Rahbar Nahid, Vali Zadeh Saeid, Ghorbani Raheb, Kheradmand Pegah
Research Center of Abnormal Uterine Bleeding and Semnan University of Medical Sciences, Semnan, Iran.
Department of Virology and Bacteriology, School of Medicine, Semnan University of Medical Sciences, Semnan, Iran.
Acta Med Iran. 2015;53(3):168-72.
Human parvovirus B19 is a very common viral infection especially in school-aged children. The infection during pregnancy can affect the fetus due to lack of mother's immunity. Although, there is still no evidence of fetal teratogenic effects with parvovirus B19, but non-immune fetal hydrops and abortion may be caused by vertical transmission of the virus during pregnancy. This study was aimed to assess the prevalence of parvovirus B19-specific antibody (IgM) in pregnant women who had a spontaneous abortion. This cross-sectional study was carried out in all pregnant women who referred due to a spontaneous abortion. All demographic information such as age, occupation, and gestational age, last history of abortion, gravity, and presence of children below the age of six was recorded and a blood sample was provided for all the women. Then, the blood samples were tested to assay parvovirus B19-specific antibody (IgM) by EuroImmune ELISA kit. Among 94 pregnant women with the mean age of 28.4 years who had a spontaneous abortion, parvovirus B19 specific antibody (IgM) was detected in 17 participants (18.1%). Meanwhile, 14 women (14.9%) were suspected for presence of the antibody in their blood sample. There was no significant difference between the presence of antibody and age of pregnant women, occupation, gestational age, number of previous abortion, presence of children below the age of six and number of pregnancy. These findings revealed that a high percentage of pregnant women are probably non-immune against parvovirus B19, and also there might be a number of spontaneous abortions in which parvovirus infection caused fetal death. However, more studies are needed to prove the absolute role of parvovirus B19 in these abortions.
人细小病毒B19是一种非常常见的病毒感染,尤其在学龄儿童中。孕期感染由于缺乏母体免疫力会影响胎儿。虽然,尚无证据表明细小病毒B19会导致胎儿致畸,但孕期病毒垂直传播可能会引起非免疫性胎儿水肿和流产。本研究旨在评估自然流产孕妇中细小病毒B19特异性抗体(IgM)的流行情况。这项横断面研究针对所有因自然流产前来就诊的孕妇开展。记录了所有人口统计学信息,如年龄、职业、孕周、末次流产史、孕次以及是否有6岁以下子女,并为所有孕妇采集了血样。然后,使用欧蒙酶联免疫吸附测定(ELISA)试剂盒对血样进行检测,以测定细小病毒B19特异性抗体(IgM)。在94名平均年龄为28.4岁的自然流产孕妇中,17名参与者(18.1%)检测到细小病毒B19特异性抗体(IgM)。同时,14名女性(14.9%)的血样疑似存在该抗体。抗体的存在与孕妇年龄、职业、孕周、既往流产次数、是否有6岁以下子女以及妊娠次数之间无显著差异。这些发现表明,很大比例的孕妇可能对细小病毒B19无免疫力,而且可能存在一些由细小病毒感染导致胎儿死亡的自然流产情况。然而,需要更多研究来证实细小病毒B19在这些流产中的确切作用。