Sunday, September 20, 2020

Pregnant women with Kovid-19 show placenta injury in small study

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Researchers said the placenta of 16 pregnant women received Kovid-19 during routine testing at a Chicago hospital, all showing evidence of injury, indicating that women infected with coronovirus may require close monitoring during pregnancy, researchers Said on Friday.

Fifteen women gave birth to healthy babies, while one miscarried. None of the surviving infants tested positive for Kovid-19, a disease caused by the novel coronovirus.

The study, published in the American Journal of Clinical Pathology, found that 12 women or 80% had a type of injury that can disrupt blood flow from the mother to the fetus called vascular malperfusion. Six of them, or 40%, had blood clots in the placenta. A historical comparison group showed vascular malfunction in placental blood clots in 55% of patients and 9% of cases.

The research involved women who gave birth between March 18 and May 5 at Northwestern Medicine Prentice Women’s Hospital.

Northwestern’s pathologist and author of the study Drs. Jeffrey Goldstein said, “These findings support that there may be some clot-formation about the coronavirus, and it is occurring in the placenta.” He stated that placental blood flow issues can lead to fetal development restriction, low levels of amniotic fluid, or even fetal demise.

There have been reports of blood clots in adult Kovid-19 patients that caused stroke.

In this study, however, none of the 15 living infants had any health problems.

Goldstein said that this suggests whether coronovirus infected mothers continue to follow children who give birth.

The placenta is the first organ to be formed in fetal development. It acts as the fetus’s lungs, intestines, kidneys and liver, taking oxygen and nutrients from the mother’s bloodstream and exchanging waste.

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