未经证实:在怀孕期间感染SARS-CoV-2后,胎儿有已知的并发症。然而,以往对妊娠期SARS-CoV-2的研究主要限于胎盘的组织病理学研究,迄今为止,对不同SARS-CoV-2变种的影响的产前研究很少.为了检查SARS-CoV-2变体对胎盘和胎儿的影响,我们使用产前MRI检查胎儿和胎儿外结构.
未经评估:对于这项前瞻性病例对照研究,两个产科中心在确诊SARS-CoV-2感染后连续转诊孕妇进行产前MRI检查.在确认感染SARS-CoV-2后,纳入了38例产前MRI检查,并在性别方面与38例对照病例1:1相匹配,MRI场强,和孕龄(平均偏差1.76±1.65,中位数1.5天)。如有,胎盘的病理组织学检查和疫苗接种状况被纳入分析.在产前核磁共振中,胎盘的形状和厚度,可能的分叶,并对血管病变进行量化。对胎儿进行器官或脑部异常扫描。
未经批准:在SARS-CoV-2感染后的38例病例中,20/38(52.6%)感染了前O微米变体,18/38(47.4%)感染了O微米。在第一次PCR检测阳性后平均83天(±42.9,中位数80天)进行产前MRI。与对照组相比,前O微米(P=.008)和O微米(P=.016)组均显示球状胎盘形式异常。此外,前Omicron组的胎盘显着增厚(6.35,95%CI.02-12.65,P=.048),并显示出显着更频繁的小叶(P=.046),和出血(P=0.002)。在前O微米组中观察到25%的胎儿生长受限(FGR)(n=5/20,P=0.017)。
未经证实:基于血管事件,妊娠期SARS-CoV-2感染可导致胎盘病变,可以在产前MRI上很好地观察。在这方面,前O微米变体比O微米亚谱系造成更大的损害。
联合国资助机构:维也纳科学技术基金。
UNASSIGNED: There are known complications for fetuses after infection with SARS-CoV-2 during pregnancy. However, previous studies of SARS-CoV-2 in pregnancy have largely been limited to histopathologic studies of placentas and prenatal studies on the effects of different SARS-CoV-2 variants are scarce to date. To examine the effects of SARS-CoV-2 variants on the placenta and fetus, we investigated fetal and extra-fetal structures using prenatal MRI.
UNASSIGNED: For this prospective case-control study, two obstetric centers consecutively referred pregnant women for prenatal MRI after confirmed SARS-CoV-2 infection. Thirty-eight prenatal MRI examinations were included after confirmed infection with SARS-CoV-2 and matched 1:1 with 38 control cases with respect to sex, MRI field strength, and gestational age (average deviation 1.76 ± 1.65, median 1.5 days). Where available, the pathohistological examination and vaccination status of the placenta was included in the analysis. In prenatal MRI, the shape and thickness of the placenta, possible lobulation, and vascular lesions were quantified. Fetuses were scanned for organ or brain abnormalities.
UNASSIGNED: Of the 38 included cases after SARS-CoV-2 infection, 20/38 (52.6%) were infected with pre-Omicron variants and 18/38 (47.4%) with Omicron. Prenatal MRIs were performed on an average of 83 days (±42.9, median 80) days after the first positive PCR test. Both pre-Omicron (P = .008) and Omicron (P = .016) groups showed abnormalities in form of a globular placenta compared to control cases. In addition, placentas in the pre-Omicron group were significantly thickened (6.35, 95% CI .02-12.65, P = .048), and showed significantly more frequent lobules (P = .046), and hemorrhages (P = .002). Fetal growth restriction (FGR) was observed in 25% (n = 5/20, P = .017) in the pre-Omicron group.
UNASSIGNED: SARS-CoV-2 infections in pregnancy can lead to placental lesions based on vascular events, which can be well visualized on prenatal MRI. Pre-Omicron variants cause greater damage than Omicron sub-lineages in this regard.
UNASSIGNED: Vienna Science and Technology Fund.