Evidence map›Paper›PMID 39213820›Full record

ArticlePregnancy hypertension2024

A prospective cohort study of pregnancy outcomes following antepartum infection with SARS-CoV-2.

James D Doss, Emily Diveley, Fan Zhang, Amy Scheffer, Ruizhi Huang, Daniel Jackson, Nandini Raghuraman, Ebony B Carter, Indira U Mysorekar, Jeannie C Kelly

Abstract readMulticenter Study
In one paragraph

Article in Pregnancy hypertension, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Trophoblast ferroptosis restricts SARS-CoV-2 spread in the placenta.bioRxiv : the preprint server for biology · 2026
    Article
  2. Association of Area Deprivation Index with perinatal and COVID-19 outcomes during the early pandemic: a secondary analysis of a prospective cohort study.The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2025
    Article
  3. Article
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.

James D DossWashington University in St. Louis, Department of Obstetrics and Gynecology, St. Louis, MO, USA. Electronic address: Doss.j@wustl.edu.
Emily DiveleyWashington University in St. Louis, Department of Obstetrics and Gynecology, St. Louis, MO, USA.
Fan ZhangWashington University in St. Louis, Department of Obstetrics and Gynecology, St. Louis, MO, USA.
Amy SchefferWashington University in St. Louis, Department of Obstetrics and Gynecology, St. Louis, MO, USA.
Ruizhi HuangWashington University in St. Louis, Department of Obstetrics and Gynecology, St. Louis, MO, USA.
Daniel JacksonMissouri Baptist Medical Center, Department of Obstetrics and Gynecology, St. Louis, MO, USA.
Nandini RaghuramanWashington University in St. Louis, Department of Obstetrics and Gynecology, St. Louis, MO, USA.
Ebony B CarterUniversity of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Indira U MysorekarBaylor College of Medicine, Department of Medicine, Infectious Disease, Department of Molecular Virology and Microbiology, Houston, TX, USA.
Jeannie C KellyWashington University in St. Louis, Department of Obstetrics and Gynecology, St. Louis, MO, USA.

Funding

Safety, Testing/Transmission, and Outcomes in Pregnancy with COVID-19 (STOP-COVID-19 study)R01HD091218 · NICHD · WASHINGTON UNIVERSITY · PI DIAMOND, MICHAEL S, MYSOREKAR, INDIRA U · 2017 to 2022
$4.1M
NICHD NIH HHS R01 HD091218
6 · The paper itself

Abstract

objectivesOur study aimed to explore the impact of COVID-19 infection on pregnancy outcomes, accounting for the progression of variants, vaccines, and treatment modalities. STUDY

designWe performed a prospective longitudinal cohort study at two urban tertiary centers enrolling patients with a confirmed intrauterine singleton pregnancy from December 23, 2020 to July 18, 2022. Patients were evaluated for SARS-CoV-2 infection at enrollment and every trimester using serum antibody testing. The primary outcome was preterm birth. Symptom and treatment data were collected from pregnant patients with COVID-19 infections. Variant strain infection status was determined from local wastewater analysis.

results448 patients were enrolled, and 390 patients were retained through delivery with 159 unexposed and 231 exposed patients, of whom 56 patients (26.0 %) crossed over after enrollment to the exposed cohorts during pregnancy. There was no difference in rates of preterm birth between exposed and unexposed cohorts (14.6 % vs 11.3 %), in deliveries < 34 weeks (1.5 % vs 2.7 %), PPROM, (0.4 % vs 1.3 %), or gestational age at delivery (38.1 vs 38.2). Exposed patients were significantly more likely to be diagnosed with a hypertensive disorder (aOR 2.3, 95 % CI 1.2-4.1), specifically gestational hypertension (aOR 2.8, 95 % CI 1.3--6.0), but not preeclampsia/eclampsia. There were no differences in individual or composite neonatal outcomes.

conclusionsOur study contributed to the understanding of the effects of SARS-CoV-2 infection on pregnancy outcomes, with increased risk of hypertensive disorders of pregnancy but overall, no differences in adverse neonatal outcomes. Regular antenatal PCR and antibody screening allowed for higher detection and inclusion of patients with asymptomatic SARS-CoV-2 infection and effects on maternal and neonatal outcomes.

Indexed as

COVID-19Pregnancy Complications, InfectiousPregnancy OutcomeSARS-CoV-2AdultFemaleHumansInfant, NewbornLongitudinal StudiesPregnancyPremature BirthProspective StudiesAntepartum infectious diseaseCOVID-19Hypertensive disorders of pregnancyPreterm deliverySARS-CoV-2SARS-CoV-2 vaccination in pregnancy

Identifiers

PMID39213820
PMCPMC12594217

What OpenQuestion holds

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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.