Analysis of SARS-CoV-2 vertical transmission during pregnancy
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Abstract
The impact of SARS-CoV-2 infection during gestation remains unclear. Here, we analyse the viral genome on maternal and newborns nasopharyngeal swabs, vaginal swabs, maternal and umbilical cord plasma, placenta and umbilical cord biopsies, amniotic fluids and milk from 31 mothers with SARS-CoV-2 infection. In addition, we also test specific anti-SARS-CoV-2 antibodies and expression of genes involved in inflammatory responses in placentas, and in maternal and umbilical cord plasma. We detect SARS-CoV-2 genome in one umbilical cord blood and in two at-term placentas, in one vaginal mucosa and in one milk specimen. Furthermore, we report the presence of specific anti-SARS-CoV-2 IgM and IgG antibodies in one umbilical cord blood and in one milk specimen. Finally, in the three documented cases of vertical transmission, SARS-CoV-2 infection was accompanied by a strong inflammatory response. Together, these data support the hypothesis that in utero SARS-CoV-2 vertical transmission, while low, is possible. These results might help defining proper obstetric management of COVID-19 pregnant women, or putative indications for mode and timing of delivery.
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Rare in utero transmission of SARS-CoV-2 has been reported.
“Rare in utero transmission of SARS-CoV-2 has also been reported222,223; its implications on maternal, fetal and neonatal health are under active investigation.”
From mRNA vaccines for infectious diseases: principles, delivery and clinical translation (2021) · cites this paper as [223]
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Recommendations for breastfeeding during Coronavirus Disease 2019 (COVID-19) pandemic
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Maternal SARS-CoV-2 infection during pregnancy: possible impact on the infant
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Factors affecting the acceptability of COVID-19 vaccine in the postpartum period
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Coronavirus disease 2019 and the placenta: A literature review
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Antimicrobial stewardship and targeted therapies in the changing landscape of maternal sepsis
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Pregnancy and COVID-19: high or low risk of vertical transmission
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Habel, J. R., Chua, B. Y. L., Kedzierski, Ł., Selva, K. J., Damelang, T., Haycroft, E. R., Nguyen, T. H. O., Koay, H., Nicholson, S. R., McQuilten, H. A., et al. (2023) · JCI Insight · doi:10.1172/jci.insight.167157 · Cited by 20 · see citing works
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Supporting Breastfeeding in 2021 and Beyond—Lessons from the Pandemic
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Unlikely SARS-CoV-2 Transmission During Vaginal Delivery
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Self-citationSARS-CoV-2 in Pregnant Women: Consequences of Vertical Transmission
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Sevilla‐Montoya, R., Hidalgo‐Bravo, A., Estrada‐Gutiérrez, G., Villavicencio‐Carrisoza, O., León‐Juárez, M., Villegas-Mota, M. I., y Sosa, S. E., Monroy-Muñoz, I. E., Martinez-Portilla, R. J., Poon, L. C., et al. (2021) · Ultrasound in Obstetrics and Gynecology · doi:10.1002/uog.24787 · Cited by 21 · see citing works
Can SARS-CoV-2 positive pregnant women affect the hearing of their newborns: A systematic review
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Humoral and Cell-Mediated Immune Response in Colostrum from Women Diagnosed Positive for SARS-CoV-2
Narayanaswamy, V., Pentecost, B. T., Alfandari, D., Chin, E., Minor, K. C., Kastrinakis, A. N., Lieberman, T., Arcaro, K. F., & Leftwich, H. K. (2021) · Breastfeeding Medicine · doi:10.1089/bfm.2021.0082 · Cited by 20 · see citing works
- Authors
- Fenizia, C., Biasin, M., Cetin, I., Vergani, P., Mileto, D., Spinillo, A., Gismondo, M. R., Perotti, F., Callegari, C., Mancon, A., Cammarata, S., Beretta, I., Nebuloni, M., Trabattoni, D., Clerici, M., & Savasi, V.
- Affiliations
- University of Milan (IT)
- ASST Fatebenefratelli Sacco (IT)
- University of Milano-Bicocca (IT)
- University of Pavia (IT)
- Policlinico San Matteo Fondazione (IT)
- Azienda Ospedaliera San Gerardo (IT)
- Corresponding author
- Savasi, Valeria
- ORCID
- Venue
- Nature Communications
- Published
- 2020-10-12
- Volume
- 11
- Issue
- 1
- Pages
- 5128-5128
- ISSN
- 2041-1723 (ISSN-L)
- PMC
- PMC7552412
- OpenAlex
- W3092146863
- Cited by
- 361
- References
- 60
- Citations by year
- 2026: 7 · 2025: 13 · 2024: 30 · 2023: 55 · 2022: 93 · 2021: 149 · 2020: 13
- FWCI
- 47.42
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Nature Communications (publishedVersion, cc-by)
- medRxiv (acceptedVersion, cc-by-nc-nd)
- Research Square (acceptedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Archivio Istituzionale della Ricerca (Universita Degli Studi Di Milano) (submittedVersion, cc-by)
- BOA (University of Milano-Bicocca) (submittedVersion, cc-by)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Università degli Studi di Milano
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › COVID-19 Impact on Reproduction
- Health Sciences › Medicine › Infectious Diseases › SARS-CoV-2 and COVID-19 Research
- Health Sciences › Medicine › Infectious Diseases › COVID-19 Clinical Research Studies
- Keywords
- SARS-CoV-2, COVID-19 pandemic, vertical transmission, pregnancy, placenta, umbilical cord blood, SARS-CoV-2 antibodies, IgM and IgG antibodies, inflammation, placental gene expression, vaginal mucosa, breast milk, obstetric management
- MeSH terms
- Betacoronavirus, COVID-19, SARS-CoV-2, Adolescent, Adult, Antibodies, Viral, Female, Humans, Infant, Newborn, Inflammation, Middle Aged, Pneumonia, Viral, Pregnancy, Pregnancy Complications, Infectious, Genome, Viral, Coronavirus Infections, Infectious Disease Transmission, Vertical, Young Adult, Pandemics
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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