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COVID-19 母婴传播风险:系统评价。

Risk of Transmission of COVID-19 from the Mother to the Foetus: A Systematic Review.

机构信息

Department of Midwifery, University of West Attica, Egaleo, Greece.

Department of Midwifery, University of Western Macedonia, Ptolemaida, Greece.

出版信息

J Mother Child. 2024 Nov 20;28(1):94-101. doi: 10.34763/jmotherandchild.20242801.d-24-00032. eCollection 2024 Feb 1.

DOI:10.34763/jmotherandchild.20242801.d-24-00032
PMID:39561303
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11575933/
Abstract

INTRODUCTION

People's lives have been impacted in every way by the COVID-19 pandemic and it had a variety of effects on pregnancy and childbirth, including decreased access to healthcare providers who can attend to the needs of expectant mothers and their foetuses. These effects can be attributed to the infection's effects on the mother and foetus.

AIM

The aim of this research was to investigate the probability of vertical transmission of COVID-19 from the pregnant mother to the foetus.

METHODS

A comprehensive systematic search was conducted on the PubMed, SCOPUS, and Web of Science databases to identify original research articles published from 2019 to 2021. The search aimed to locate cohort studies, case series, and reports focusing on pregnant individuals with COVID-19, specifically those containing information on COVID-19 testing for foetuses or newborns.

RESULTS

In this systematic review, studies showed that the possibility of vertical transmission from a COVID-19-infected mother to the foetus or neonate is rare.

CONCLUSION

With regards to the theoretical framework proposed regarding the vertical transmission of COVID-19 from the pregnant woman to the foetus or neonate, there exists a potential risk of transmission. Nevertheless, documented instances of confirmed vertical transmission are limited and inadequately documented in the available literature.

摘要

简介

COVID-19 疫情以各种方式影响着人们的生活,对妊娠和分娩也产生了多种影响,包括能够满足孕妇及其胎儿需求的医疗保健提供者的可及性下降。这些影响可归因于感染对母亲和胎儿的影响。

目的

本研究旨在调查 COVID-19 从孕妇垂直传播给胎儿的概率。

方法

对 PubMed、SCOPUS 和 Web of Science 数据库进行全面系统检索,以确定 2019 年至 2021 年发表的原始研究文章。该检索旨在找到针对 COVID-19 孕妇的队列研究、病例系列和报告,特别是那些包含胎儿或新生儿 COVID-19 检测信息的研究。

结果

在这项系统评价中,研究表明 COVID-19 感染母亲向胎儿或新生儿垂直传播的可能性很小。

结论

关于从孕妇到胎儿或新生儿垂直传播 COVID-19 的理论框架,存在潜在的传播风险。然而,在现有的文献中,确诊的垂直传播病例有限且记录不充分。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8e1/11575933/aa02b3d6b1f6/j_jmotherandchild.20242801.d-24-00032_fig_001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8e1/11575933/aa02b3d6b1f6/j_jmotherandchild.20242801.d-24-00032_fig_001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8e1/11575933/aa02b3d6b1f6/j_jmotherandchild.20242801.d-24-00032_fig_001.jpg

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Correlation of pre-existing comorbidities with disease severity in individuals infected with SARS-COV-2 virus.先前存在的合并症与感染 SARS-COV-2 病毒个体疾病严重程度的相关性。
BMC Public Health. 2024 Apr 15;24(1):1053. doi: 10.1186/s12889-024-18457-2.
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Vertical transmission of SARS-CoV-2 - data from the German COVID-19 related obstetric and neonatal outcome study (CRONOS).
SARS-CoV-2 的垂直传播 - 来自德国 COVID-19 相关产科和新生儿结局研究(CRONOS)的数据。
J Perinat Med. 2024 Jan 5;52(2):202-209. doi: 10.1515/jpm-2023-0299. Print 2024 Feb 26.
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Impact of SARS-CoV-2 on pregnancy outcomes (Review).严重急性呼吸综合征冠状病毒2(SARS-CoV-2)对妊娠结局的影响(综述)
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