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Article ; Online: Outcomes of newborns to mothers with COVID-19.

Ghema, K / Lehlimi, M / Toumi, H / Badre, A / Chemsi, M / Habzi, A / Benomar, S

Infectious diseases now

2021 Volume 51, Issue 5, Page(s) 435–439

Abstract: ... of 30 neonates born to women with COVID-19, the objective being to provide documented information ... on maternal-child transmission and infant outcomes.: Results: Out of the 30 newborns, 28 had negative PCR ... Introduction: Coronavirus disease 2019 (COVID-19) has spread rapidly across the world ...

Abstract	Introduction: Coronavirus disease 2019 (COVID-19) has spread rapidly across the world. Given the sharply increased infection rate, the number of pregnant women and children with COVID-19 is correspondingly on the rise. SARS-CoV-2 infection is transmitted through droplets; though hypothesized, other transmission routes have not been confirmed. As of now, it remains unclear whether and how SARS-CoV-2 can possibly be transmitted from the mother to the fetus. Method: This study examines the medical records of 30 neonates born to women with COVID-19, the objective being to provide documented information on maternal-child transmission and infant outcomes. Results: Out of the 30 newborns, 28 had negative PCR test results for SARS-CoV-2; among their mothers, fifteen had fever, nine had cough and twenty had delivered by cesarean section. The median birth term was 37wk2dy, and twenty of the neonates were male. Most of them were asymptomatic, except for the three who presented with shortness of breath. Two of them were intubated and both died, the first because of severe sepsis and the second due to severe hyaline membrane disease. As regards the two infected neonates, the first represents a probable case of congenital SARS-CoV-2 infection, which appears unlikely in the second case. The outcome for both of them was good, without any complications. Conclusion: Maternal-fetal transmission of the SARS- CoV-2 virus was not detected in the majority of the reported cases, although two of 30 neonates had positive qRT-PCR test results. Our study supports the hypothesis that though it seldom actually occurs, in utero SARS-CoV-2 vertical transmission is possible.
MeSH term(s)	Adult ; COVID-19/diagnosis ; COVID-19/transmission ; Cesarean Section/statistics & numerical data ; Female ; Fever/epidemiology ; Humans ; Infant, Newborn ; Infectious Disease Transmission, Vertical ; Male ; Mothers ; Polymerase Chain Reaction ; Pregnancy ; Pregnancy Complications, Infectious/diagnosis ; Pregnancy Complications, Infectious/virology ; Pregnancy Outcome ; Pregnant Women ; SARS-CoV-2/isolation & purification
Language	English
Publishing date	2021-03-17
Publishing country	France
Document type	Journal Article
ISSN	2666-9919
ISSN (online)	2666-9919
DOI	10.1016/j.idnow.2021.03.003
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Article ; Online: Newborns of COVID-19 mothers

Patil, Uday P. / Maru, Sheela / Krishnan, Parvathy / Carroll-Bennett, Rachel / Sanchez, Joselito / Noble, Lawrence / Wasserman, Randi

Journal of Perinatology

short-term outcomes of colocating and breastfeeding from the pandemic’s epicenter

2020 Volume 40, Issue 10, Page(s) 1455–1458

Keywords	Obstetrics and Gynaecology ; Pediatrics, Perinatology, and Child Health ; covid19
Language	English
Publisher	Springer Science and Business Media LLC
Publishing country	us
Document type	Article ; Online
ZDB-ID	645021-0
ISSN	0743-8346
ISSN	0743-8346
DOI	10.1038/s41372-020-0765-3
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Article ; Online: Outcomes in neonates born to mothers with COVID-19 during the second wave in India.

Malik, Sushma / Jain, Dipty / Bokade, Chandrakant M / Savaskar, Shakira / Deshmukh, Laxmikant S / Wade, Poonam / Madhura, Abhishek D / Suryawanshi, Milind / Bandichhode, Sachin T / Bodhgire, Sachin B / Zala, Sarika / Mahale, Smita D / Modi, Deepak N / Waghmare, Rakesh / Surve, Suchitra V / Gajbhiye, Rahul K

European journal of pediatrics

2022 Volume 181, Issue 9, Page(s) 3537–3543

Abstract: ... The aim of the study was to understand outcomes in neonates of mothers with COVID-19 during the first and ... mothers was conducted during the first wave (n = 1782) and second wave (n = 742) of the COVID-19 pandemic ... wave of COVID-19 was more lethal to pregnant women than the first wave. Newborns are at risk ...

Abstract	COVID-19 pandemic has affected all age groups globally including pregnant women and their neonates. The aim of the study was to understand outcomes in neonates of mothers with COVID-19 during the first and second waves of COVID-19 pandemic. A retrospective analysis of 2524 neonates born to SARS-CoV-2-infected mothers was conducted during the first wave (n = 1782) and second wave (n = 742) of the COVID-19 pandemic at five study sites of the PregCovid registry in Maharashtra, India. A significant difference was noted in preterm birth, which was higher in the second wave (15.0%, 111/742) compared to the first wave (7.8%, 139/1782) (P < 0.001). The proportion of neonates requiring NICU admission was significantly higher in the second wave (19.0%, 141/742) as compared to that in the first wave (14.8%, 264/1782) (P < 0.05). On comparing regional differences, significantly higher neonatal complications were reported from Mumbai metropolitan region (P < 0.05). During the second wave of COVID-19, birth asphyxia and prematurity were 3.8- and 2.1-fold higher respectively (P < 0.001). Neonatal resuscitation at birth was significantly higher in second wave (3.4%, 25/742 vs 1.8%, 32/1782) (P < 0.05). The prevalence of SARS-CoV-2 infection in neonates was comparable (4.2% vs 4.6%) with no significant difference between the two waves. Conclusion: Higher incidence of adverse outcomes in neonates born to SARS-CoV-2-infected mothers in the second wave of COVID-19 as compared to the first wave. Trial registration: PregCovid study is registered with the Clinical Trial Registry of India (CTRI/2020/05/025423, Registered on 28/05/2020). What is known: • The second wave of COVID-19 was more lethal to pregnant women than the first wave. Newborns are at risk of developing complications. What is new: • Birth asphyxia, prematurity, and neonatal resuscitation at birth were significantly higher in the second wave as compared to those in the first wave of the COVID-19 pandemic in India.
MeSH term(s)	Asphyxia/epidemiology ; COVID-19/epidemiology ; Female ; Humans ; India/epidemiology ; Infant, Low Birth Weight ; Infant, Newborn ; Infant, Newborn, Diseases/epidemiology ; Infectious Disease Transmission, Vertical ; Mothers ; Pandemics ; Pregnancy ; Pregnancy Complications, Infectious/epidemiology ; Premature Birth/epidemiology ; Resuscitation ; Retrospective Studies ; SARS-CoV-2
Language	English
Publishing date	2022-07-08
Publishing country	Germany
Document type	Journal Article
ZDB-ID	194196-3
ISSN	1432-1076 ; 0340-6199 ; 0943-9676
ISSN (online)	1432-1076
ISSN	0340-6199 ; 0943-9676
DOI	10.1007/s00431-022-04546-0
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Article: A Clinical Retrospective Study on the Transmission of COVID-19 From Mothers to Their Newborn and Its Outcome.

Ponprabha, Rajangam / Thiagarajan, Srinivasan / Balamurugesan, Kandan / Davis, Prem

Cureus

2022 Volume 14, Issue 1, Page(s) e20963

Abstract: ... from April 2020 to June 2020. All the newborns born to COVID-19-positive mothers during the specified period ... to their neonates. Aim This study aimed to assess the outcome of neonates born to mothers with COVID-19 ... conducted among all neonates born to COVID-19-positive mothers at a tertiary care institution in Puducherry ...

Abstract	Introduction India is the second most populated country in the world. The declaration of the COVID-19 pandemic has caused significant morbidity and mortality in pregnant women and newborns. Due to the decreased lung volume and immunocompromised state, pregnant women are more prone to rapid clinical deterioration. Regarding the transmission of COVID-19 infection to newborns, there is no clear-cut evidence regarding the intrauterine or vertical transmission of COVID-19 from the affected pregnant women to their neonates. Aim This study aimed to assess the outcome of neonates born to mothers with COVID-19 in a tertiary care hospital in Puducherry, India. Methods This retrospective case record-based study was conducted among all neonates born to COVID-19-positive mothers at a tertiary care institution in Puducherry from April 2020 to June 2020. All the newborns born to COVID-19-positive mothers during the specified period of time were included in the study. Results A total of 98 COVID-positive mothers were included in the study. Of these, 13.27% showed mild upper respiratory infection, and one had a moderate category. The mean gestational age was 38.4+1.12 weeks. About 53.06% of COVID-19-positive mothers had C-sections, 45.92% had a normal vaginal delivery, and only one had an instrumental vaginal delivery. All the mothers gave birth to singleton neonates; of 98 newborns, 51 were female, and 47 were male with the mean birth weight of 3.1 ± 0.4 kg. Among the 98 neonates, only six developed COVID-19 infection. Among the six, four acquired infections during the first to second week of the postnatal period and two acquired infections during the fourth week. Three neonates born by normal vaginal delivery only had a fever; two neonates manifested fever, cough, and increased respiratory rate; and only one neonate developed hypoxia. Conclusion The study showed that vertical transmission from the mother to the newborn is extremely minimal. In our study, six neonates acquired infection mostly due to the close contact of the newborn with the mother during rooming-in and breastfeeding.
Language	English
Publishing date	2022-01-05
Publishing country	United States
Document type	Journal Article
ZDB-ID	2747273-5
ISSN	2168-8184
ISSN	2168-8184
DOI	10.7759/cureus.20963
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Article ; Online: Newborns of COVID-19 mothers: short-term outcomes of colocating and breastfeeding from the pandemic's epicenter.

Patil, Uday P / Maru, Sheela / Krishnan, Parvathy / Carroll-Bennett, Rachel / Sanchez, Joselito / Noble, Lawrence / Wasserman, Randi

Journal of perinatology : official journal of the California Perinatal Association

2020 Volume 40, Issue 10, Page(s) 1455–1458

MeSH term(s)	Adult ; Asymptomatic Diseases/epidemiology ; Betacoronavirus/isolation & purification ; COVID-19 ; Coronavirus Infections/diagnosis ; Coronavirus Infections/epidemiology ; Coronavirus Infections/physiopathology ; Cross-Sectional Studies ; Female ; Humans ; Infant, Newborn ; Infectious Disease Transmission, Vertical/prevention & control ; Male ; Mothers/statistics & numerical data ; New York City/epidemiology ; Outcome and Process Assessment, Health Care ; Pandemics ; Pneumonia, Viral/diagnosis ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/physiopathology ; Postnatal Care/methods ; Postnatal Care/statistics & numerical data ; Pregnancy ; Pregnancy Complications, Infectious/diagnosis ; Pregnancy Complications, Infectious/epidemiology ; Pregnancy Complications, Infectious/physiopathology ; Risk Assessment ; SARS-CoV-2 ; Symptom Assessment/methods ; Symptom Assessment/statistics & numerical data ; Telemedicine
Keywords	covid19
Language	English
Publishing date	2020-08-10
Publishing country	United States
Document type	Journal Article
ZDB-ID	645021-0
ISSN	1476-5543 ; 0743-8346
ISSN (online)	1476-5543
ISSN	0743-8346
DOI	10.1038/s41372-020-0765-3
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Article: Maternal and Neonatal Outcomes Associated With COVID-19 Infection in Pregnant Mothers Admitted in Tertiary Care Hospital in Central State of India.

Singh, Neha / Jaiswal, Jyoti / Sherwani, Nikita / Nagaria, Tripti / Khandwal, Onkar / Neral, Arvind

Cureus

2023 Volume 15, Issue 4, Page(s) e38235

Abstract: ... All the newborns delivered from the infected pregnant mothers were tested as RT-PCR negative. Negative findings ... In spite of various reports on perinatal outcomes of coronavirus disease 2019 (COVID-19) during ... outcomes of COVID-19 during pregnancy. A total of 396 pregnant women were admitted to the Department ...

Abstract	In spite of various reports on perinatal outcomes of coronavirus disease 2019 (COVID-19) during pregnancies, the effects of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on unborn babies and pregnant mothers are still mysterious. The goal of our research is to examine the perceived fetomaternal outcomes of COVID-19 during pregnancy. A total of 396 pregnant women were admitted to the Department of Gynaecology and Obstetrics, Pt. JNM Medical College, Raipur, Chhattisgarh, India, during the period from July 20, 2020 to January 6, 2021. The presence of SARS-CoV-2 in different biological samples was recorded via positive quantitative reverse transcriptase-polymerase chain reaction (RT-PCR) test results. All the newborns delivered from the infected pregnant mothers were tested as RT-PCR negative. Negative findings of RT-PCR for respiratory swabs of newborns, amniotic fluid, placental tissue, breast milk, vaginal swabs, and cord blood indicated no transmission of the virus from mother to baby. However, maternal outcomes, such as hospitalization (46.96%), preeclampsia (13.88%), pre-term birth (14.39%), prelabor rupture of membranes (PROM) before 34 weeks (3.78%), PROM before 37 weeks (2.77%), vaginal bleeding (4.29%), postpartum hemorrhage (2.52%), pregnancy-induced hypertension (1.51%), and neonatal outcomes such as low birth weight ≤1.5 kg (6.59) and 1.6-2.4 kg (39.34%), intrauterine deaths (IUD) (0.50%), fetal distress (22.33%), NICU admission (5.58%), meconium-stained liquor (14.46%), diarrhea (0.25%), and low APGAR score 4-6 at 1 min (20.54%), were observed. The results of the present study indicate that SARS-CoV-2-induced complications during pregnancy must be taken seriously. Intrauterine fetal deaths occurred at lower rates. There is no substantial proof of vertical perinatal transmission of the virus, as none of the neonates had tested positive for COVID-19.
Language	English
Publishing date	2023-04-28
Publishing country	United States
Document type	Journal Article
ZDB-ID	2747273-5
ISSN	2168-8184
ISSN	2168-8184
DOI	10.7759/cureus.38235
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Article ; Online: Clinical outcomes of 201 neonates born to mothers with COVID-19: a systematic review.

Yoon, S H / Kang, J-M / Ahn, J G

European review for medical and pharmacological sciences

2020 Volume 24, Issue 14, Page(s) 7804–7815

Abstract: ... in the majority of the reported cases. The infants born to mothers with COVID-19 are carefully monitored ... case reports describing a total of 223 pregnant women and 201 infants. Four newborns born to mothers affected ... Current evidence suggests that COVID-19 during pregnancy rarely affects fetal and neonatal mortality ...

Abstract	Objective: To evaluate the clinical manifestations and outcomes of neonates born to women who had Coronavirus Disease 2019 (COVID-19) during pregnancy. Materials and methods: A systematic literature search was conducted on PubMed and Embase till April 15, 2020, by combining the terms (COVID-19, Severe Acute Respiratory Syndrome Coronavirus 2, SARS-CoV-2, Novel Coronavirus, 2019-nCov, Wuhan pneumonia) and (pregnancy, pregnant women, mother, fetus, neonate, newborn, infant). Results: We included 16 case series and 12 case reports describing a total of 223 pregnant women and 201 infants. Four newborns born to mothers affected by COVID-19 were reported to have laboratory-confirmed Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infection within 48 hours after birth. However, Reverse Transcription-Polymerase Chain Reaction tests of the breast milk, placenta, amniotic fluids, and cord blood and maternal vaginal secretions were all negative for SARS-CoV-2 in the reported cases. Fetal death was reported in two cases, and 48 of 185 newborns (25.9%) were born prematurely. Infants born small for gestational age and low birth weight (< 2,500 g) accounted for 8.3% and 15.6% of reported cases, respectively. Birth asphyxia and respiratory distress syndrome were observed in 1.8% and 6.4% of neonates, respectively. There was one neonatal death due to intractable gastric bleeding among the SARS-CoV-2-negative infants. Conclusions: Current evidence suggests that COVID-19 during pregnancy rarely affects fetal and neonatal mortality, but can be associated with adverse neonatal morbidities. Vertical transmission has not been observed in the majority of the reported cases. The infants born to mothers with COVID-19 are carefully monitored for accompanying complication, and quarantine of infected mothers is warranted.
MeSH term(s)	Asphyxia Neonatorum/diagnosis ; Asphyxia Neonatorum/epidemiology ; Betacoronavirus/isolation & purification ; COVID-19 ; Coronavirus Infections/diagnosis ; Coronavirus Infections/epidemiology ; Coronavirus Infections/virology ; Humans ; Infant, Low Birth Weight ; Infant, Newborn ; Infectious Disease Transmission, Vertical ; Mothers ; Pandemics ; Pneumonia, Viral/diagnosis ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/virology ; Respiratory Distress Syndrome, Newborn/diagnosis ; Respiratory Distress Syndrome, Newborn/epidemiology ; SARS-CoV-2 ; Stillbirth
Keywords	covid19
Language	English
Publishing date	2020-09-17
Publishing country	Italy
Document type	Journal Article ; Systematic Review
ZDB-ID	605550-3
ISSN	2284-0729 ; 1128-3602 ; 0392-291X
ISSN (online)	2284-0729
ISSN	1128-3602 ; 0392-291X
DOI	10.26355/eurrev_202007_22285
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Article ; Online: Obstetric and neonatal outcome of COVID-19 positive mothers

Sujoy Biswas / Mallika Sengupta / Mandira Roy / Rajesh De

Asian Journal of Medical Sciences, Vol 14, Iss 11, Pp 9-

A retrospective cohort study in a tertiary care hospital of West Bengal

2023 Volume 15

Abstract: ... The secondary objective was to compare the obstetric and neonatal outcomes of COVID-19-positive mothers and ... COVID-19-negative mothers admitted in the same time frame. Materials and Methods: In this retrospective ... since then several reports on obstetric and neonatal outcomes due to COVID-19 infection in pregnancy are showing varying ...

Abstract	Background: Coronavirus disease was declared a global pandemic by WHO in March 2020 and since then several reports on obstetric and neonatal outcomes due to COVID-19 infection in pregnancy are showing varying results from different corners of the world. Aims and Objectives: The aim of the present study was to describe the clinical course of the disease in pregnancy and evaluation of maternal and neonatal outcomes. The secondary objective was to compare the obstetric and neonatal outcomes of COVID-19-positive mothers and COVID-19-negative mothers admitted in the same time frame. Materials and Methods: In this retrospective cohort study we included 155 COVID-positive and 310 COVID-negative pregnant women, from May 2020 to December 2020 admitted at our tertiary care hospital in West Bengal, India. Maternal and neonatal outcomes were compared in both groups. Results: Most of the COVID-positive pregnant women were asymptomatic (38%), 45.8% of patients had mild symptoms like fever and cough and only 1.9% of mothers developed severe pneumonia. Pregnancy complications like abortion, stillbirth, intrauterine fetal death, antepartum haemorrhage, pregnancy-induced hypertension, gestational diabetes mellitus were similar in both groups (P>0.05) but significantly increased incidence of preterm labor and delivery of the low-birth-weight baby was found in the COVID-positive group (P<0.05). Number of neonates with low birth weight (<2.5 kg) was significantly higher in the COVID-positive group than in COVID negative group (28% vs. 16.7%, P<0.05). Need for neonatal intensive care unit admission was similar in both groups (P>0.05). Conclusion: Significantly increased incidence of preterm labor and delivery of the low-birth-weight baby was found in the COVID positive mothers without any evidence of mother-to-child vertical transmission of SARS-CoV-2.
Keywords	covid 19 infection ; retrospective cohort ; pregnant women ; obstetric and neonatal outcome ; preterm labour ; Medicine ; R
Subject code	610
Language	English
Publishing date	2023-11-01T00:00:00Z
Publisher	Manipal College of Medical Sciences, Pokhara
Document type	Article ; Online
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Article: Neonatal Outcome of Mothers With COVID-19 in King Salman Armed Forces Hospital, Tabuk, Kingdom of Saudi Arabia.

Eltayeb, Malak Mohamed / Mohamad, Rofayda Mansour Ahmed / Alhawiti, Iftiraj Sulaiman / Alsulami, Ghalib Mohammed / Buraei, Samir Salah Eldin Mohamed / Mohammed, Sakeina Saleem Haroon / Awaji, Hosam Hadi

Cureus

2023 Volume 15, Issue 9, Page(s) e45257

Abstract: Objectives: This study was conducted to assess the neonatal outcome of mothers with COVID-19 ... retrospective cohort study. The case group included neonates born to mothers who were positive for the COVID-19 ... outcomes. There is a possibility of vertical transmission of COVID-19 from the mother to the neonate ...

Abstract	Objectives: This study was conducted to assess the neonatal outcome of mothers with COVID-19 in King Salman Armed Forces Hospital, Tabuk, Saudi Arabia. Methods: This was a hospital record-based, retrospective cohort study. The case group included neonates born to mothers who were positive for the COVID-19 virus during pregnancy, whereas the control group included neonates born to mothers who were not infected with the COVID-19 virus during pregnancy. The data were collected from the records and were analyzed using the Statistical Package for the Social Sciences software (IBM Corp., Armonk, NY, USA). Results: This study covered the hospital records of 342 women (114 cases and 228 control). The rates of cesarean sections and small for gestational age were significantly higher among the cases compared to the controls (71.1% versus 43.4%, p < 0.001 and 24.6% versus 11.8%, p = 0.003; respectively). The mean birth weight was significantly lower among the cases group (3.0 ± 0.6 versus 3.3 ± 0.6 kg, p = 0.022). Only the case group reported the occurrence of neonatal COVID-19 infection (7.9%, p < 0.001). The study reported only a single case of intrauterine fetal death and one stillbirth in the cases group, but no neonatal deaths (p > 0.05). Conclusions: Maternal COVID-19 may be associated with undesirable neonatal outcomes. There is a possibility of vertical transmission of COVID-19 from the mother to the neonate, but this cannot be confirmed.
Language	English
Publishing date	2023-09-14
Publishing country	United States
Document type	Journal Article
ZDB-ID	2747273-5
ISSN	2168-8184
ISSN	2168-8184
DOI	10.7759/cureus.45257
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Article ; Online: Comment on "Clinical outcomes of 201 neonates born to mothers with COVID-19: a systematic review".

Cai, J-H / Lin, Y-H / Wu, M-J

European review for medical and pharmacological sciences

2021 Volume 25, Issue 19, Page(s) 6154–6155

MeSH term(s)	COVID-19 ; Female ; Humans ; Infant, Newborn ; Infectious Disease Transmission, Vertical ; Mothers ; Pregnancy ; Pregnancy Complications, Infectious ; SARS-CoV-2
Language	English
Publishing date	2021-10-28
Publishing country	Italy
Document type	Journal Article ; Comment
ZDB-ID	605550-3
ISSN	2284-0729 ; 1128-3602 ; 0392-291X
ISSN (online)	2284-0729
ISSN	1128-3602 ; 0392-291X
DOI	10.26355/eurrev_202110_26894
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