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Arch Iran Med. 2021;24(9): 713-721.
doi: 10.34172/aim.2021.104
  Abstract View: 1434
  PDF Download: 633

COVID-19

Systematic Review

Maternal and Neonatal Complications, Outcomes and Possibility of Vertical Transmission in Iranian Women with COVID-19

Zohreh Heidary 1 ORCID logo, Omid Kohandel 2, Hanieh Fathi 2, Majid Zaki-Dizaji 3, Marjan Ghaemi 1, Batool Hossein Rashidi 1* ORCID logo

1 Vali-e-Asr Reproductive Health Research Center, Tehran University of Medical Sciences, Tehran, Iran
2 Student Research Committee of Alborz University of Medical Sciences, Karaj, Iran
3 Legal Medicine Research Center, Legal Medicine Organization, Tehran, Iran
*Corresponding Author: *Corresponding Author: Batool Hossein Rashidi, MD; Vali-e-Asr Reproductive Health Research Center, Tehran University of Medical Sciences, Tehran, Iran. Tel: +98-21-66581616; Email: , Email: bhrashidi@gmail.com

Abstract

Background: The emergence and fast spread of coronavirus disease 2019 (COVID-19) threatens the world as a new public health crisis. Little is known about its effects during pregnancy. This study aimed to investigate the clinical manifestations of COVID-19 on maternal and neonatal outcomes.

Methods: In this systematic review, PubMed, Scopus, Web of Science, and Google Scholar databases were searched focusing on pregnancy and perinatal outcomes of COVID-19.

Results: The initial search yielded 1236 articles, from which finally 21 unique studies, involving 151 pregnant women and 17 neonates, met the criteria. Mean ± SD age of included mothers and mean ± SD gestational age at admission were 30.6 ± 6.2 years and 30.8 ± 8.9 weeks, respectively. The common symptoms were fever, cough, fatigue, dyspnea and myalgia. The mortality rates of pregnant women and neonates were 28 out of 151 (18.5%) and 4 out of 17 (23.5%), respectively. Most of the neonates were preterm at the time of delivery. Three neonates had positive RT-PCR test on the first day after birth and three others on day two. On the average, neonate’s PCR became positive on day 4 for the first time.

Conclusion: Early diagnosis of COVID-19 is crucial due to the possibility of the prenatal complications. Strict prevention strategies may reduce the risk of mother to infant transmission.



Cite this article as: Heidary Z, Kohandel Gargari O, Fathi H, Zaki-Dizaji M, Ghaemi M, Hossein Rashidi B. Maternal and neonatal complications, outcomes and possibility of vertical transmission in iranian women with COVID-19. Arch Iran Med. 2021;24(9): 713-721. doi: 10.34172/aim.2021.104
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Abstract View: 1435

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Submitted: 06 Mar 2021
Revision: 16 Mar 2021
Accepted: 28 Apr 2021
ePublished: 01 Sep 2021
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