How Much Does SARS-CoV-2 Infection during Pregnancy Affect the Neonatal Brain, Heart, and Kidney? A Parallel between COVID-19, Vaccination, and Normal Pregnancy

During the last decades, a growing number of studies have shown that infections during pregnancy have an important impact on both pregnant women and their fetuses. Our goal was to include newborns from pregnancies with SARS-CoV-2 infection and to investigate the extension of neonatal complications u...

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Main Authors: Daniela Eugenia Popescu, Ana Maria Cristina Jura, Dana Știube, Adrian Ciulpan, Florina Stoica, Simona Ioana Șipoș, Cosmin Cîtu, Florin Gorun, Mărioara Boia
Format: Article
Language:English
Published: MDPI AG 2024-02-01
Series:Life
Subjects:
Online Access:https://www.mdpi.com/2075-1729/14/2/224
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author Daniela Eugenia Popescu
Ana Maria Cristina Jura
Dana Știube
Adrian Ciulpan
Florina Stoica
Simona Ioana Șipoș
Cosmin Cîtu
Florin Gorun
Mărioara Boia
author_facet Daniela Eugenia Popescu
Ana Maria Cristina Jura
Dana Știube
Adrian Ciulpan
Florina Stoica
Simona Ioana Șipoș
Cosmin Cîtu
Florin Gorun
Mărioara Boia
author_sort Daniela Eugenia Popescu
collection DOAJ
description During the last decades, a growing number of studies have shown that infections during pregnancy have an important impact on both pregnant women and their fetuses. Our goal was to include newborns from pregnancies with SARS-CoV-2 infection and to investigate the extension of neonatal complications using cardiac, abdominal, and cerebral ultrasonography; hearing testing; and indirect ophthalmoscopy. Likewise, neonates whose mothers were vaccinated against COVID-19 during pregnancy and those from pathology-free pregnancies were examined. A total of 458 mother–newborn dyads were included over a period of 10 months and divided into three groups: the COVID-19 group, vaccine group, and control group. Although six cardiac malformations were found in the COVID-19 group, no correlation was made compared to the vaccine and control group (<i>p</i> = 0.07). Grade 1 intraventricular hemorrhage and hypoxic ischemic encephalopathy were the most prevalent among neonates from mothers with SARS-CoV-2 infection (<i>p</i> = 0.002 and <i>p</i> < 0.001, respectively). The kidney anomaly found to be most frequent in this group was grade 1 unilateral hydronephrosis (<i>p</i> < 0.001). COVID-19 disease during the gestational period had no effect on the auditory or visual function. Our findings highlight the importance of implementing proper infection control practices for future mothers, and by continuing to investigate this topic, we can gather valuable insights that will improve neonatal health in this context.
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spelling doaj.art-f87e1e880ccc490a90d98d3c291edf1d2024-02-23T15:24:41ZengMDPI AGLife2075-17292024-02-0114222410.3390/life14020224How Much Does SARS-CoV-2 Infection during Pregnancy Affect the Neonatal Brain, Heart, and Kidney? A Parallel between COVID-19, Vaccination, and Normal PregnancyDaniela Eugenia Popescu0Ana Maria Cristina Jura1Dana Știube2Adrian Ciulpan3Florina Stoica4Simona Ioana Șipoș5Cosmin Cîtu6Florin Gorun7Mărioara Boia8Department of Obstetrics and Gynecology, “Victor Babeş” University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, RomaniaDepartment of Obstetrics and Gynecology, “Victor Babeş” University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, RomaniaDepartment of Neonatology, Premiere Hospital, Regina Maria Health Network, Calea Aradului, No. 113, 300645 Timisoara, RomaniaDepartment of Pediatrics, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, RomaniaDepartment of Ophthalmology, Emergency Municipal Clinical Hospital, Gheorghe Dima Street 5, 300254 Timisoara, RomaniaDepartment of Pharmacology, ‘Victor Babes’ University of Medicine and Pharmacy of Timisoara, 300041 Timisoara, RomaniaDepartment of Obstetrics and Gynecology, “Victor Babeş” University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, RomaniaDepartment of Obstetrics and Gynecology, “Victor Babeş” University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, RomaniaDepartment of Obstetrics and Gynecology, “Victor Babeş” University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, RomaniaDuring the last decades, a growing number of studies have shown that infections during pregnancy have an important impact on both pregnant women and their fetuses. Our goal was to include newborns from pregnancies with SARS-CoV-2 infection and to investigate the extension of neonatal complications using cardiac, abdominal, and cerebral ultrasonography; hearing testing; and indirect ophthalmoscopy. Likewise, neonates whose mothers were vaccinated against COVID-19 during pregnancy and those from pathology-free pregnancies were examined. A total of 458 mother–newborn dyads were included over a period of 10 months and divided into three groups: the COVID-19 group, vaccine group, and control group. Although six cardiac malformations were found in the COVID-19 group, no correlation was made compared to the vaccine and control group (<i>p</i> = 0.07). Grade 1 intraventricular hemorrhage and hypoxic ischemic encephalopathy were the most prevalent among neonates from mothers with SARS-CoV-2 infection (<i>p</i> = 0.002 and <i>p</i> < 0.001, respectively). The kidney anomaly found to be most frequent in this group was grade 1 unilateral hydronephrosis (<i>p</i> < 0.001). COVID-19 disease during the gestational period had no effect on the auditory or visual function. Our findings highlight the importance of implementing proper infection control practices for future mothers, and by continuing to investigate this topic, we can gather valuable insights that will improve neonatal health in this context.https://www.mdpi.com/2075-1729/14/2/224pregnancyCOVID-19neonatalultrasoundinfectious diseasesSARS-CoV-2
spellingShingle Daniela Eugenia Popescu
Ana Maria Cristina Jura
Dana Știube
Adrian Ciulpan
Florina Stoica
Simona Ioana Șipoș
Cosmin Cîtu
Florin Gorun
Mărioara Boia
How Much Does SARS-CoV-2 Infection during Pregnancy Affect the Neonatal Brain, Heart, and Kidney? A Parallel between COVID-19, Vaccination, and Normal Pregnancy
Life
pregnancy
COVID-19
neonatal
ultrasound
infectious diseases
SARS-CoV-2
title How Much Does SARS-CoV-2 Infection during Pregnancy Affect the Neonatal Brain, Heart, and Kidney? A Parallel between COVID-19, Vaccination, and Normal Pregnancy
title_full How Much Does SARS-CoV-2 Infection during Pregnancy Affect the Neonatal Brain, Heart, and Kidney? A Parallel between COVID-19, Vaccination, and Normal Pregnancy
title_fullStr How Much Does SARS-CoV-2 Infection during Pregnancy Affect the Neonatal Brain, Heart, and Kidney? A Parallel between COVID-19, Vaccination, and Normal Pregnancy
title_full_unstemmed How Much Does SARS-CoV-2 Infection during Pregnancy Affect the Neonatal Brain, Heart, and Kidney? A Parallel between COVID-19, Vaccination, and Normal Pregnancy
title_short How Much Does SARS-CoV-2 Infection during Pregnancy Affect the Neonatal Brain, Heart, and Kidney? A Parallel between COVID-19, Vaccination, and Normal Pregnancy
title_sort how much does sars cov 2 infection during pregnancy affect the neonatal brain heart and kidney a parallel between covid 19 vaccination and normal pregnancy
topic pregnancy
COVID-19
neonatal
ultrasound
infectious diseases
SARS-CoV-2
url https://www.mdpi.com/2075-1729/14/2/224
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