The Impact of Viral Infection Caused by SARS-CoV-2 on Fetoplacental Complex Parameters and the Course of Pregnancy in Humans
DOI:
https://doi.org/10.37482/2687-1491-Z289Keywords:
pregnancy, rats, COVID-19 infection, preeclampsia, Doppler ultrasound, cardiotocographyAbstract
To assess the impact of COVID-19 infection in late pregnancy on fetoplacental complex parameters and the course of pregnancy, a retrospective analysis of medical records of patients registered at Simferopol Clinical Maternity Hospital No. 2, who were infected with SARS-CoV-2 in the second and third trimesters, was conducted. A trimester-dependent impact of COVID-19 infection on pregnancy has been established. In the second trimester, COVID-19 is associated with a more severe course of the disease in mothers and causes significant disturbances in the uteroplacental circulation system, the development of placental dysfunction (according to Doppler ultrasound data), and abnormal cardiotocogram changes in the fetus (decreased heart rate variability and late decelerations). Infection in the third trimester is more closely associated with the development of obstetric complications, while placental dysfunction is less pronounced than in those infected in the second trimester. For this category of patients, it is advisable to implement personal monitoring protocols with the expanded use of Doppler ultrasound and cardiotocography in order to promptly identify preclinical disorders.
Downloads
References
Villar J., Ariff S., Gunier R.B., Thiruvengadam R., Rauch S., Kholin A., Roggero P., Prefumo F., Silva do Vale M., Cardona-Perez J.A. et. al. Maternal and Neonatal Morbidity and Mortality Among Pregnant Women with and Without COVID-19 Infection: The INTERCOVID Multinational Cohort Study // JAMA Pediatr. 2021. Vol. 175, № 8. P. 817–826. https://doi.org/10.1001/jamapediatrics.2021.1050
Mullins E., Perry A., Banerjee J., Townson J., Grozeva D., Milton R., Kirby N., Playle R., Bourne T., Lees C. et al. Pregnancy and Neonatal Outcomes of COVID-19: The PAN-COVID Study // Eur. J. Obstet. Gynecol. Reprod. Biol. 2022. Vol. 276. P. 161–167. https://doi.org/10.1016/j.ejogrb.2022.07.010
Hingrat Q.L., Visseaux B., Laouenan C., Tubiana S., Bouadma L., Yazdanpanah Y., Duval X., Burdet C., Ichou H., Damond F. et. al. Detection of SARS-CoV-2 N-Antigen in Blood During Acute COVID-19 Provides a Sensitive New Marker and New Testing Alternatives // Clin. Microbiol. Infect. 2020. Vol. 27, № 5. P. 789.e1–789.e5. https://doi.org/10.1016/j.cmi.2020.11.025
D’Antonio F., Sen C., Mascio D.D., Galindo A., Villalain C., Herraiz I., Arisoy R., Ovayolu A., Eroğlu H., Canales M.G. et. al. Maternal and Perinatal Outcomes in High Compared to Low Risk Pregnancies Complicated by Severe Acute Respiratory Syndrome Coronavirus 2 Infection (Phase 2): The World Association of Perinatal Medicine Working Group on Coronavirus Disease 2019 // Am. J. Obstet. Gynecol. MFM. 2021. Vol. 3, № 4. Art. № 100329. https://doi.org/10.1016/j.ajogmf.2021.100329
Perlman S. Another Decade, Another Coronavirus // N. Engl. J. Med. 2020. Vol. 382, № 8. P. 760–762. https://doi.org/10.1056/nejme2001126
Di Mascio D., Khalil A., Saccone G., Rizzo G., Buca D., Liberati M., Vecchiet J., Nappi L., Scambia G., Berghella V. et al. Outcome of Coronavirus Spectrum Infections (SARS, MERS, COVID-19) During Pregnancy: A Systematic Review and Meta-Analysis // Am. J. Obstet. Gynecol. MFM. 2020. Vol. 2, № 2. Art. № 100107. https://doi.org/10.1016/j.ajogmf.2020.100107
WAPM (World Association of Perinatal Medicine) Working Group on COVID-19. Maternal and Perinatal Outcomes of Pregnant Women with SARS-CoV-2 Infection // Ultrasound Obstet. Gynecol. 2021. Vol. 57, № 2. P. 232–241. https://doi.org/10.1002/uog.23107
Dubey P., Reddy S.Y., Manuel S., Dwivedi A.K. Maternal and Neonatal Characteristics and Outcomes Among COVID-19 Infected Women: An Updated Systematic Review and Meta-Analysis // Eur. J. Obstet. Gynecol. Reprod. Biol. 2020. Vol. 252. P. 490–501. https://doi.org/10.1016/j.ejogrb.2020.07.034
Адамян Л.В., Вечорко В.И., Конышева О.В., Харченко Э.И. Беременность и COVID-19: актуальные вопросы (обзор литературы) // Проблемы репродукции. 2021. Т. 27, № 3. С. 70–77. https://doi.org/10.17116/repro20212703170
Адамян Л.В., Вечорко В.И., Филиппов О.С., Конышева О.В., Ляшко Е.С., Казначеева Т.В., Фаттахова Д.Н., Горбачева Е.Ю. Особенности родовспоможения у беременных с коронавирусной инфекцией // Проблемы репродукции. 2020. Т. 26, № 5. С. 8–16. https://doi.org/10.17116/repro2020260518
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2026 Nikitina K.A., Gafiyatullina G.Sh., Zyablitskaya E.Yu., Marulova A.V.

This work is licensed under a Creative Commons Attribution 4.0 International License.