SARS-CoV-2 Infection and Preeclampsia-How an Infection Can Help Us to Know More about an Obstetric Condition
- PMID: 37515250
- PMCID: PMC10385171
- DOI: 10.3390/v15071564
SARS-CoV-2 Infection and Preeclampsia-How an Infection Can Help Us to Know More about an Obstetric Condition
Abstract
Pregnant women with SARS-CoV-2 infection have a significantly higher risk of maternal death, ICU admission, preterm delivery, and stillbirth compared to those without infection. Additionally, the risk of preeclampsia (PE) increases in pregnant women infected with SARS-CoV-2, particularly in severe cases. The association between COVID-19 and PE is likely attributed to various mechanisms, including direct effects of the virus on trophoblast function and the arterial wall, exaggerated inflammatory response in pregnant women, local inflammation leading to placental ischemia, SARS-CoV-2-related myocardial injury, cytokine storm, and thrombotic microangiopathy. This paper aims to explore the similarities between PE and SARS-CoV-2 infection, considering COVID-19 as a valuable study model. By examining these parallels, we can enhance our knowledge and comprehension of PE. We wish to emphasize the potential for COVID-19-induced myocardial injury in pregnant women and its connection to the increased maternal mortality rate.
Keywords: COVID-19; SARS-CoV-2; inflammation; myocardial injury; preeclampsia; pregnancy.
Conflict of interest statement
The authors declare no conflict of interest.
References
-
- WHO Coronavirus (COVID-19) Dashboard with Vaccination Data. 2021. [(accessed on 16 June 2023)]. Available online: https://covid19.who.int/
-
- Gurol-Urganci I., Jardine J.E., Carroll F., Draycott T., Dunn G., Fremeaux A., Harris T., Hawdon J., Morris E., Muller P. Maternal and perinatal outcomes of pregnant women with SARS-CoV-2 infection at the time of birth in England: National cohort study. Am. J. Obstet. Gynecol. 2021;225:522-e1. doi: 10.1016/j.ajog.2021.05.016. - DOI - PMC - PubMed
-
- WAPM (World Association of Perinatal Medicine) Working Group on COVID-19. Saccone G., Sen C., Di Mascio D., Galindo A., Grünebaum A., Yoshimatsu J., Stanojevic M., Kurjak A., Chervenak F., et al. Maternal and perinatal outcomes of pregnant women with SARS-CoV-2 in-fection. Ultrasound Obstet. Gynecol. 2021;57:232–241. - PubMed
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