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Impact of COVID-19 on Pregnancy and Maternal-Neonatal Outcomes: A Narrative Review
Sweta Sahu1, Guddi Laishram1, Asmita Rannaware1
1Community Medicine, School of Epidemiology and Public Health, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND.
Insights
The COVID-19 pandemic posed risks to pregnant women, increasing susceptibility to complications. While most infections were mild, some cases resulted in miscarriage and fetal growth issues.
Area of Science:
- Obstetrics and Gynecology
- Infectious Diseases
- Public Health
Background:
- The COVID-19 pandemic created a global health crisis, impacting various populations.
- Pregnant women, the elderly, and individuals with comorbidities faced heightened risks.
- Emerging evidence suggests COVID-19 affects multiple organ systems, including the placenta.
Purpose of the Study:
- To review existing literature on pregnancies affected by COVID-19.
- To analyze the pandemic's effects on maternal, perinatal, and neonatal outcomes.
Main Methods:
- Literature search conducted using Google Scholar and PubMed (Medline).
- Data synthesis included clinical manifestations, fetal outcomes, vertical transmission, and pregnancy impacts.
Main Results:
- Most pregnant women with COVID-19 experienced mild or asymptomatic infections.
- The impact on the fetus was generally insignificant.
- However, some cases reported miscarriage and fetal growth retardation.
Conclusions:
- Pregnant women require special attention during the COVID-19 pandemic.
- While generally mild, COVID-19 can lead to severe maternal and fetal complications in some instances.
- Further research is needed to fully understand long-term impacts.
Abstract:
The pandemic coronavirus disease (COVID-19) has caused an unprecedented worldwide health emergency. The pandemic increased the susceptibility of pregnant women to maternal and fetal complications. Elderly and patients with comorbidities were also at high risk during the pandemic times. Further evidence supports that COVID-19 is not only a respiratory infection but possibly affects other organ systems, including the placenta. The key objective of this review is to explore the literature on COVID-19-affected pregnancies and study the pandemic's impacts on maternal, perinatal, and neonatal outcomes. We used Google Scholar and PubMed (Medline) for relevant literature searches. The clinical manifestations in pregnant women, fetus outcome, vertical transmission, and early and late pregnancy impacts are combined in database studies. Women should receive special attention for COVID even though most of the COVID-19-positive pregnant women had no symptoms or had minor ones. It was found that most pregnant women with COVID-19 had mild and few symptoms and that the effect on the fetus was insignificant. However, in some women, miscarriage and fetal growth retardation were seen as a consequence of the infection.
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