Long term implications of covid-19 in pregnancy

Abbas-Hanif, Allyah; Modi, Neena; Majeed, Azeem

doi:10.1136/bmj-2022-071296

Cited by 8 publications

(6 citation statements)

References 9 publications

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“…Furthermore, very scarce information is available regarding long-term implications of COVID-19 in pregnant women, such as long COVID-19 following infection during pregnancy and the potential impact of the virus on the development of infants born from mothers exposed to COVID-19 during pregnancy. 35 Thus, health care providers and public health authorities should not be complacent about COVID-19 infection during pregnancy. Focus should be placed on promoting vaccination against COVID-19 in pregnant women, before and during pregnancy, as many remain reluctant to vaccinate while pregnant.…”

Section: Discussionmentioning

confidence: 99%

Maternal and perinatal outcomes following pre-Delta, Delta, and Omicron SARS-CoV-2 variants infection among unvaccinated pregnant women in France and Switzerland: a prospective cohort study using the COVI-PREG registry

Favre

Maisonneuve

Pomar

et al. 2023

The Lancet Regional Health - Europe

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Section: Discussionmentioning

confidence: 99%

Maternal and perinatal outcomes following pre-Delta, Delta, and Omicron SARS-CoV-2 variants infection among unvaccinated pregnant women in France and Switzerland: a prospective cohort study using the COVI-PREG registry

Favre

Maisonneuve

Pomar

et al. 2023

The Lancet Regional Health - Europe

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“…A woman’s death during childbearing is tragic. Maternal death must be considered a completely avoidable tragedy [ 33 ]. Praise to God, there were few deaths in this study, which may be attribute to the KSA’s advanced healthcare, as well as to the early precautions taken by the women and the Saudi government in confronting the pandemic.…”

Section: Discussionmentioning

confidence: 99%

Maternal Outcomes Among Pregnant Women Diagnosed With COVID-19

Al-Zahrani¹,

Alanazi²,

Thabet³

et al. 2023

Cureus

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Background: COVID-19 has the potential development of negative maternal outcomes for pregnant women. The risk of contracting COVID-19 is high as pregnancy alters the maternal immune system. Therefore, this study aims to assess maternal outcomes among pregnant women with COVID-19 in the Kingdom of Saudi Arabia.Methods: A retrospective study was conducted in three hospitals during the pandemic over four months, from the beginning of December 2019 until the end of March 2020. Data was collected using a structured questionnaire filled by the researcher using computers from the medical records of three hospitals. The sampling was all confirmed cases of pregnant women who delivered while being positive for COVID-19.Results: This study has identified a total of 82 pregnant women with confirmed COVID-19 infection over the study period, with ages ranging from 18 to >40 years. The majority of the pregnant women (84.1%) were symptomatic, with fever (48.8%) being the most frequent COVID-19 symptom, followed by cough (42.7%) and shortness of breath (41.5%). Some women (46.3%) had a spontaneous normal vaginal delivery, and 50.2% had a cesarean delivery. The most common adverse pregnancy outcome was premature delivery (36.5%), followed by fetal distress (20.7%), preeclampsia (2.4%), eclampsia (1.2%), and diabetic ketoacidosis (1.2%), as well as the death of three pregnant women.Conclusion: This study found that infected mothers faced various risks of maternal adverse outcomes. The majority of the pregnant women experienced mild to moderate illness symptoms and were delivered within 14 days of the onset of COVID-19 symptoms. Healthcare providers should provide more attention to pregnant women diagnosed with COVID-19.

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“…The impact of COVID-19 infection acquired during pregnancy has been extensively studied and its effects have been demonstrated, such as a significant increase in the risk of preeclampsia [234], elevated maternal and perinatal death rates aligning with each wave of the pandemic [235], and a higher occurrence of neurodevelopmental disorders in infants during the initial 12 months after birth for mothers infected during pregnancy [236]. Although, there is currently no scientifically valid literature that offers insights into the development of the long-term consequences of COVID-19 infection in pregnant women who have recovered from SARS-CoV-2 infection before or during the early weeks of pregnancy.…”

Section: Long Covid and Pregnancymentioning

confidence: 99%

Long COVID in Children, Adults, and Vulnerable Populations: A Comprehensive Overview for an Integrated Approach

Calcaterra,

Zanelli,

Foppiani

et al. 2024

Diseases

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Long COVID affects both children and adults, including subjects who experienced severe, mild, or even asymptomatic SARS-CoV-2 infection. We have provided a comprehensive overview of the incidence, clinical characteristics, risk factors, and outcomes of persistent COVID-19 symptoms in both children and adults, encompassing vulnerable populations, such as pregnant women and oncological patients. Our objective is to emphasize the critical significance of adopting an integrated approach for the early detection and appropriate management of long COVID. The incidence and severity of long COVID symptoms can have a significant impact on the quality of life of patients and the course of disease in the case of pre-existing pathologies. Particularly, in fragile and vulnerable patients, the presence of PASC is related to significantly worse survival, independent from pre-existing vulnerabilities and treatment. It is important try to achieve an early recognition and management. Various mechanisms are implicated, resulting in a wide range of clinical presentations. Understanding the specific mechanisms and risk factors involved in long COVID is crucial for tailoring effective interventions and support strategies. Management approaches involve comprehensive biopsychosocial assessments and treatment of symptoms and comorbidities, such as autonomic dysfunction, as well as multidisciplinary rehabilitation. The overall course of long COVID is one of gradual improvement, with recovery observed in the majority, though not all, of patients. As the research on long-COVID continues to evolve, ongoing studies are likely to shed more light on the intricate relationship between chronic diseases, such as oncological status, cardiovascular diseases, psychiatric disorders, and the persistent effects of SARS-CoV-2 infection. This information could guide healthcare providers, researchers, and policymakers in developing targeted interventions.

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Long term implications of covid-19 in pregnancy

Abstract: We must characterise the risks and take urgent steps to reduce harm

Cited by 8 publications

References 9 publications

Maternal and perinatal outcomes following pre-Delta, Delta, and Omicron SARS-CoV-2 variants infection among unvaccinated pregnant women in France and Switzerland: a prospective cohort study using the COVI-PREG registry

Maternal and perinatal outcomes following pre-Delta, Delta, and Omicron SARS-CoV-2 variants infection among unvaccinated pregnant women in France and Switzerland: a prospective cohort study using the COVI-PREG registry

Maternal Outcomes Among Pregnant Women Diagnosed With COVID-19

Long COVID in Children, Adults, and Vulnerable Populations: A Comprehensive Overview for an Integrated Approach

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