Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Nov 3;10(11):e039933.
doi: 10.1136/bmjopen-2020-039933.

Impact of SARS-CoV-2 (COVID-19) on pregnancy: a systematic review and meta-analysis protocol

Affiliations

Impact of SARS-CoV-2 (COVID-19) on pregnancy: a systematic review and meta-analysis protocol

Kleyton Santos Medeiros et al. BMJ Open. .

Abstract

Introduction: The COVID-19 pandemic, caused by the SARS-CoV-2 virus, has been growing at an accelerating rate, and has become a public health emergency. Pregnant women and their fetuses are susceptible to viral infection, and outcomes in this population need to be investigated.

Methods and analysis: PubMed, Web of Science, Embase, CINAHAL, Latin American and Caribbean Health Sciences Literature, clinicaltrials.gov, SCOPUS, Google Scholar and Cochrane Central Controlled Trials Registry will be searched for observational studies (cohort and control cases) published from December 2019 to present. This systematic review and meta-analysis will include studies of pregnant women at any gestational stage diagnosed with COVID-19. The primary outcomes will be maternal and foetal morbidity and mortality. Three independent reviewers will select the studies and extract data from the original publications. The risk of bias will be assessed using the Newcastle-Ottawa Scale for observational studies. To evaluate the strength of evidence from the included data, we will use Grading of Recommendation Assessment, Development, and Evaluation method. Data synthesis will be performed using Review Manager software V.5.2.3. To assess heterogeneity, we will compute the I2 statistics. Additionally, a quantitative synthesis will be performed if the included studies are sufficiently homogenous.

Ethics and dissemination: This study will be a review of the published data, and thus it is not necessary to obtain ethical approval. The findings of this systematic review will be published in a peer-reviewed journal.

Prospero registration number: PROSPERO 2020: CRD42020181519.

Keywords: gynaecology; infection control; infectious diseases; neonatology; obstetrics; virology.

PubMed Disclaimer

Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Flow diagram of the search for eligible studies COVID-19 and pregnancy.

References

    1. Rasmussen SA, Jamieson DJ. Coronavirus disease 2019 (COVID-19) and pregnancy: responding to a rapidly evolving situation. Obstet Gynecol 2020;135:999–1002. 10.1097/AOG.0000000000003873 - DOI - PMC - PubMed
    1. Siston AM, Rasmussen SA, Honein MA, et al. . Pandemic 2009 influenza A(H1N1) virus illness among pregnant women in the United States. JAMA 2010;303:1517–25. 10.1001/jama.2010.479 - DOI - PMC - PubMed
    1. Dashraath P, Wong JLJ, Lim MXK, et al. . Coronavirus disease 2019 (COVID-19) pandemic and pregnancy. Am J Obstet Gynecol 2020;222:521–31. 10.1016/j.ajog.2020.03.021 - DOI - PMC - PubMed
    1. Gonçalves AK. The real impact of the coronavirus disease 2019 (covid-19) on the pregnancy outcome. Rev Bras Ginecol Obstet 2020;42:303–4. 10.1055/s-0040-1712942 - DOI - PMC - PubMed
    1. Liu Y, Chen H, Tang K, et al. . Clinical manifestations and outcome of SARS-CoV-2 infection during pregnancy. J Infect 2020. 10.1016/j.jinf.2020.02.028 - DOI - PMC - PubMed