Dialectical behavior therapy-based psychological intervention for woman in late pregnancy and early postpartum suffering from COVID-19: a case report

Huang, Jin; Zhou, Xiao; Lu, Shao jia; Xu, Yi; Hu, Jintao; Huang, Man li; Wang, Hua fen; Hu, Chan chan; Li, Shu Guang; Chen, Jing kai; Wang, Zhong; Hu, Sien; Wei, Ning

doi:10.1631/jzus.b2010012

Cited by 45 publications

(62 citation statements)

References 19 publications

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“…Of the 30 case reports, 29 reports described neonatal outcomes of women in their third trimester, whereas only 2 case reports described outcomes of women in their second trimester. 13 , 18 , 25 , 27 , 28 , 29 , 30 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 66 To date, no reports are available describing the assessment for the presence of SARS-CoV-2 in products of conception of a first-trimester pregnancy. Most women in case report studies (32/44) underwent CD with a resultant CD rate of 73%.…”

Section: Resultsmentioning

confidence: 99%

Vertical transmission of coronavirus disease 2019: a systematic review and meta-analysis

Kotlyar

Grechukhina

Chen

et al. 2021

American Journal of Obstetrics and Gynecology

562

525

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Objective This study aimed to conduct a systematic review of the current literature to determine estimates of vertical transmission of coronavirus disease 2019 based on early RNA detection of severe acute respiratory syndrome coronavirus 2 after birth from various neonatal or fetal sources and neonatal serology. Data Sources Eligible studies published until May 28, 2020, were retrieved from PubMed, EMBASE, medRxiv, and bioRxiv collection databases. Study Eligibility Criteria This systematic review included cohort studies, case series, and case reports of pregnant women who received a coronavirus disease 2019 diagnosis using severe acute respiratory syndrome coronavirus 2 viral RNA test and had reported data regarding the testing of neonates or fetuses for severe acute respiratory syndrome coronavirus 2 immediately after birth and within 48 hours of birth. A total of 30 eligible case reports describing 43 tested neonates and 38 cohort or case series studies describing 936 tested neonates were included. Study Appraisal and Synthesis Methods The methodological quality of all included studies was evaluated by a modified version of the Newcastle-Ottawa scale. Quantitative synthesis was performed on cohort or case series studies according to the neonatal biological specimen site to reach pooled proportions of vertical transmission. Results Our quantitative synthesis revealed that of 936 neonates from mothers with coronavirus disease 2019, 27 neonates had a positive result for severe acute respiratory syndrome coronavirus 2 viral RNA test using nasopharyngeal swab, indicating a pooled proportion of 3.2% (95% confidence interval, 2.2–4.3) for vertical transmission. Of note, the pooled proportion of severe acute respiratory syndrome coronavirus 2 positivity in neonates by nasopharyngeal swab in studies from China was 2.0% (8/397), which was similar to the pooled proportion of 2.7% (14/517) in studies from outside of China. Severe acute respiratory syndrome coronavirus 2 viral RNA testing in neonatal cord blood was positive in 2.9% of samples (1/34), 7.7% of placenta samples (2/26), 0% of amniotic fluid (0/51), 0% of urine samples (0/17), and 9.7% of fecal or rectal swabs (3/31). Neonatal serology was positive in 3 of 82 samples (3.7%) (based on the presence of immunoglobulin M). Conclusion Vertical transmission of severe acute respiratory syndrome coronavirus 2 is possible and seems to occur in a minority of cases of maternal coronavirus disease 2019 infection in the third trimester. The rates of infection are similar to those of other pathogens that cause congenital infections. However, given the paucity of early trimester data, no assessment can yet be made regarding the rates of vertical transmission in early pregnancy and potential risk for consequent fetal morbidity and mortality.

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Section: Resultsmentioning

confidence: 99%

Vertical transmission of coronavirus disease 2019: a systematic review and meta-analysis

Kotlyar

Grechukhina

Chen

et al. 2021

American Journal of Obstetrics and Gynecology

562

525

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“…Forty-two articles regarding COVID-19 met inclusion criteria. When there was sufficient detail to determine duplication of case reports, we included each case only once ([ [14] , [15] , [16] ], there was insufficient data to confirm or refute whether the case was also included in Ref. [ 17 ]).…”

Section: Resultsmentioning

confidence: 99%

A structured review of placental morphology and histopathological lesions associated with SARS-CoV-2 infection

et al. 2020

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The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), a novel coronavirus, was first identified after a cluster of cases in Wuhan, China in December 2019. Whether vertical transmission or placental pathology might occur following maternal infection during pregnancy remains unknown. This review aimed to summarise all studies that examined the placenta or neonates following infection with SARS-CoV-2, or closely related highly pathogenic coronavirus (SARS-CoV-1, or the Middle East respiratory syndrome coronavirus (MERS-CoV)). Structured literature searches found 50 studies that met the inclusion criteria. Twenty studies reported placental histopathology findings in third trimester placentas following maternal SARS-CoV-2 infection. Using the Amsterdam Consensus criteria to categorise the histopathology results, evidence of both fetal vascular malperfusion (35.3% of cases; 95% Confidence Interval (CI) 27.7–43.0%) and maternal vascular malperfusion (46% of cases; 95% CI 38.0–54.0%) were reported, along with evidence of inflammation in the placentas (villitis 8.7% cases, intervillositis 5.3% of cases, chorioamnionitis 6% of cases). The placental pathologies observed in SARS-CoV-2 were consistent with findings following maternal SARS-CoV-1 infection. Of those tested, a minority of neonates (2%) and placental samples tested positive for SARS-CoV-2 infection (21%). Limited conclusions can be drawn about the effect of maternal SARS-CoV-2 infection on placental pathology as most lack control groups and the majority of reports followed third trimester infection. Collaboration to maximise the number of samples examined will increase the reliability and generalisability of findings. A better understanding of the association between maternal SARS-CoV-2 infection and placental pathology will inform maternity care during the coronavirus pandemic.

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“…The different characteristics of articles to consider duplication were evaluated: author, city, hospital of data source, number of pregnant women, period of admission or recruitment and specific characteristics attributed to patients (symptoms, laboratory results, birth weight). Twenty-six articles with Chinese pregnant women ( 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 ), were excluded as the patients were also included in a recent case series from Yan J. et al( 22 ) Two articles from USA( 75 , 76 ), were also excluded since Breslin et al( 17 ) published a case series including the same population from the same hospitals ( Appendix B ) ( 17 ).…”

Section: Resultsmentioning

confidence: 99%

Maternal clinical characteristics and perinatal outcomes among pregnant women with coronavirus disease 2019. A systematic review

Novoa

Quintana

Llancarí

et al. 2021

Travel Medicine and Infectious Disease

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Dialectical behavior therapy-based psychological intervention for woman in late pregnancy and early postpartum suffering from COVID-19: a case report

Cited by 45 publications

References 19 publications

Vertical transmission of coronavirus disease 2019: a systematic review and meta-analysis

Vertical transmission of coronavirus disease 2019: a systematic review and meta-analysis

A structured review of placental morphology and histopathological lesions associated with SARS-CoV-2 infection

Maternal clinical characteristics and perinatal outcomes among pregnant women with coronavirus disease 2019. A systematic review

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