Spontaneous Abortion in Pregnancies Having COVID-19 Infection in Bangladesh: A Series of Cases

Chowdhury, Tanzina Iveen; Choudhury, Tasrina Rabia; Rahman, Md. Mostafizur; Das, Tripti Rani; Alam, Jahangir

doi:10.2139/ssrn.3760523

Cited by 2 publications

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“…The miscarriage resulted from viral damage and the consequent induction of a placental inflammatory reaction, acute chorioamnionitis, and intervillous. 1 Yet, the effect sizes of all of these studies are too small to statistically conclude that the SARS-CoV-2 virus is the main culprit in causing miscarriages in pregnant women.…”

Section: Discussionmentioning

confidence: 98%

“…Since pregnancy is an immunocompromised state, a pregnant woman is at a higher risk of getting infected as compared with a healthy individual. 1 The modulations of the maternal immune system in pregnancy may affect the response to infections, and specifically to viruses. 6 Mechanisms of damages of COVID-19 during pregnancy could be: a decrease in circulating natural killer (NK) cells 7 ; increased progesterone hormone as a steroid hormone that has immunomodulatory properties 8 ; alterations in the innate immune system, including the pattern recognition receptors Toll-like receptors (TLRs) 9 ; a shift in CD4þ T cell population toward the Th2 phenotype over Th1 10 ; also pregnancy is a hypercoagulable state with increased thrombin production and an increase in intravascular inflammation 11 ; and the current reports indicate clinical manifestations of both widespread microvascular as well as large vessel thrombosis in patients infected with COVID-19.…”

Section: Introductionmentioning

confidence: 99%

“…COVID-19 infection is spread by respiratory droplets and is highly contagious. 1 It was first reported in Wuhan, China in December 2019 and the COVID-19 pandemic was declared by the World Health Organization on March 11, 2020. 2 COVID-19 enters the body via the nasal passage and infects pulmonary cells via the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) receptor angiotensin-converting enzyme 2 (ACE2) and uses transmembrane serine protease 2 (TMPRSS2) for S protein priming.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Fetal Complications in COVID-19 Infected Pregnant Woman: A Systematic Review and Meta-Analysis

Agolli

Sánchez-Velazco

et al. 2021

Avicenna J Med

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Background Pregnancy is an immunocompromised state and, for this reason, a pregnant woman is at a higher risk of getting infected as compared with a healthy individual. There is limited data available regarding the impact of COVD-19 on pregnancy; however, the case of miscarriage due to placental infection caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in second trimester has already been reported. Methods We searched for all published articles in PubMed, Science Direct, Cochrane, Scopus, and Embase. The literature search produced 167 relevant publications; 67 manuscripts were further excluded because they did not satisfy our inclusion criteria. Out of the remaining 100 articles, 78 were excluded after full text screening. Therefore, a total of 22 articles were eligible for review in our study. Results Overall, these 22 studies included a total of 7,034 participants: 2,689 (38.23%) SARS-CoV-2 positive pregnant women, of which 2,578 (95.87%) were laboratory confirmed and 111 (4.13%) were clinically diagnosed. Among the positive patients, there were 174 (6.47%) cases of abortion, of them 168 (96.55%) were spontaneous abortions and 6 (3.45%) were missed. Most patients either reported mild symptoms of fever, cough, fatigue, and anosmia or they presented asymptomatic. Conclusion Additional investigation and rigorous research are warranted to confirm placental pathology mechanisms concerning COVID-19 to protect maternal and fetal health.

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Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Fetal Complications in COVID-19 Infected Pregnant Woman: A Systematic Review and Meta-Analysis

Agolli

Sánchez-Velazco

et al. 2021

Avicenna J Med

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“…Of course, those who had a history of such complications in previous pregnancies or in their relatives were more worried. Other studies showed that COVID-19 causes an increase in some pregnancy complications such as premature labor and abortion [ 66 – 68 ]. One of the reasons for this is the unknown nature of the COVID-19 disease and its complications, and the other reason is perhaps talking with peers and hearing the experiences of those who had a history of these complications.…”

Section: Discussionmentioning

confidence: 99%

Maternal mental health concerns during the COVID-19 pandemic in Iran: a content analysis study

et al. 2023

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Background As crises occur, attention to physical health usually becomes more than mental health, neglecting mental health, especially in some vulnerable groups such as pregnant women and new mothers, can have adverse consequences. Therefore, it is imperative to recognize and comprehend their mental health needs, particularly during critical situations such as the recent COVID-19 pandemic. The aim of this study was to explain the understanding and experience of mental health concerns faced by pregnant and postpartum women during this pandemic. Methods This qualitative study was conducted from March 2021 to November 2021 in Iran. Data were collected using semi-structured in-depth interviews to understand mental health concerns in pregnancy and the postpartum period during the COVID-19 pandemic. Twenty-five purposefully retrieved and participated in the study. Due to the prevalence of coronavirus, most of the participants preferred tele interviews. When data saturation was achieved, the data were codified manually and analyzed using Graneheim and Lundman’s approach 2004. Results Based on the content analysis of the interviews, 2 main themes, 8 categories 23 subcategories were identified. The identified themes were as follows: (1) Maternal mental health threats and (2) Inadequate access to the required information. Conclusion The results of this study showed that the main concern and fear of pregnant and postpartum women in the COVID-19 pandemic was the fear of the possibility of death for themselves and/or their fetus/infant. The knowledge that was obtained from the understanding of pregnant women and new mothers about the mental health concerns during the COVID-19 pandemic can help managers in planning to improve and promote women's mental health, especially in critical situations.

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Spontaneous Abortion in Pregnancies Having COVID-19 Infection in Bangladesh: A Series of Cases

Cited by 2 publications

References 0 publications

Fetal Complications in COVID-19 Infected Pregnant Woman: A Systematic Review and Meta-Analysis

Fetal Complications in COVID-19 Infected Pregnant Woman: A Systematic Review and Meta-Analysis

Maternal mental health concerns during the COVID-19 pandemic in Iran: a content analysis study

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