Evidence map›Paper›PMID 32545378›Full record

SynthesisInternational journal of environmental research and public health2020

Effects of COVID-19 Infection during Pregnancy and Neonatal Prognosis: What Is the Evidence?

Álvaro Francisco Lopes de Sousa, Herica Emilia Félix de Carvalho, Layze Braz de Oliveira, Guilherme Schneider, Emerson Lucas Silva Camargo, Evandro Watanabe, Denise de Andrade, Ana Fátima Carvalho Fernandes, Isabel Amélia Costa Mendes, Inês Fronteira

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 8 pooled it
8.2field-weighted citation impact, top 2% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 8 syntheses or guidelines pooled it, 93 citations in OpenAlex.

  1. Consequences and implications of the coronavirus disease (COVID-19) on pregnancy and newborns: A comprehensive systematic review and meta-analysis.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2022
    Pooled it
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  8. Guideline
  9. Article
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  12. Maternal Characteristics and Outcomes Affected by COVID-19 Pandemic in Indonesia.Journal of obstetrics and gynaecology of India · 2023
    Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Hearing screening outcomes in neonates of SARS-CoV-2 positive pregnant women.International journal of pediatric otorhinolaryngology · 2021
    Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Álvaro Francisco Lopes de SousaGlobal Health and Tropical Medicine, Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, 1349-008 Lisboa, Portugal.ORCID 0000-0003-2710-2122
Herica Emilia Félix de CarvalhoHuman Exposome and Infectious Diseases Network (HEID), Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, 14040-902 Ribeirão Preto, Brazil.ORCID 0000-0002-5913-8886
Layze Braz de OliveiraHuman Exposome and Infectious Diseases Network (HEID), Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, 14040-902 Ribeirão Preto, Brazil.ORCID 0000-0001-7472-5213
Guilherme SchneiderHuman Exposome and Infectious Diseases Network (HEID), Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, 14040-902 Ribeirão Preto, Brazil.ORCID 0000-0002-4244-6217
Emerson Lucas Silva CamargoHuman Exposome and Infectious Diseases Network (HEID), Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, 14040-902 Ribeirão Preto, Brazil.ORCID 0000-0002-6119-5193
Evandro WatanabeHuman Exposome and Infectious Diseases Network (HEID), Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, 14040-902 Ribeirão Preto, Brazil.ORCID 0000-0001-5674-2589
Denise de AndradeHuman Exposome and Infectious Diseases Network (HEID), Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, 14040-902 Ribeirão Preto, Brazil.
Ana Fátima Carvalho FernandesNursing Department, Universidade Federal do Ceará, 60430-160 Fortaleza, Brazil.
Isabel Amélia Costa MendesHuman Exposome and Infectious Diseases Network (HEID), Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, 14040-902 Ribeirão Preto, Brazil.ORCID 0000-0002-0704-4319
Inês FronteiraGlobal Health and Tropical Medicine, Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, 1349-008 Lisboa, Portugal.ORCID 0000-0003-1406-4585
Universidade de São Paulo · BRUniversidade Federal do Ceará · BRUniversidade Nova de Lisboa · PT

Funding

Conselho Nacional de Desenvolvimento Científico e Tecnológico 159908/2019-1Coordenação de Aperfeiçoamento de Pessoal de Nível Superior 001
6 · The paper itself

Abstract

backgroundThis study's aims are to assess the current evidence presented in the literature regarding the potential risks of COVID-19 infection among pregnant women and consequent fetal transmission.

methodsa systematic literature review assessing papers published in the most comprehensive databases in the field of health intended to answer the question, "What are the effects of COVID-19 infection during pregnancy, and what is the neonatal prognosis?"

results49 papers published in 2020 were eligible, presenting low levels of evidence. A total of 755 pregnant women and 598 infants were assessed; more than half of pregnant women had C-sections (379/65%). Only 493 (82%) infants were tested for SARS-CoV-2, nine (2%) of whom tested positive. There is, however, no evidence of vertical transmission based on what has been assessed so far, considering there are knowledge gaps concerning the care provided during and after delivery, as well as a lack of suitable biological samples for testing SARS-CoV-2.

conclusionsWe cannot rule out potential worsening of the clinical conditions of pregnant women infected with SARS-CoV-2, whether the infection is associated with comorbidities or not, due to the occurrence of respiratory disorders, cardiac rhythm disturbances, and acid-base imbalance, among others. We recommend relentless monitoring of all pregnant women in addition to testing them before delivery or the first contact with newborns.

Indexed as

BetacoronavirusCesarean SectionCoronavirus InfectionsCOVID-19FemaleHumansInfant, NewbornInfectious Disease Transmission, VerticalPandemicsPneumonia, ViralPregnancyPregnancy Complications, InfectiousSARS-CoV-2COVID-19fetal transmissionmother-to-child transmissionpregnancySARS-CoV-2

Identifiers

PMID32545378
PMCPMC7313049
OpenAlexW3034576672

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.