Evidence map›Paper›PMID 35275942›Full record

Trial reportPloS one2022

SARS-CoV-2 infection in pregnant women assisted in a high-risk maternity hospital in Brazil: Clinical aspects and obstetric outcomes.

Carolina Loyola Prest Ferrugini, Neide Aparecida Tosato Boldrini, Franco Luis Salume Costa, Michelle Anne de Oliveira Batista Salgueiro, Pamella Dunga de Paula Coelho, Angelica Espinosa Miranda

Open access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Clinical and epidemiological profile of pregnant and postpartum women affected by COVID-19 who required respiratory support.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2025
    Observational
  3. Article
  4. Article
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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

6 authors at 1 institution in 1 country.

Carolina Loyola Prest FerruginiFederal University of Espírito Santo, Post-Graduation Program in Infectious Diseases, Vitória, ES, Brazil.ORCID 0000-0002-8367-0258
Neide Aparecida Tosato BoldriniDepartment of Gynecology and Obstetrics, Federal University of Espírito Santo, Vitória, ES, Brazil.
Franco Luis Salume CostaFederal University of Espírito Santo, Post-Graduation Program in Infectious Diseases, Vitória, ES, Brazil.
Michelle Anne de Oliveira Batista SalgueiroCassiano Antonio Moraes University Hospital, Maternal-Child Unit, Vitória, ES, Brazil.
Pamella Dunga de Paula CoelhoFederal University of Espírito Santo, Medical Residency Program in Gynecology and Obstetrics, Vitória, ES, Brazil.
Angelica Espinosa MirandaFederal University of Espírito Santo, Post-Graduation Program in Infectious Diseases, Vitória, ES, Brazil.ORCID 0000-0002-5556-8379
Universidade Federal do Espírito Santo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, the possible development of serious illness, and the possibility of severe obstetric outcomes highlight the importance of addressing SARS-CoV-2 infection in obstetric management. METHODS AND

findingsA cross-sectional study of pregnant women assisted in a high-risk maternity hospital in Brazil in 2020. All patients admitted for delivery or miscarriage care were tested for SARS-CoV-2 using polymerase chain reaction (PCR) and for immunoglobulin (I)gM, and/or IgG by immunochromatography. Clinical aspects and obstetric outcomes were analyzed. A total of 265 pregnant women were included in the study. There were 38 (14.4%) PCR positive cases during pregnancy, 12 (31.6%) on admission screening, and 71(27.2%) patients were IgM- and/or IgG-positive. Among the participants, 86 (32.4%) had at least one positive test during pregnancy. SARS-CoV-2 positive patients had greater contact with known positive patients (p = 0.005). The most frequently reported symptoms were runny nose, cough, loss of smell and taste, headache, and fever. There was also a 35% rate of asymptomatic infections and a 4.6% rate of severe or critical infections. Patients exposed or infected with SARS-CoV-2 had a higher incidence of preterm delivery, cesarean section, need for resuscitation in the delivery room, Apgar score <7 at 5 min, admission to the neonatal intensive care unit, and jaundice. Newborns with at least one positive test had a significantly greater need for phototherapy after delivery (p = 0.05). The results showed a high rate of positive tests among newborns (37.5%), which seems to be compatible with both neonatal and perinatal infection.

conclusionsIt is important to further investigate SARS-CoV-2 infection during pregnancy, including the clinical course and the possibility of adverse outcomes with impact on maternal and fetal health, regardless of the development of symptoms.

Indexed as

Hospitals, MaternityPregnancy OutcomePrenatal CareSARS-CoV-2AdolescentAdultAsymptomatic InfectionsBrazilCOVID-19Cross-Sectional StudiesFemaleHumansPregnancyPregnancy Complications, Infectious

Identifiers

PMID35275942
PMCPMC8916667
OpenAlexW4220938968

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.