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  1. Article ; Online: Placental pathology and fetal demise at 35 weeks of gestation in a woman with SARS-CoV-2 infection: A case report.

    Poisson, Tiffany M / Pierone, Gerald

    Case reports in women's health

    2021  Volume 30, Page(s) e00289

    Abstract: ... changes associated with COVID-19. This case of fetal demise in a woman with confirmed SARS-CoV-2 infection ... woman with SARS-CoV-2 infection. Placental findings in this case showed patchy acute chorionitis and ... a case of stillbirth with associated placental pathology during week 35 in an otherwise healthy pregnant ...

    Abstract The consequences of SARS-CoV-2 infection in pregnancy have not been well defined. However, there have been a number of reports of poor maternal and fetal outcomes worldwide. This report presents a case of stillbirth with associated placental pathology during week 35 in an otherwise healthy pregnant woman with SARS-CoV-2 infection. Placental findings in this case showed patchy acute chorionitis and diffuse infarction/villous necrosis of the placental parenchyma resulting in extensive vascular malperfusion. Fetal autopsy was most significant for placental findings and no congenital malformations were discovered. The findings in this case are consistent with reports in the literature of pathological placental changes associated with COVID-19. This case of fetal demise in a woman with confirmed SARS-CoV-2 infection without any other medical or obstetric disorders and no alternate cause suggests that fetal death can be an outcome of COVID-19 during pregnancy. This outcome was supported by the histopathological findings in the placenta. Continued research is imperative to confirm the findings in this case and multiple similar cases. Additionally, increased screening and collection of COVID-19 data specific to pregnant women and their fetuses and infants is needed to increase knowledge, support research efforts, and create guidelines for clinical practice that will prevent potential negative outcomes and loss of life.
    Language English
    Publishing date 2021-01-28
    Publishing country Netherlands
    Document type Case Reports
    ZDB-ID 2800286-6
    ISSN 2214-9112 ; 2214-9112
    ISSN (online) 2214-9112
    ISSN 2214-9112
    DOI 10.1016/j.crwh.2021.e00289
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Maternal COVID-19 causing intrauterine foetal demise with microthrombotic placental insufficiency: a case report.

    Nonn, Olivia / Bonstingl, Lilli / Sallinger, Katja / Neuper, Lena / Fuchs, Julia / Gauster, Martin / Huppertz, Berthold / Brislinger, Dagmar / El-Heliebi, Amin / Fluhr, Herbert / Kampelmühler, Eva / Klaritsch, Philipp

    BMC pregnancy and childbirth

    2023  Volume 23, Issue 1, Page(s) 653

    Abstract: ... without presence of viral entry receptors and SARS-CoV-2 infection of the placenta.: Conclusion: This case ... Background: Pregnant women have an increased risk of getting infected with SARS-CoV-2 and are more ... woman with COVID-19 and intrauterine foetal demise. She had no previous obstetric or gynaecological ...

    Abstract Background: Pregnant women have an increased risk of getting infected with SARS-CoV-2 and are more prone to severe illness. Data on foetal demise in affected pregnancies and its underlying aetiology is scarce and pathomechanisms remain largely unclear.
    Case: Herein we present the case of a pregnant woman with COVID-19 and intrauterine foetal demise. She had no previous obstetric or gynaecological history, and presented with mild symptoms at 34 + 3 weeks and no signs of foetal distress. At 35 + 6 weeks intrauterine foetal death was diagnosed. In the placental histopathology evaluation, we found inter- and perivillous fibrin depositions including viral particles in areas of degraded placental anatomy without presence of viral entry receptors and SARS-CoV-2 infection of the placenta.
    Conclusion: This case demonstrates that maternal SARS-CoV-2 infection in the third trimester may lead to an unfavourable outcome for the foetus due to placental fibrin deposition in maternal COVID-19 disease possibly via a thrombogenic microenvironment, even when the foetus itself is not infected.
    MeSH term(s) Pregnancy ; Female ; Humans ; Placental Insufficiency/etiology ; COVID-19/complications ; Placenta ; SARS-CoV-2 ; Stillbirth ; Fibrin
    Chemical Substances Fibrin (9001-31-4)
    Language English
    Publishing date 2023-09-09
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 2059869-5
    ISSN 1471-2393 ; 1471-2393
    ISSN (online) 1471-2393
    ISSN 1471-2393
    DOI 10.1186/s12884-023-05942-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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