Evidence map›Paper›PMID 32305046›Full record

ArticleAmerican journal of perinatology2020

Severe COVID-19 during Pregnancy and Possible Vertical Transmission.

Maria Claudia Alzamora, Tania Paredes, David Caceres, Camille M Webb, Luis M Valdez, Mauricio La Rosa

2 registry-linked trialsAbstract readCase Reports
In one paragraph

Article in American journal of perinatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 326 papers, 18 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
326citing papers in PubMed, 18 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04432779 terminatednot on this map

Impact of SARS-CoV-2 Infection During Pregnancy on Newborns and Young Children

TypeobservationalSponsorCentre Hospitalier Universitaire Saint PierreRan2020 to 2022Enrolled1,362ConditionsPregnancy, Covid-19Armsno intervention
NCT04598347 unknown statusnot on this map

Valuation of the Possible Vertical Transmission of SARS-CoV-2 Through Study of Amniotic Fluid and Chorionic Villi of Affected Pregnant Women for the COVID-19

Typeobservational_patient_registrySponsorFundació Institut de Recerca de l'Hospital de la Santa Creu i Sant PauRan2020 to 2022Enrolled225ConditionsCovid19, Pregnancy Related
3 · Its place in the literature

Who cites it

326 citing papers in PubMed, 18 syntheses or guidelines pooled it.

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  10. Vertical Transmission of SARS-CoV-2: A Systematic Review.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2021
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  14. Maternal and perinatal outcomes in pregnant women infected by SARS-CoV-2: A meta-analysis.European journal of obstetrics, gynecology, and reproductive biology · 2021
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  18. POTENTIAL RISK OF BRAIN DAMAGE AND POOR DEVELOPMENTAL OUTCOMES IN CHILDREN PRENATALLY EXPOSED TO SARS-COV-2: A SYSTEMATIC REVIEW.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2021
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266 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Maria Claudia AlzamoraDivision of Maternal Fetal Medicine, British American Hospital, Lima, Peru.ORCID 0000-0002-0905-713X
Tania ParedesDivision of Neonatology, British American Hospital, Lima, Peru.
David CaceresDivision of Pulmonary Medicine, British American Hospital, Lima, Peru.
Camille M WebbDivision of Infectious Disease, University of Texas Medical Branch, Texas.
Luis M ValdezTropical Medicine Institute "Alexander von Humbolt," Universidad Peruana Cayetano Heredia, Lima, Peru.
Mauricio La RosaDivision of Maternal Fetal Medicine, British American Hospital, Lima, Peru.ORCID 0000-0003-0183-1706

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There are few cases of pregnant women with novel corona virus 2019 (COVID-19) in the literature, most of them with a mild illness course. There is limited evidence about in utero infection and early positive neonatal testing. A 41-year-old G3P2 with a history of previous cesarean deliveries and diabetes mellitus presented with a 4-day history of malaise, low-grade fever, and progressive shortness of breath. A nasopharyngeal swab was positive for COVID-19, COVID-19 serology was negative. The patient developed respiratory failure requiring mechanical ventilation on day 5 of disease onset. The patient underwent a cesarean delivery, and neonatal isolation was implemented immediately after birth, without delayed cord clamping or skin-to-skin contact. The neonatal nasopharyngeal swab, 16 hours after delivery, was positive for severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) real-time polymerase chain reaction (RT-PCR), and immunoglobulin (Ig)-M and IgG for SARS-CoV-2 were negative. Maternal IgM and IgG were positive on postpartum day 4 (day 9 after symptom onset). We report a severe presentation of COVID-19 during pregnancy. To our knowledge, this is the earliest reported positive PCR in the neonate, raising the concern for vertical transmission. We suggest pregnant women should be considered as a high-risk group and minimize exposures for these reasons. KEY POINTS: · We report a severe presentation of COVID-19 in pregnancy requiring invasive ventilatory support.. · This is a case of positive RT-PCR in first day of life, suggesting possible vertical transmission.. · There were no detectable maternal antibodies for COVID-19 until after delivery..

Indexed as

BetacoronavirusCoronavirus InfectionsInfant, Newborn, DiseasesPandemicsPneumonia, ViralPregnancy Complications, InfectiousRespiratory InsufficiencyAdultCesarean SectionClinical Laboratory TechniquesCOVID-19COVID-19 TestingCOVID-19 VaccinesFemaleHumansInfant, NewbornCOVID-19 Vaccines

Identifiers

PMID32305046
PMCPMC7356080

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.