Impact of COVID-19 on pregnant women's health: Consequences in obstetrics two years after the pandemic

J Reprod Immunol. 2023 Aug:158:103981. doi: 10.1016/j.jri.2023.103981. Epub 2023 Jun 15.

Abstract

The pandemic linked to SARS-CoV-2 has profoundly disrupted the health systems and many studies have led to a better understanding of this virus, which is responsible for severe disease, particularly during pregnancy. Pregnancy is a risk factor for severe COVID-19. Term of pregnancy and vaccination status is the main risk factor in addition to classic comorbidities like general population. COVID-19 during pregnancy is responsible for more maternal death, stillbirth, pre-eclampsia spontaneous and induced prematurity. Vaccination is therefore strongly recommended for pregnant patients. In addition, the COVID-19 pandemic has highlighted a psychological and social dimension that should not be neglected in the management of a pregnant patient. Correlation between immunological changes and clinical impact are described in this review. Many conclusions can now be made and are summarized in this article in order to discuss possible future research.

Keywords: Chorioamnionitis; Inflammation; Preeclampsia like diseases; Pregnancy comorbidity; Pregnancy follow-up; Preterm birth; Telemedicine.

Publication types

  • Review

MeSH terms

  • COVID-19* / epidemiology
  • Female
  • Humans
  • Obstetrics*
  • Pandemics
  • Pregnancy
  • Pregnancy Complications, Infectious* / epidemiology
  • Pregnancy Outcome
  • Pregnant Women
  • Premature Birth* / epidemiology
  • SARS-CoV-2