Vertical transmission and COVID-19: a scoping review

Rev Bras Enferm. 2021 May 21;74(suppl 1):e20200849. doi: 10.1590/0034-7167-2020-0849. eCollection 2021.
[Article in English, Portuguese]

Abstract

Objective: Analyze available evidence related to SARS-CoV-2 infection and vertical transmission.

Methods: Scoping review, according to the Joanna Briggs Institute and PRISMA-ScR. Searches were conducted in five electronic databases to find publications about coronavirus infection and vertical transmission. Data were extracted, analyzed and synthesized by three independent researchers using a descriptive approach.

Results: The search resulted in 76 publications. After selective steps, 15 articles - retrospective descriptive or case studies - were analyzed, all in English. In order to track the infection, specimens were collected from neonates through nasal swabs and C-reactive protein from breast milk, cord blood, amniotic fluid, placenta and vaginal secretion was analyzed. A small percentage of neonates tested positive for COVID-19, but these cases were not attributed to vertical transmission.

Conclusion: Vertical transmission could not be demonstrated. Research protocol registered with the Open Science Framework (https://osf.io/fawmv).

Publication types

  • Review
  • Systematic Review

MeSH terms

  • C-Reactive Protein / analysis
  • COVID-19 / diagnosis
  • COVID-19 / transmission*
  • DNA, Viral / analysis
  • Female
  • Humans
  • Infant, Newborn
  • Infectious Disease Transmission, Vertical*
  • Pandemics
  • Pregnancy
  • Pregnancy Complications, Infectious / virology*
  • Real-Time Polymerase Chain Reaction
  • SARS-CoV-2

Substances

  • DNA, Viral
  • C-Reactive Protein