Increased Pre-eclampsia Risk in COVID-19 Affected Pregnant Women

Pregnant women infected by the novel coronavirus have a high chance of developing pre-eclampsia, according to a review of the scientific literature published by Brazilian researchers in the journal Clinical Science.

Pre-eclampsia is a pregnancy complication characterized by persistent high blood pressure, usually in the second half of pregnancy or shortly after delivery. This disorder can cause serious harm to mother and baby.

Pre-Eclampsia - Causes - Symptoms - Diagnosis - Treatment - FAQs
In pre eclampsia a pregnant woman develops high blood pressure and proteinuria during pregnancy.

‘Role of ACE2 deficit in COVID-19 affected pregnant women leading to pre-eclampsia and premature delivery is established.’

Tweet it Now

Researchers analyzed a large set of published data and concluded that the presence of SARS-CoV-2 in the maternal organism can cause alterations in levels of angiotensin-converting enzyme 2 (ACE2).

ACE2 is the protein to which the virus binds to invade cells, and thereby impair the functioning of systems that depend on it to regulate blood pressure. This finding shows that pregnant women with COVID-19 are more susceptible to pre-eclampsia and premature deliver.

“ACE2 plays a very important adaptive role in the maternal and fetal circulatory system, and in placentation. However, because it’s also a receptor for SARS-CoV-2, it increases risk to the placenta in pregnant patients with COVID-19, because the organ becomes a target for the virus, alongside the lungs, kidneys and heart. Our review showed that the response varies greatly from one patient to another, and manifestations take different forms,” Mariane Bertagnolli, principal investigator for the study, told.

Breast Milk of Mothers Who Received COVID-19 Vaccine Contains Antibodies That Fight Illness
The breast milk of mothers who have received COVID-19 vaccine contains a significant supply of antibodies that may help protect nursing infants from the illness.

With the global spread of the novel coronavirus, studies have shown evidence about vertically transmitted from mother to fetus.

In addition, 25% of babies born to mothers who had confirmed COVID-19 manifested fever, accelerated breathing, shortness of breath, and vomiting.

COVID Vaccination for Pregnant Women
The Indian Government has approved Covid-19 vaccination of pregnant women, who are to be counselled and informed regarding the risks and benefits of the vaccines.

Researchers were unable to ascertain whether the symptoms resulted from premature delivery due to maternal COVID-19 or were directly caused by the disease.

Apart from the fact that ACE2, the receptor for SARS-CoV-2, is abundant in the placenta, researchers also found that the incidence of severe COVID-19 among pregnant women could be due to inhibition of the enzyme’s action by the viral infection.

Pregnancy and Antenatal Care
What is Antenatal care and its importance during pregnancy for mother and baby, with details on the medical test preformed during the first visit to the doctor.

Researchers stressed that further research is needed to determine with greater precision why pregnant women are more susceptible to COVID-19, and the role played by the disease in pre-eclampsia.

Besides pre-eclampsia, they are also interested in the role of infection by the novel coronavirus in placental inflammation and vascularization and so they are collecting samples of placenta from women infected by the virus in order to perform a series of experiments to find out what is really happening.

Source-Medindia