Assessment of fetal growth and anomalies in the era of COVID-19 pandemic: an Egyptian pilot study

Eltemamy, Emad; Salama, Sameh; Salem, S. A.; Abdel-Rasheed, Mazen; Salama, Ehab; Elsirgany, Sherif; El-Nahas, Tamer

doi:10.1186/s43043-021-00075-2

Cited by 8 publications

(6 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Our findings are in accordance with Eltemamy and colleagues and Soto-Torres and colleagues, who demonstrated the absence of significant differences in fetal growth and Doppler measurements. 13 , 14 In addition, our findings are in accordance with both Ayhan and colleagues, 15 who found no difference in fetal Doppler values, and Narang and colleagues, who reported no difference in the rate of fetal growth restriction in patients with and without SARS-CoV-2 infection. 13 , 17 Our UA Doppler findings and the previously mentioned studies are in contrast to the findings of Anuk and colleagues, who reported an increase in the pulsatility and resistance indices of the umbilical artery in 30 pregnant women who recovered from SARS-CoV-2 compared to 40 noninfected pregnant women.…”

Section: Discussionsupporting

confidence: 92%

Effect of infection with severe acute respiratory syndrome coronavirus 2 on the fetus in pregnant women who recovered from infection

2023

View full text Add to dashboard Cite

BACKGROUND: The effect of maternal infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on the fetus is unclear, and there is no data from Saudi Arabia. OBJECTIVE: Assess the effect of maternal SARS-CoV-2 infection on fetal growth. DESIGN: Retrospective case-control SETTING: Tertiary care hospital, Riyadh, Saudi Arabia PATIENTS AND METHODS: We selected pregnant women who underwent an obstetric growth scan and umbilical artery Doppler ultra-sound examination between 28 and 41 weeks of pregnancy. Women with multiple pregnancy, fetal abnormalities, maternal body mass index >30, maternal hypertension, any other chronic diseases that might affect fetal growth or pregnant women suffering from cancer were excluded. Fetal growth parameters assessed included fetal biometry (biparietal diameter, head circumference, abdominal circumference and femur length). We also did an umbilical artery Doppler assessment, which includes the umbilical artery pulsatility index, resistive index and the systolic/diastolic ratio. MAIN OUTCOME MEASURE: Fetal biometry and biophysical profile SAMPLE SIZE: 48 SARS-CoV-2; 98 non-SARS-CoV-2 RESULTS: More women who had recovered from SARS-CoV-2 infection had small for gestational age fetuses compared with the control group ( P =.001). CONCLUSION: Maternal SARS-CoV-2 infection during pregnancy was associated with a higher prevalence of small for gestational age (SGA) fetuses. LIMITATIONS: Retrospective, middle cerebral artery and uterine artery Doppler data were not included nor were the effect of tobacco use and socioeconomic status, the relationship between the date of infection with the date of conceiving or the relationship between the severity of infection in the mother and fetal biometry and growth. CONFLICT OF INTEREST: None.

show abstract

Section: Discussionsupporting

confidence: 92%

Effect of infection with severe acute respiratory syndrome coronavirus 2 on the fetus in pregnant women who recovered from infection

2023

View full text Add to dashboard Cite

show abstract

“…Contrary to our expectations, the rate of IUGR/SGA, OH, abnormal fetal Doppler studies, and congenital anomalies were notably higher in the control group. This leads us to conclude that COVID-19 is not associated with adverse fetal outcome, as reported earlier [15]. A meta-analysis published estimates of the low incidence of IUGR (2.6%) in women infected with COVID-19 [16].…”

Section: Discussionsupporting

confidence: 81%

The Effects and Outcomes of the COVID-19 Pandemic on Pregnant Women in Kuwait

Akbar,

Al Azmi,

Husain

et al. 2023

Med Princ Pract

View full text Add to dashboard Cite

Objectives: This retrospective study reports the effects of COVID-19 among hospitalized pregnant women infected with COVID-19 and compares them to a control group. Methods: We performed a multicenter retrospective cohort study, in which data of pregnant women with COVID-19, admitted to five different hospitals in Kuwait, were collected. Two groups were included; the first group was women with COVID-19 who were admitted between March 22, 2020, and December 31, 2020. The second (control) group included pregnant women without COVID-19 who were admitted between March 1, 2019, and March 21, 2020. Data were collected using a standardized data collection survey, entered using Excel software, and analyzed using analysis of variance. Results: We compared 764 patients, with confirmed COVID-19 with 765 uninfected control subjects. The majority of pregnant women were diagnosed with COVID-19 infection during the third trimester. Tachycardia was the most frequent sign at admission, and dry cough and fever were the most common presenting symptoms. ICU admission and respiratory failure were significantly higher in the COVID-19 group. Cesarean section (CS) rate was higher in the COVID-19 group, with obstetric and maternal complications being the most common indications in comparison to fetal indications in the control group. Conclusions: This study was conducted to identify the effects of COVID-19 in pregnancy. Most patients were asymptomatic. The rate of normal vaginal delivery was higher in the control group. The main indications for CS in the COVID-19 group were obstetrical and maternal complications compared to fetal complications in the control group.

show abstract

“…The authors found no significant differences in fetal growth parameters, Doppler study, and rate of gross structural anomalies in regular antenatal visits of the cases group (pregnant women with no risk factors, normal nuchal translucency, and history of confirmed positive SARS-Cov-2 in their first trimester) compared to controls group. [36] Similar results were found in a retrospective cohort study where Narang et al also concluded that there were no significant differences in the rate of intrauterine growth retardation rate in mild or asymptomatic SARS-Cov-2 infected pregnant women, irrespective of the timing of infection, compared to those with a negative infection result (3.4% vs 4.8%, p=0.36) [37].…”

Section: Intrauterine Growth Retardationsupporting

confidence: 69%

Impact of Covid-19 on Pregnancy (Review)

Kurmanova

Momand²,

Azim³

et al. 2022

IAM

View full text Add to dashboard Cite

SARS-CoV-2 infection during pregnancy is associated with a number of adverse pregnancy outcomes, including preeclampsia, preterm birth, and stillbirth, especially among pregnant women with severe COVID-19. Several fetal complications such as early pregnancy loss, delivery of a premature fetus, preeclampsia, fetal death, vertical transmission, intrauterine growth retardation, and congenital structural anomalies in association with COVID-19 disease have been investigated.Тo review on the fetal adverse outcome that is likely to occur during COVID-19 disease. The fetal detrimental outcomes that have been widely studied in the literature include preterm birth, stillbirth, vertical transmission. The evidence in the literature supports that there is a higher rate of preterm birth and stillbirth in women who tested positive for SARS-CoV-2 but their association with the disease is not completely clear. Furthermore, the emergence of other possible outcomes is not conclusively stated. Hence more studies are required to establish their association with COVID-19 disease to decrease and mitigate the risk of detrimental fetal outcomes through early interventions and preventive measures.

show abstract

Assessment of fetal growth and anomalies in the era of COVID-19 pandemic: an Egyptian pilot study

Cited by 8 publications

References 25 publications

Effect of infection with severe acute respiratory syndrome coronavirus 2 on the fetus in pregnant women who recovered from infection

Effect of infection with severe acute respiratory syndrome coronavirus 2 on the fetus in pregnant women who recovered from infection

The Effects and Outcomes of the COVID-19 Pandemic on Pregnant Women in Kuwait

Impact of Covid-19 on Pregnancy (Review)

Contact Info

Product

Resources

About