Evidence map›Paper›PMID 40176473›Full record

ArticleThe Journal of infectious diseases2025

Antenatal Respiratory Syncytial Virus and Human Metapneumovirus Illness Rates Among Pregnant Women in Thailand and the Association Between Antenatal Respiratory Syncytial Virus and Perinatal Outcomes: A Prospective Cohort Study.

Wanitchaya Kittikraisak, Sarita Mohanty, Chonticha Klungthong, Louis Macareo, Boonsong Rawangban, Krissada Tomyabatra, Nattinee Srisantiroj, Podjanee Phadungkiatwatana, Tawee Chotpitayasunondh, Wiboon Kanjanapattanakul and 3 more

Registry-linked trialAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07257952 (An Observational Study on the Risk of Adverse Maternal and Infant Outcomes Associated With Respiratory Viral Infections Before and During Early Pregnancy), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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.

NCT07257952 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

An Observational Study on the Risk of Adverse Maternal and Infant Outcomes Associated With Respiratory Viral Infections Before and During Early Pregnancy

TypeobservationalSponsorShanghai General Hospital, ChinaRan2026 to 2028Enrolled1,440ConditionsRespiratory Viral Infections, Adverse Pregnancy Outcomes
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

13 authors.

Wanitchaya KittikraisakInfluenza Program, Thailand Ministry of Public Health-US Centers for Disease Control and Prevention Collaboration, Nonthaburi, Thailand.ORCID 0000-0002-2295-4388
Sarita MohantyInfluenza Division, US Centers for Disease Control and Prevention, Atlanta, Georgia.
Chonticha KlungthongDepartment of Virology, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand.
Louis MacareoDepartment of Virology, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand.ORCID 0000-0001-6889-6462
Boonsong RawangbanDepartment of Medicine, Nopparat Rajathanee Hospital, Bangkok, Thailand.
Krissada TomyabatraDepartment of Medicine, Nopparat Rajathanee Hospital, Bangkok, Thailand.
Nattinee SrisantirojDepartment of Medicine, Rajavithi Hospital, Bangkok, Thailand.
Podjanee PhadungkiatwatanaDepartment of Medicine, Rajavithi Hospital, Bangkok, Thailand.ORCID 0000-0001-6092-9071
Tawee ChotpitayasunondhInfectious Disease Unit, Queen Sirikit National Institute of Child Health, Bangkok, Thailand.
Wiboon KanjanapattanakulInfectious Disease Unit, Queen Sirikit National Institute of Child Health, Bangkok, Thailand.
Joshua A MottInfluenza Program, Thailand Ministry of Public Health-US Centers for Disease Control and Prevention Collaboration, Nonthaburi, Thailand.
Lindsay KimDivision of Viral Diseases, US Centers for Disease Control and Prevention, Atlanta, Georgia.
Fatimah S DawoodInfluenza Division, US Centers for Disease Control and Prevention, Atlanta, Georgia.

Funding

CDC HHS HHSD2002013M53890BCGH CDC HHS U01 GH002084Intramural CDC HHS CC999999Thailand Ministry of Public Health 1U01GH002084US Centers for Disease Control and PreventionUS Naval Medical Research Unit SOUTH 16FED1612328US Naval Medical Research Unit SOUTH 17FED1712076US Naval Medical Research Unit SOUTH 18FED1812054IPD
6 · The paper itself

Abstract

backgroundWe estimated respiratory syncytial virus (RSV) and human metapneumovirus (hMPV) illness incidences among pregnant women and examined the association between antenatal RSV illness and preterm birth and small-for-gestational-age (SGA) infant.

methodsPregnant women aged ≥18 years were contacted twice weekly until the end of pregnancy to identify illness episodes with ≥1 of the following: myalgia, cough, runny nose/nasal congestion, sore throat, or difficulty breathing. Midturbinate nasal swabs were collected and tested for RSV and hMPV by real-time reverse transcription polymerase chain reaction. Incidences were calculated. Cox proportional hazards regression was used to estimate hazard ratios (HRs) comparing participants with and without RSV illnesses for preterm birth (live birth before 37 weeks' gestation) and SGA infant.

resultsAmong 2764 participants, the median age was 29 years (IQR, 24-34), and the median enrollment gestational age was 10 weeks (IQR, 7-14). Overall, 71 (3%) and 29 (1%) cases of RSV and hMPV illnesses were identified, respectively. Among these, 30 (42%) and 10 (34%) participants sought medical care. Incidence rates per 10 000 pregnant woman-months were 57 (95% CI, 44-72) for RSV illnesses and 23 (95% CI, 16-33) for hMPV illnesses. Antenatal RSV illness in the third trimester conferred an increased risk of preterm birth (adjusted HR, 2.50; 95% CI, 1.04-6.00) but not SGA infant (adjusted HR, 0.79; 95% CI, .29-2.16).

conclusionsAntenatal RSV illness was associated with some adverse antenatal outcomes. Pregnant women had a 0.4%-0.7% risk of RSV illness per pregnancy month, of which one-third resulted in medical visits.

Indexed as

MetapneumovirusParamyxoviridae InfectionsPregnancy Complications, InfectiousRespiratory Syncytial Virus InfectionsAdultFemaleHumansIncidenceInfant, NewbornInfant, Small for Gestational AgePregnancyPregnancy OutcomePremature BirthProspective StudiesRespiratory Syncytial Virus, HumanThailandhMPVpregnancypretermRSVsmall-for-gestational-age

Identifiers

PMID40176473
PMCPMC12331413

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Registered trials

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.