), and no neonate was infected with SARS-CoV-2. Conclusions: Pregnant women have comparable clinical courses and outcomes with reproductive-aged non-pregnant women when infected with SARS-CoV-2. No evidence supported vertical transmission of COVID-19 in the late stage of pregnancy, including vaginal delivery.
Author	Xiaogan, Jiang Jian, Shen Qiancheng, Xu Lingling, Pan Shirong, Li Lei, Zha Gang, Yang Lei, Huang Zhen, Wang GuoPing, Xiong Weihua, Lu
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Keywords	COVID-19 infection SARS-CoV-2 virus pregnancy clinical feature
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characteristics of 138 hospitalized patients with 2019 novel coronavirus–infected pneumonia in Wuhan, China publication-title: Jama doi: 10.1001/jama.2020.1585 – year: 2020 ident: 10.1016/j.ijid.2020.04.065_bib0050 article-title: Clinical manifestations and outcome of SARS-CoV-2 infection during pregnancy publication-title: The Journal of infection – reference: 33737127 - Int J Infect Dis. 2021 Apr;105:721
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Snippet	•Most pregnant women with SARS-CoV-2 infection present as mild to moderate type.•Pregnant women have clinical courses and outcomes that are comparable with... This study aimed to compare clinical courses and outcomes between pregnant and reproductive-aged non-pregnant women with COVID-19, and to assess the vertical... • Most pregnant women with SARS-CoV-2 infection present as mild to moderate type. • Pregnant women have clinical courses and outcomes that are comparable with... Objectives: This study aimed to compare clinical courses and outcomes between pregnant and reproductive-aged non-pregnant women with COVID-19, and to assess...
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SubjectTerms	Adult Betacoronavirus Cesarean Section clinical feature Coronavirus Infections - complications Coronavirus Infections - transmission COVID-19 Female Humans infection Infectious Disease Transmission, Vertical Pandemics Pneumonia, Viral - complications Pneumonia, Viral - transmission Pregnancy Pregnancy Complications, Infectious - virology Retrospective Studies SARS-CoV-2 virus
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Title	Coronavirus disease 2019 in pregnancy
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