Transmission of SARS-CoV-2 from mother to fetus or neonate: What to know and what to do?

被引:16
作者
De Luca, Daniele [1 ,4 ]
Vauloup-Fellous, Christelle [2 ]
Benachi, Alexandra [3 ]
Vivanti, Alexandre [3 ]
机构
[1] Paris Saclay Univ Hosp, APHP, Antoine Beclere Hosp, Div Pediat & Neonatal Crit Care, Clamart, France
[2] Paris Saclay Univ Hosp, APHP, Paul Brousse Hosp, Div Virol, Villejuif, France
[3] Paris Saclay Univ Hosp, APHP, Antoine Beclere Hosp, Div Obstet & Gynecol, Clamart, France
[4] Hop Antoine Beclere, Div Pediat & Neonatal Crit Care, 157 rue porte Trivaux, F-92140 Clamart, France
关键词
COVID-19; Pregnancy; Infant; Vertical; Infection; Stillbirth; NICU; SYNDROME CORONAVIRUS 2; SEPTIC SHOCK; INFECTION; COVID-19; PREGNANCY; PLACENTA; OUTCOMES; TMPRSS2; ACE2; BARRIER;
D O I
10.1016/j.siny.2023.101429
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
SARS-CoV-2 can be vertically transmitted from the mother to the fetus and the neonate. This transmission route is rare compared to the environmental or horizontal spread and therefore, the risk can be deemed inconse-quential by some medical providers. However, severe, although just as rare, feto-neonatal consequences are possible: fetal demise, severe/critical neonatal COVID-19 and multi-inflammatory syndrome (MIS-N) have been described. Therefore, it is important for the clinicians to know the mechanism of vertical transmission, how to recognize this, and how to deal with neonatal COVID-19 and MIS-N. Our knowledge about this field has significantly increased in the last three years. This is a summary of the pathophysiology, diagnostics, and therapeutics of vertical SARS-CoV-2 transmission that clinicians apply in their clinical practice.
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页数:10
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