The association of increased incidence of congenital heart disease in newborns with maternal COVID-19 infection during pregnancy.

Publication date: Oct 22, 2024

This paper aims to examine the potential link between maternal COVID-19 infection during pregnancy and the increased risk of congenital heart disease (CHD) in newborns. A comparative analysis was conducted involving two groups: mothers infected with COVID-19 during pregnancy and a control group. Data on maternal characteristics, pregnancy-related complications, and newborn outcomes were collected and analyzed. Additionally, the annual incidence rates of CHD from 2020 to 2023 were evaluated to assess trends over time. No significant differences were found between the COVID-19 cases and the control group in terms of maternal age, BMI, gravidity, parity, use of assisted reproductive technology, adverse obstetric history, or complications during pregnancy, including diabetes mellitus, preeclampsia, and thyroid abnormalities. For newborn outcomes, there were no significant differences in sex distribution, rate of cesarean delivery, Apgar scores, or birth weight. However, a significantly higher prevalence of cardiac ultrasound abnormalities was observed in the COVID-19 group (10. 08%) compared to the control group (4. 13%, pā€‰=ā€‰0. 012). Further analysis revealed that the majority of cardiac abnormalities in the COVID-19 group occurred in mothers infected before 8 weeks of pregnancy. The annual incidence rates of CHD showed a significant increase during the COVID-19 pandemic, with the highest rate in 2023 (5. 46%) compared to previous years. Maternal COVID-19 infection during pregnancy may adversely affect the development of the newborn’s heart. This could be due to the inflammatory response caused by the viral infection or other pathological processes. The findings underscore the importance of vigilant prenatal care and early detection of cardiac abnormalities during the pandemic and suggest the need for further research to explore potential mechanisms and intervention strategies.

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Concepts Keywords
Diabetes Congenital heart disease
Pandemic COVID-19
Pregnancy Newborns
Vigilant Pregnancy infection
Viral Risk factors

Semantics

Type Source Name
disease MESH congenital heart disease
disease MESH COVID-19
disease MESH infection
disease MESH complications
disease MESH gravidity
disease IDO history
disease MESH diabetes mellitus
disease MESH preeclampsia
disease MESH abnormalities
disease MESH viral infection
disease MESH pathological processes
disease IDO intervention
disease MESH Long Covid
disease MESH acute respiratory distress syndrome
disease MESH preterm birth
disease MESH congenital defects
drug DRUGBANK Coenzyme M
disease MESH varicella
disease IDO country
disease IDO virulence
disease MESH atrial septal defects
disease MESH patent foramen ovale
disease MESH ventricular septal defects
disease MESH patent ductus arteriosus

Original Article

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