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Article

Pregnancy Outcome, Antibodies, and Placental Pathology in SARS-CoV-2 Infection during Early Pregnancy

1
Department of Obstetrics and Gynecology, Keimyung University School of Medicine, Dongsan Medical Center, Daegu 42601, Korea
2
Departments of Laboratory Medicine, Keimyung University School of Medicine, Dongsan Medical Center, Daegu 42601, Korea
3
Department of Pathology, Keimyung University School of Medicine, Dongsan Medical Center, Daegu 42601, Korea
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2021, 18(11), 5709; https://doi.org/10.3390/ijerph18115709
Submission received: 21 April 2021 / Revised: 17 May 2021 / Accepted: 25 May 2021 / Published: 26 May 2021
(This article belongs to the Collection COVID-19 Research)

Abstract

There are reports that pregnant women infected with SARS-CoV-2 not only have increased morbidity but also increased complications and evidence of maternal and fetal vascular malperfusion on placental pathology. This was a retrospective study of pregnant women diagnosed with SARS-CoV-2 infection after March 2020. The results of reverse transcription polymerase chain reaction testing and IgM and IgG antibody testing of the amniotic fluid, cord blood, placenta, and maternal blood were confirmed at delivery. Placentas were evaluated histopathologically. The study included seven pregnant women diagnosed with SARS-CoV-2 infection during pregnancy at a mean gestational age of 14.5 weeks. Out of the seven women, five were infected during the first trimester. The mean gestational age at delivery was 38.4 weeks. The reverse transcription polymerase chain reaction results for maternal plasma, cord blood, placenta, and amniotic fluid were negative and IgG antibodies were detected in maternal plasma and cord blood. On placental pathology, maternal vascular malperfusion was found in only one case, fetal vascular malperfusion in four cases, and inflammatory changes were found in two cases. Pregnancy outcomes for women diagnosed with SARS-CoV-2 infection during early pregnancy are positive and it is likely that maternal antibodies are passed to the fetus, which results in a period of immunity.
Keywords: COVID-19; SARS-CoV-2; vertical infection transmission; COVID-19 antibody; neutralizing antibody; first trimester pregnancy; placenta; pathology COVID-19; SARS-CoV-2; vertical infection transmission; COVID-19 antibody; neutralizing antibody; first trimester pregnancy; placenta; pathology

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MDPI and ACS Style

Jang, W.-K.; Lee, S.-Y.; Park, S.; Ryoo, N.H.; Hwang, I.; Park, J.M.; Bae, J.-G. Pregnancy Outcome, Antibodies, and Placental Pathology in SARS-CoV-2 Infection during Early Pregnancy. Int. J. Environ. Res. Public Health 2021, 18, 5709. https://doi.org/10.3390/ijerph18115709

AMA Style

Jang W-K, Lee S-Y, Park S, Ryoo NH, Hwang I, Park JM, Bae J-G. Pregnancy Outcome, Antibodies, and Placental Pathology in SARS-CoV-2 Infection during Early Pregnancy. International Journal of Environmental Research and Public Health. 2021; 18(11):5709. https://doi.org/10.3390/ijerph18115709

Chicago/Turabian Style

Jang, Won-Kyu, Su-Yeon Lee, Sunggyun Park, Nam Hee Ryoo, Ilseon Hwang, Ji Min Park, and Jin-Gon Bae. 2021. "Pregnancy Outcome, Antibodies, and Placental Pathology in SARS-CoV-2 Infection during Early Pregnancy" International Journal of Environmental Research and Public Health 18, no. 11: 5709. https://doi.org/10.3390/ijerph18115709

APA Style

Jang, W.-K., Lee, S.-Y., Park, S., Ryoo, N. H., Hwang, I., Park, J. M., & Bae, J.-G. (2021). Pregnancy Outcome, Antibodies, and Placental Pathology in SARS-CoV-2 Infection during Early Pregnancy. International Journal of Environmental Research and Public Health, 18(11), 5709. https://doi.org/10.3390/ijerph18115709

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