Association between COVID-19 Infection and Miscarriages, What We Really Know?

BACKGROUND: COVID-19 is a modern worldwide pandemic that affected and continues to affect millions of people around the world. Since the discovery that angiotensin-converting enzyme 2 (ACE2) is the binding site for COVID-19 to achieve cell entry, there has been a continuous debate about the effect of COVID-19 infection in first and second trimester abortions. The aim of this review is to investigate the impact of COVID-19 infection on the incidence of miscarriage. Furthermore, we seek to identify potential pathophysiological mechanisms of early pregnancy loss present in infected women.

METHODS: A literature review was conducted on different databases, including PubMed, Google Scholar, Ovid, Science Direct, Scopus, and Cochrane library, between 1 January 2020 and 31 August 2023. A total of 364 articles were identified and 32 articles were ultimately included in the review.

RESULTS: There are several case studies that provide evidence that early pregnancy loss is associated with COVID-19 infection. These findings are not further confirmed by the majority of systematic reviews and meta-analyses, which demonstrate that the total number of miscarriages do not differ significantly between infected and non-infected groups. Furthermore, there are also case reports that associate COVID-19 infection with late second trimester abortions.

CONCLUSIONS: Given that the virus persists globally, it is important to gain a better understanding of its associated risks in the reproductive process, and larger, more homogeneous, and controlled studies are required to obtain more robust data that can be meta-analyzed to obtain an overview of this potential relationship.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:11

Enthalten in:

Diseases (Basel, Switzerland) - 11(2023), 4 vom: 29. Nov.

Sprache:

Englisch

Beteiligte Personen:

Chrysanthopoulos, Ioannis [VerfasserIn]
Potiris, Anastasios [VerfasserIn]
Drakaki, Eirini [VerfasserIn]
Mavrogianni, Despoina [VerfasserIn]
Machairiotis, Nikolaos [VerfasserIn]
Zarogoulidis, Paul [VerfasserIn]
Karampitsakos, Theodoros [VerfasserIn]
Machairoudias, Pavlos [VerfasserIn]
Vrachnis, Dionysios [VerfasserIn]
Panagopoulos, Periklis [VerfasserIn]
Drakakis, Peter [VerfasserIn]
Stavros, Sofoklis [VerfasserIn]

Links:

Volltext

Themen:

COVID-19
Journal Article
Miscarriage
Pregnancy loss
Reproduction
Review
SARS-CoV-2

Anmerkungen:

Date Revised 24.12.2023

published: Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.3390/diseases11040173

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM36622638X