Evidence map›Paper›PMID 34081331›Full record

ArticleJournal of medical virology2021

Vertical transmission of SARS-CoV-2: A prospective cross-sectional study from a tertiary center.

Selcan Sinaci, Doga F Ocal, Banu Seven, Ali T Anuk, Berhan Besimoglu, Mehmet C Keven, Sule Goncu Ayhan, Mustafa S Akin, Cuneyt Tayman, Huseyin L Keskin and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of medical virology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 4 pooled it
6.7field-weighted citation impact, top 3% 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

24 citing papers in PubMed, 4 syntheses or guidelines pooled it, 46 citations in OpenAlex.

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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

14 authors at 1 institution in 3 countries.

Selcan SinaciDepartment of Obstetrics and Gynecology, Ministry of Health, Ankara City Hospital, Ankara, Turkey.ORCID http://orcid.org/0000-0003-3118-4036
Doga F OcalDepartment of Obstetrics and Gynecology, Ministry of Health, Ankara City Hospital, Ankara, Turkey.ORCID http://orcid.org/0000-0003-4727-7982
Banu SevenDepartment of Obstetrics and Gynecology, Ministry of Health, Ankara City Hospital, Ankara, Turkey.ORCID https://orcid.org/0000-0003-4731-4755
Ali T AnukDepartment of Obstetrics and Gynecology, Ministry of Health, Ankara City Hospital, Ankara, Turkey.ORCID https://orcid.org/0000-0001-5437-1008
Berhan BesimogluDepartment of Obstetrics and Gynecology, Ministry of Health, Ankara City Hospital, Ankara, Turkey.ORCID https://orcid.org/0000-0003-0376-2513
Mehmet C KevenDepartment of Obstetrics and Gynecology, Ministry of Health, Ankara City Hospital, Ankara, Turkey.ORCID http://orcid.org/0000-0003-1866-7295
Sule Goncu AyhanDepartment of Obstetrics and Gynecology, Ministry of Health, Ankara City Hospital, Ankara, Turkey.ORCID https://orcid.org/0000-0002-5770-7555
Mustafa S AkinDivision of Neonatology, Department of Pediatrics, Ministry of Health, Ankara City Hospital, Ankara, Turkey.ORCID http://orcid.org/0000-0003-2763-7602
Cuneyt TaymanDivision of Neonatology, Department of Pediatrics, Ministry of Health, Ankara City Hospital, Ankara, Turkey.ORCID http://orcid.org/0000-0002-1861-2262
Huseyin L KeskinDepartment of Obstetrics and Gynecology, Ministry of Health, Ankara City Hospital, Ankara, Turkey.ORCID https://orcid.org/0000-0002-2268-3821
Elif G Yapar EyiDepartment of Obstetrics and Gynecology, Ministry of Health, Ankara City Hospital, Ankara, Turkey.ORCID https://orcid.org/0000-0001-7541-9197
Bedia DincAnkara City Hospital, University of Health Sciences, Istanbul, Turkey.ORCID http://orcid.org/0000-0001-8318-2556
Ozlem Moraloglu TekinDepartment of Obstetrics and Gynecology, Ministry of Health, Ankara City Hospital, Ankara, Turkey.ORCID http://orcid.org/0000-0001-8167-3837
Dilek SahinDepartment of Obstetrics and Gynecology, Ministry of Health, Ankara City Hospital, Ankara, Turkey.ORCID http://orcid.org/0000-0001-8567-9048
Ministry of Health · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim was to investigate the association of the delivery mode and vertical transmission of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) through the samples of vaginal secretions, placenta, cord blood, or amniotic fluid as well as the neonatal outcomes. This cross-sectional study presents an analysis of prospectively gathered data collected at a single tertiary hospital. Sixty-three pregnant women with confirmed coronavirus disease 2019 (COVID-19) participated in the study. Vertical transmission of SARS-CoV-2 was analyzed with reverse transcriptase-polymerase chain reaction (RT-PCR) tests and blood tests for immunoglobulin G (IgG)-immunoglobulin M (IgM) antibodies. All patients were in the mild or moderate category for COVID-19. Only one placental sample and two of the vaginal secretion samples were positive for SARS-CoV-2. Except for one, all positive samples were obtained from patients who gave birth by cesarean. All cord blood and amniotic fluid samples were negative for SARS-CoV-2. Two newborns were screened positive for COVID-19 IgG-IgM within 24 h after delivery, but the RT-PCR tests were negative. A positive RT-PCR result was detected in a neof a mother whose placenta, cord blood, amniotic fluid, and vaginal secretions samples were negative. He died due to pulmonary hemorrhage on the 11th day of life. In conclusion, we demonstrated that SARS-CoV-2 can be detectable in the placenta or vaginal secretions of pregnant women. Detection of the virus in the placenta or vaginal secretions may not be associated with neonatal infection. Vaginal delivery may not increase the incidence of neonatal infection, and cesarean may not prevent vertical transmission. The decision regarding the mode of delivery should be based on obstetric indications and COVID-19 severity.

Indexed as

AdolescentAdultCesarean SectionCOVID-19Cross-Sectional StudiesFemaleHumansInfant, NewbornInfant, Newborn, DiseasesInfectious Disease Transmission, VerticalMalePlacentaPregnancyPregnancy Complications, InfectiousPregnancy OutcomeProspective StudiesCOVID-19delivery modeneonatal outcomepregnancySARS-CoV-2vertical transmission

Identifiers

PMID34081331
PMCPMC8242620
OpenAlexW3164368840

What OpenQuestion holds

Textmetadata
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.