Evidence map›Paper›PMID 36670307›Full record

ArticleMaternal and child health journal2023

Impact of the Presence Anti-SARS-CoV-2 IgA in the Colostrum of Women Infected by COVID-19 During the Pregnancy in Neonatal Clinical Outcomes: A Cross-Sectional Study.

Letícia Veríssimo Dutra, Mariliza Henrique Silva, Cibele Wolf Lebrão, Fernando Luiz Affonso-Fonseca, Fabíola Isabel Suano-Souza

Open access · hybridAbstract read
In one paragraph

Article in Maternal and child health journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 19% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Review
  4. 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

5 authors at 2 institutions in 1 country.

Letícia Veríssimo DutraABC Faculty of Medicine University Center (FMABC), Santo André, Brazil.ORCID http://orcid.org/0000-0002-1504-5143
Mariliza Henrique SilvaSão Bernardo do Campo Municipal University Hospital (HMUSBC), São Paulo, Brazil.ORCID http://orcid.org/0000-0003-2194-8805
Cibele Wolf LebrãoABC Faculty of Medicine University Center (FMABC), Santo André, Brazil.ORCID http://orcid.org/0000-0002-5318-4101
Fernando Luiz Affonso-FonsecaABC Faculty of Medicine University Center (FMABC), Santo André, Brazil.ORCID http://orcid.org/0000-0002-4322-9353
Fabíola Isabel Suano-SouzaFederal University of São Paulo, São Paulo, Brazil. suano-souza@unifesp.br.ORCID http://orcid.org/0000-0003-3848-4752
Faculdade de Medicina do ABC · BRHospital São Paulo · BR

Funding

Fundação de Amparo à Pesquisa do Estado de São Paulo 2021/04784-2
6 · The paper itself

Abstract

objectivesTo describe the presence of anti-SARS-CoV-2 IgA and IgG in the blood and colostrum of women with COVID-19 infection during pregnancy and associate the presence of anti-SARS-CoV-2 IgA in colostrum with clinical symptoms of their newborns.

methodsA cross-sectional study was developed with 165 participants with COVID-19 infection during pregnancy and their newborns. DATA COLLECTED: characteristics COVID-19 infection in pregnant women, gestational age, and clinical symptoms in their newborns (fever, hypothermia, respiratory distress, hypotonia, hypoactivity, hypoglycemia, cyanosis, vomiting/regurgitation, abdominal distention, and jaundice). Maternal blood and colostrum samples were collected postpartum to to detect the presence of IgA and IgG anti-SARS-CoV-2.

resultsThe median interval between COVID-19 diagnosis and delivery was 37.5 days (IQ = 12.0, 73.0 days). Clinical symptoms during hospitalization were observed in 55 newborns (33.3%), and two (1.6%) tested RT-PCR positive for COVID-19. Positive colostrum for anti-SARS-CoV-2 IgA was found in 117 (70.9%) women. The presence of anti-SARS-CoV-2 IgA in colostrum was associated independently with lower clinical symptoms in their newborns (OR = 0.42; 95% CI 0.202 to 0.84; p = 0.015). CONCLUSIONS FOR PRACTICE: The presence of anti-SARS-CoV-2 IgA in colostrum was detected in more than two-thirds of the women evaluated and was associated with a lower frequency of clinical symptoms in their newborns.

Indexed as

COVID-19Pregnancy Complications, InfectiousColostrumCOVID-19 TestingCross-Sectional StudiesFemaleHumansImmunoglobulin AImmunoglobulin GInfant, NewbornPregnancySARS-CoV-2Immunoglobulin AImmunoglobulin GBreastfeedingCOVID-19Human milkPregnancy

Identifiers

PMID36670307
PMCPMC9859745
OpenAlexW4317598150

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.