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CC BY 4.0 · Rev Bras Ginecol Obstet 2021; 43(01): 054-060
DOI: 10.1055/s-0040-1721856
Review Article

COVID-19: Uncertainties from Conception to Birth

Covid-19: incertezas desde a concepção até o nascimento
Bruno Ramalho de Carvalho 
1   Hospital Sírio-Libanês, Brasília, DF, Brazil
,
Karina de Sá Adami 
2   Maternidade Climério de Oliveira, Universidade Federal da Bahia, Salvador, BA, Brazil
,
Walusa Assad Gonçalves-Ferri 
3   Department of Pediatrics, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
,
Marise Samama 
4   Department of Gynecology, Escola Paulista de Medicina, Universidade Federal de São Paulo, SP, Brazil
,
Rui Alberto Ferriani 
5   Department of Gynecology and Obstetrics, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
,
Alessandra Cristina Marcolin 
5   Department of Gynecology and Obstetrics, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
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Abstract

Scientific information on the impact of the new coronavirus (SARS-CoV-2) on the health of pregnant women, fetuses and newborns is considered of limited confidence, lacking good-quality evidence, and drawing biased conclusions. As a matter of fact, the initial impressions that the evolution of COVID-19 was no different between pregnant and non-pregnant women, and that SARS-CoV-2 was not vertically transmitted, are confronted by the documentation of worsening of the disease during pregnancy, poor obstetric outcomes, and the possibility of vertical transmission. The present article aims to compile the data available on the association of COVID-19 and reproductive events, from conception to birth.

Resumo

As informações científicas sobre o impacto do novo coronavírus, SARS-CoV-2, na saúde de gestantes, fetos e recém-nascidos são consideradas de confiabilidade limitada, sem evidências de boa qualidade, e levam a conclusões enviesadas. De fato, as impressões iniciais de que a evolução da Covid-19 não era diferente entre mulheres grávidas e não grávidas, e de que o SARS-CoV-2 não era transmitido verticalmente, são confrontadas pela documentação de agravamentos da doença durante a gravidez, resultados obstétricos negativos, e a possibilidade de transmissão vertical. Este artigo tem como objetivo compilar os dados disponíveis sobre a associação entre a Covid-19 e os eventos reprodutivos, desde a concepção até o nascimento.

Keywords

COVID-19 - severe acute respiratory syndrome coronavirus 2 - ovary - testis - conception - pregnancy

Palavras-chave

Covid-19 - síndrome respiratória aguda grave pelo coronavírus 2 - ovário - testículo - concepção - gravidez


Publikationsverlauf

Eingereicht: 21. August 2020

Angenommen: 26. Oktober 2020

Artikel online veröffentlicht:
29. Januar 2021

© 2021. Federação Brasileira de Ginecologia e Obstetrícia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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