SARS-COV2 placentitis and pregnancy outcome: A multicentre experience during the Alpha and early Delta waves of coronavirus pandemic in England

Autor: Sophie Stenton, Jo McPartland, Rajeev Shukla, Kerry Turner, Tamas Marton, Beata Hargitai, Andrew Bamber, Jeremy Pryce, Cesar L Peres, Nadia Burguess, Bart Wagner, Barbara Ciolka, William Simmons, Daniel Hurrell, Thivya Sekar, Corina Moldovan, Claire Trayers, Victoria Bryant, Liina Palm, Marta C Cohen
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: EClinicalMedicine, Vol 47, Iss , Pp 101389- (2022)
Druh dokumentu: article
ISSN: 2589-5370
DOI: 10.1016/j.eclinm.2022.101389
Popis: Summary: Background: Pregnant women with SARS-CoV-2 infection experience higher rates of stillbirth and preterm birth. A unique pattern of chronic histiocytic intervillositis (CHI) and/or massive perivillous fibrin deposition (MPFD) has emerged, coined as SARS-CoV-2 placentitis. Methods: The aim of this study was to describe a cohort of placentas diagnosed with SARS-CoV-2 placentitis during October 2020-March 2021. Cases with a histological diagnosis of SARS-CoV-2 placentitis and confirmatory immunohistochemistry were reported. Maternal demographic data, pregnancy outcomes and placental findings were collected. Findings: 59 mothers delivered 61 infants with SARS-CoV-2 placentitis. The gestational age ranged from 19 to 41 weeks with most cases (78.6%) being third trimester. 30 infants (49.1%) were stillborn or late miscarriages. Obese mothers had higher rates of pregnancy loss when compared with those with a BMI
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