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  • Letter to the Editor

    Are Endocan Plasma Levels Altered in Preeclampsia?

    Rev Bras Ginecol Obstet. 2021;43(3):232-234

    Summary

    Letter to the Editor

    Are Endocan Plasma Levels Altered in Preeclampsia?

    Rev Bras Ginecol Obstet. 2021;43(3):232-234

    DOI 10.1055/s-0041-1728661

    Views2
    Dear Editor, Our research group has been studying preeclampsia (PE) for over a decade aiming to detect possible blood biomarkers of hemostasis, inflammation, and endothelial dysfunction that could be useful for the diagnosis of PE. Until today, only the onset of hypertension (≥ 140 mmHg systolic or ≥ 90 mmHg diastolic) on or after 20 weeks of gestation […]
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  • Review Article

    Clinical Features and Maternal-fetal Results of Pregnant Women in COVID-19 Times

    Rev Bras Ginecol Obstet. 2021;43(5):384-394

    Summary

    Review Article

    Clinical Features and Maternal-fetal Results of Pregnant Women in COVID-19 Times

    Rev Bras Ginecol Obstet. 2021;43(5):384-394

    DOI 10.1055/s-0041-1729145

    Views6

    Abstract

    Objective

    Coronavirus disease 2019 (COVID-19) is a disease caused by a newly discovered coronavirus, severe acute respiratory syndrome coronavirus 2 (SARSCoV-2), which usually leads to non-specific respiratory symptoms. Although pregnant women are considered at risk for respiratory infections by other viruses, such as SARS and Middle East respiratory syndrome (MERS), little is known about their vulnerability to SARS-CoV-2. Therefore, this study aims to identify and present the main studies on the topic, including the postpartum period.

    Methods

    In this narrative review, articles were searched in various databases, organizations, and health entities using keywords compatible with medical subject headings (MeSH), such as: COVID-19, pregnancy, vertical transmission, coronavirus 2019, and SARS-CoV-2.

    Results

    The review of the scientific literature on the subject revealed that pregnant women with COVID-19 did not present clinical manifestations significantly different from those of non-pregnant women; however, there are contraindicated therapies. Regarding fetuses, studies were identified that reported that infection by SARS-CoV-2 in pregnant women can cause fetal distress, breathing difficulties and premature birth, but there is no substantial evidence of vertical transmission.

    Conclusion

    Due to the lack of adequate information and the limitations of the analyzed studies, it is necessary to provide detailed clinical data on pregnant women infected with SARS-CoV-2 and on the maternal-fetal repercussions caused by this infection. Thus, this review may contribute to expand the knowledge of professionals working in the area as well as to guide more advanced studies on the risk related to pregnant women and their newborns. Meanwhile, monitoring of confirmed or suspected pregnant women with COVID-19 is essential, including in the postpartum period.

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    Clinical Features and Maternal-fetal Results of Pregnant Women in COVID-19 Times

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