{"title":"COVID-19阳性孕妇胎盘组织病理学特征及不良结局综述","authors":"Gutu Belay","doi":"10.11648/j.plm.20230701.12","DOIUrl":null,"url":null,"abstract":": Introduction: The placenta is the highly specialized organ of pregnancy that supports the normal growth and development of the fetus. During intrauterine fetal life placenta is the main metabolic, respiratory, excretory, and endocrine organ. Histologic features of normal placenta are differing according to the trimester of pregnancy. COVID-19 infection affects placenta and fetal membrane. Pregnant women with COVID-19 positive result in placental hyperfusion defects in maternal vessels and oxygenation in the intervillous space affecting perinatal outcome. Methods: Systematic reviews, meta-analysis, cross sectional and cohort studies were obtained through searches on PubMed, Medline, Science Direct, Google Scholar, library genesis, Scopus and Web of Science. Key words used for searching are “placenta”,”COVID-19”,”placenta development”, and “placenta histopathology”. Result: Total of 16 articles were included in this review. Many articles are reviewed whether the COVID-19 affects placenta histology and pregnancy adverse outcome in intrauterine life. Finally article which fulfills inclusion criteria are identified and reviewed. Review indicated that histopathologic features of placenta and adverse pregnancy outcome in COVID-19 confirmed pregnant women briefly. Conclusion: COVID-19 affects the placenta during pregnancy. Histopathologic findings of placenta in pregnant women with confirmed COVID-19 positive are fibrin deposition, micro classification, thrombus, avascular villi, infraction, and villous edema. Most common pregnancy adverse outcome are preterm birth, miscarriage and still birth.","PeriodicalId":88950,"journal":{"name":"Pathology and laboratory medicine international","volume":null,"pages":null},"PeriodicalIF":0.8000,"publicationDate":"2023-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Article Review on Histopathologic Features of Placenta and Adverse Outcome in Pregnant Women with COVID-19 Positive\",\"authors\":\"Gutu Belay\",\"doi\":\"10.11648/j.plm.20230701.12\",\"DOIUrl\":null,\"url\":null,\"abstract\":\": Introduction: The placenta is the highly specialized organ of pregnancy that supports the normal growth and development of the fetus. During intrauterine fetal life placenta is the main metabolic, respiratory, excretory, and endocrine organ. Histologic features of normal placenta are differing according to the trimester of pregnancy. COVID-19 infection affects placenta and fetal membrane. Pregnant women with COVID-19 positive result in placental hyperfusion defects in maternal vessels and oxygenation in the intervillous space affecting perinatal outcome. Methods: Systematic reviews, meta-analysis, cross sectional and cohort studies were obtained through searches on PubMed, Medline, Science Direct, Google Scholar, library genesis, Scopus and Web of Science. Key words used for searching are “placenta”,”COVID-19”,”placenta development”, and “placenta histopathology”. Result: Total of 16 articles were included in this review. Many articles are reviewed whether the COVID-19 affects placenta histology and pregnancy adverse outcome in intrauterine life. Finally article which fulfills inclusion criteria are identified and reviewed. Review indicated that histopathologic features of placenta and adverse pregnancy outcome in COVID-19 confirmed pregnant women briefly. Conclusion: COVID-19 affects the placenta during pregnancy. Histopathologic findings of placenta in pregnant women with confirmed COVID-19 positive are fibrin deposition, micro classification, thrombus, avascular villi, infraction, and villous edema. Most common pregnancy adverse outcome are preterm birth, miscarriage and still birth.\",\"PeriodicalId\":88950,\"journal\":{\"name\":\"Pathology and laboratory medicine international\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.8000,\"publicationDate\":\"2023-05-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Pathology and laboratory medicine international\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.11648/j.plm.20230701.12\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"PATHOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pathology and laboratory medicine international","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.11648/j.plm.20230701.12","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PATHOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
当前位置引言胎盘是孕期高度特化的器官,支持胎儿的正常生长发育。在宫内胎儿生命中,胎盘是主要的代谢、呼吸、排泄和内分泌器官。正常胎盘的组织学特征根据妊娠的不同而不同。COVID-19感染影响胎盘和胎膜。COVID-19阳性孕妇导致胎盘血管灌注不足和绒毛间隙氧合影响围产期结局。方法:通过PubMed、Medline、Science Direct、Google Scholar、library genesis、Scopus和Web of Science等网站进行系统综述、meta分析、横断面和队列研究。搜索关键词为“胎盘”、“COVID-19”、“胎盘发育”、“胎盘组织病理学”。结果:本综述共纳入16篇文献。许多文章对COVID-19是否影响胎盘组织学和宫内生活中的妊娠不良结局进行了综述。最后对符合纳入标准的文章进行了识别和评审。回顾COVID-19确诊孕妇胎盘的组织病理学特征和不良妊娠结局。结论:COVID-19对妊娠期胎盘有影响。确诊COVID-19阳性孕妇胎盘的组织病理学表现为纤维蛋白沉积、微分型、血栓、无血管绒毛、梗死、绒毛水肿。最常见的妊娠不良后果是早产、流产和死产。
Article Review on Histopathologic Features of Placenta and Adverse Outcome in Pregnant Women with COVID-19 Positive
: Introduction: The placenta is the highly specialized organ of pregnancy that supports the normal growth and development of the fetus. During intrauterine fetal life placenta is the main metabolic, respiratory, excretory, and endocrine organ. Histologic features of normal placenta are differing according to the trimester of pregnancy. COVID-19 infection affects placenta and fetal membrane. Pregnant women with COVID-19 positive result in placental hyperfusion defects in maternal vessels and oxygenation in the intervillous space affecting perinatal outcome. Methods: Systematic reviews, meta-analysis, cross sectional and cohort studies were obtained through searches on PubMed, Medline, Science Direct, Google Scholar, library genesis, Scopus and Web of Science. Key words used for searching are “placenta”,”COVID-19”,”placenta development”, and “placenta histopathology”. Result: Total of 16 articles were included in this review. Many articles are reviewed whether the COVID-19 affects placenta histology and pregnancy adverse outcome in intrauterine life. Finally article which fulfills inclusion criteria are identified and reviewed. Review indicated that histopathologic features of placenta and adverse pregnancy outcome in COVID-19 confirmed pregnant women briefly. Conclusion: COVID-19 affects the placenta during pregnancy. Histopathologic findings of placenta in pregnant women with confirmed COVID-19 positive are fibrin deposition, micro classification, thrombus, avascular villi, infraction, and villous edema. Most common pregnancy adverse outcome are preterm birth, miscarriage and still birth.