Science Editor, Medical Science Monitor, International Scientific Information, Inc., Mellville, NY, USA.
Med Sci Monit. 2021 Jul 5;27:e933831. doi: 10.12659/MSM.933831.
During the global COVID-19 pandemic, data from clinical studies, systematic review, and population registry data have shown that when compared with non-pregnant women, SARS-CoV-2 infection in pregnancy is associated with a small increase in risk to the mother. Large cohort studies and registry data collected from 2020 have included the US Surveillance for Emerging Threats to Mothers and Babies Network (SET-NET), COVI-PREG, the UK and Global Pregnancy and Neonatal Outcomes in COVID-19 (PAN-COVID) study, the American Academy of Pediatrics (AAP) Section on Neonatal-Perinatal Medicine (SONPM) National Perinatal COVID-19 Registry, the Swedish Pregnancy Register, and the Canadian Surveillance of COVID-19 in Pregnancy (CANCOVID-Preg) registry. Recently published data have shown that most maternal infections with SARS-CoV-2 occur during the third trimester and result in a small increase in hospital admission, admission to the intensive care unit (ICU), mechanical ventilation, preterm birth, and increased cesarean sections in mothers infected with SARS-CoV-2. However, currently approved vaccines given in pregnancy result in an immune response to current SARS-CoV-2 variants. Transplacental transmission of SARS-CoV-2 to the fetus can occur, but the immediate and long-term effects on the newborn infant remain unclear. Therefore, women who are pregnant or planning a pregnancy should be managed according to current clinical guidelines with timely vaccination to prevent infection with SARS-CoV-2. This Editorial summarizes what is currently known about maternal SARS-CoV-2 infection and pregnancy outcomes from multinational studies.
在全球 COVID-19 大流行期间,来自临床研究、系统评价和人群登记数据的数据表明,与非妊娠女性相比,妊娠期间感染 SARS-CoV-2 与母亲的风险略有增加有关。2020 年收集的大型队列研究和登记数据包括美国母婴新兴威胁监测网络(SET-NET)、COVI-PREG、英国和全球 COVID-19 妊娠和新生儿结局(PAN-COVID)研究、美国儿科学会(AAP)新生儿围产期医学科(SONPM)国家围产期 COVID-19 登记处、瑞典妊娠登记处和加拿大 COVID-19 在妊娠中的监测(CANCOVID-Preg)登记处。最近发表的数据表明,大多数感染 SARS-CoV-2 的孕妇感染发生在妊娠晚期,导致住院、入住重症监护病房(ICU)、机械通气、早产和感染 SARS-CoV-2 的母亲剖宫产率增加。然而,目前批准的妊娠期间使用的疫苗会对当前的 SARS-CoV-2 变异产生免疫反应。SARS-CoV-2 可通过胎盘传播给胎儿,但对新生儿的即时和长期影响仍不清楚。因此,应根据当前的临床指南对孕妇或计划怀孕的妇女进行管理,及时接种疫苗以预防 SARS-CoV-2 感染。本社论总结了来自多国研究的关于孕妇 SARS-CoV-2 感染和妊娠结局的现有知识。