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2000
Volume 4, Issue 2
  • ISSN: 0250-6882
  • E-ISSN: 0250-6882
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Abstract

Background

The topic of COVID-19 (coronavirus disease)-associated complications during pregnancy is poorly postulated and remains an area that requires elucidation for the underlying pathophysiology mechanism in order to evaluate a new therapeutic strategy and optimize current therapies.

Aims

The study aimed to assess the proportion of associated complications with COVID-19 and the underlying pathophysiology in pregnant women.

Methods

The MedLine and Embase databases were searched for studies relevant to the study topic.

Results

Preterm delivery and C-section have been found to be the most frequently reported complications. Approximately, 28.55% of pregnant women with symptomatic COVID-19 have been reported to require a C-section and 8.8% preterm delivery. In addition, anxiety and depression have also been frequently reported in 57% and 37% of pregnant women, respectively.

Conclusion

Symptomatic pregnant women with COVID-19 have a high risk of preterm labor, mortality and morbidity rates, and C-section requirements. The underlying pathophysiology of COVID-19-associated complications during pregnancy includes homeostatic disturbances of the immune system, pulmonary system, and hemostatic system. In addition to endothelial dysfunction, excessive immune response, coagulopathy, hypoxemia, and hypotension are involved in the pathogenesis that negatively affects neonates' health outcomes.

© 2023 Bentham Science Publishers
© 2023 The Author(s). Published by Bentham Science Publisher. This is an open access article published under CC BY 4.0 https://creativecommons.org/licenses/by/4.0/legalcode
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2023-07-18
2025-07-22

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/content/journals/nemj/10.2174/0250688204666230519145707
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COVID-19 related Complications during Pregnancy: A Systematic Review
NEW Emirates Medical J 4, e190523217118 (2023); https://doi.org/10.2174/0250688204666230519145707
/content/journals/nemj/10.2174/0250688204666230519145707
/content/journals/nemj/10.2174/0250688204666230519145707
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  • Article Type:     Review Article
Keyword(s): Complications; COVID-19; Endothelial dysfunction; Homeostasis; Pathogenesis; Pathophysiology; Pregnancy; SARS-CoV-2

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