Evidence map›Paper›PMID 37102135›Full record

ArticleAJOG global reports2023

Placental and Doppler ultrasound findings in pregnant women with SARS-CoV-2 infection.

Eva María Soto-Sánchez, Carmen López-Gorosabel, Ana Belén Ibáñez-Santamaría, Beatriz Sánchez-Estévez, Jesús De la Fuente-Valero, Juan José Hernández-Aguado

Abstract read
In one paragraph

Article in AJOG global reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 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.

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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Eva María Soto-SánchezDivision of Ultrasound and Prenatal Diagnosis, Department of Obstetrics and Gynaecology, Hospital Universitario Infanta Leonor, Madrid, Spain.
Carmen López-GorosabelDivision of Ultrasound and Prenatal Diagnosis, Department of Obstetrics and Gynaecology, Hospital Universitario Infanta Leonor, Madrid, Spain.
Ana Belén Ibáñez-SantamaríaDivision of Ultrasound and Prenatal Diagnosis, Department of Obstetrics and Gynaecology, Hospital Universitario Infanta Leonor, Madrid, Spain.
Beatriz Sánchez-EstévezDivision of Ultrasound and Prenatal Diagnosis, Department of Obstetrics and Gynaecology, Hospital Universitario Infanta Leonor, Madrid, Spain.
Jesús De la Fuente-ValeroDivision of Ultrasound and Prenatal Diagnosis, Department of Obstetrics and Gynaecology, Hospital Universitario Infanta Leonor, Madrid, Spain.
Juan José Hernández-AguadoDivision of Ultrasound and Prenatal Diagnosis, Department of Obstetrics and Gynaecology, Hospital Universitario Infanta Leonor, Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeveral viral infections cause changes in the placenta. Cytomegalovirus, herpes viruses, and HIV cause increased placental thickness; Zika virus induces focal regions of necrosis; parvovirus B19 causes a structural injury. Umbilical flow can be considered a direct measurement of vascular placental function.

objectiveThis study aimed to compare placental ultrasound and umbilical Doppler findings in pregnant women who tested positive or negative for SARS-CoV-2. Our work aimed to confirm the suspicion of placental infection and the consequence in fetal physiopathology. STUDY

designFifty-seven pregnant women who tested positive for SARS-CoV-2 at the time of or 1 month before the ultrasound scan were evaluated. Cases included 9 first trimester, 16 second trimester, and 32 third trimester ultrasound scans. For comparison, 110 pregnant women (controls) were evaluated. They included 19 women in their first trimester, 43 in their second trimester, and 48 in the third trimester. Controls were asymptomatic and tested negative for SARS-CoV-2 infection in the last 72 hours before the ultrasound scan. Fetal biometry, placental thickness, placental lakes and Doppler umbilical vein parameters, including venous cross-sectional area (mean transverse diameter and radius of umbilical vein, mean velocity of umbilical vein), and umbilical vein blood flow were evaluated.

resultsPlacental thickness (in millimeter) was significantly higher in the group of pregnant women with SARS-CoV-2 infection (53.82 [10-115]) than in the control group (33.82 [12-66];

conclusionSignificant differences in placental and venous Doppler ultrasound were documented. Placental thickness, placental venous lakes, mean velocity of umbilical vein, and umbilical vein flow were significantly higher in the group of pregnant women with SARS-CoV-2 infection in all 3 trimesters.

Indexed as

Doppler ultrasoundplacental thicknesspregnancySARS-CoV-2 infectionumbilical veinvertical transmission

Identifiers

PMID37102135
PMCPMC10014120

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