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The impact of COVID-19 on pregnancy outcomes: a systematic review and meta-analysis

Wei, Shu Qin ; Bilodeau-Bertrand, Marianne ; Liu, Shiliang ; Auger, Nathalie

Canadian Medical Association journal (CMAJ), 2021-04, Vol.193 (16), p.E540-E548 [Periódico revisado por pares]

Canada: Joule Inc

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Título:
The impact of COVID-19 on pregnancy outcomes: a systematic review and meta-analysis
Autor: Wei, Shu Qin ; Bilodeau-Bertrand, Marianne ; Liu, Shiliang ; Auger, Nathalie
Assuntos: Asymptomatic ; Bias ; Birth weight ; Clinical outcomes ; Confidence intervals ; Coronaviruses ; COVID-19 ; COVID-19 - complications ; COVID-19 - epidemiology ; Diabetes, Gestational - epidemiology ; Estimates ; Female ; Gestational diabetes ; Humans ; Infant, Low Birth Weight ; Infant, Newborn ; Infections ; Infectious Disease Transmission, Vertical ; Meta-analysis ; Observational Studies as Topic ; Obstetrical research ; Pandemics ; Patient outcomes ; Pneumonia ; Pre-Eclampsia - epidemiology ; Preeclampsia ; Pregnancy ; Pregnancy Complications, Infectious - epidemiology ; Pregnancy Outcome - epidemiology ; Pregnancy, Complications of ; Premature birth ; Premature Birth - epidemiology ; Risk factors ; SARS-CoV-2 ; Severe acute respiratory syndrome coronavirus 2 ; Stillbirth ; Stillbirth - epidemiology ; Systematic review
É parte de: Canadian Medical Association journal (CMAJ), 2021-04, Vol.193 (16), p.E540-E548
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Descrição: The impact of coronavirus disease 2019 (COVID-19) on maternal and newborn health is unclear. We aimed to evaluate the association between severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection during pregnancy and adverse pregnancy outcomes. We conducted a systematic review and meta-analysis of observational studies with comparison data on SARS-CoV-2 infection and severity of COVID-19 during pregnancy. We searched for eligible studies in MEDLINE, Embase, ClinicalTrials.gov, medRxiv and Cochrane databases up to Jan. 29, 2021, using Medical Subject Headings terms and keywords for "severe acute respiratory syndrome coronavirus 2 OR SARS-CoV-2 OR coronavirus disease 2019 OR COVID-19" AND "pregnancy." We evaluated the methodologic quality of all included studies using the Newcastle-Ottawa Scale. Our primary outcomes were preeclampsia and preterm birth. Secondary outcomes included stillbirth, gestational diabetes and other pregnancy outcomes. We calculated summary odds ratios (ORs) or weighted mean differences with 95% confidence intervals (CI) using random-effects meta-analysis. We included 42 studies involving 438 548 people who were pregnant. Compared with no SARS-CoV-2 infection in pregnancy, COVID-19 was associated with preeclampsia (OR 1.33, 95% CI 1.03 to 1.73), preterm birth (OR 1.82, 95% CI 1.38 to 2.39) and stillbirth (OR 2.11, 95% CI 1.14 to 3.90). Compared with mild COVID-19, severe COVID-19 was strongly associated with preeclampsia (OR 4.16, 95% CI 1.55 to 11.15), preterm birth (OR 4.29, 95% CI 2.41 to 7.63), gestational diabetes (OR 1.99, 95% CI 1.09 to 3.64) and low birth weight (OR 1.89, 95% CI 1.14 to 3.12). COVID-19 may be associated with increased risks of preeclampsia, preterm birth and other adverse pregnancy outcomes.
Editor: Canada: Joule Inc
Idioma: Inglês

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The impact of COVID-19 on pregnancy outcomes: a systematic review and meta-analysis

Wei, Shu Qin ; Bilodeau-Bertrand, Marianne ; Liu, Shiliang ; Auger, Nathalie

Canada: Joule Inc

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