Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Inflammatory Markers in Neonates Born to Mothers With SARS-CoV-2 Infection During Pregnancy

Version 1 : Received: 9 January 2024 / Approved: 9 January 2024 / Online: 9 January 2024 (05:16:19 CET)

How to cite: Popescu, D.; Boia, E.R.; Paduraru, L.; Zonda, G.I.; Rosca, I.; Pienar, C.; Citu, C.; Popa, Z.L.; Manea, A.; Budisan, C.; Dima, M.; Muresan, C.; Boia, M. Inflammatory Markers in Neonates Born to Mothers With SARS-CoV-2 Infection During Pregnancy. Preprints 2024, 2024010698. https://doi.org/10.20944/preprints202401.0698.v1 Popescu, D.; Boia, E.R.; Paduraru, L.; Zonda, G.I.; Rosca, I.; Pienar, C.; Citu, C.; Popa, Z.L.; Manea, A.; Budisan, C.; Dima, M.; Muresan, C.; Boia, M. Inflammatory Markers in Neonates Born to Mothers With SARS-CoV-2 Infection During Pregnancy. Preprints 2024, 2024010698. https://doi.org/10.20944/preprints202401.0698.v1

Abstract

The COVID-19 pandemic has raised concerns about its impact on maternal and neonatal health. This study aimed to investigate the influence of maternal COVID-19 infection during pregnancy on neonatal inflammatory parameters. A retrospective cohort study was conducted at Premiere Hospital in Timisoara between May 2021 and January 2022. Participants were categorized into two groups: the COVID-19 positive group, consisting of patients with confirmed SARS-CoV-2 in-fection during pregnancy, and the control group, which comprised COVID-19-free pregnant women. The primary outcome was the assessment of inflammatory markers (NLR, dNLR, PLR, and SII) in neonates born to mothers with COVID-19. The results suggest that maternal COVID-19 infection during pregnancy significantly impacts certain neonatal inflammatory parameters. Spe-cifically, newborns exposed to maternal COVID-19 exhibited elevated white blood cell counts, particularly when infection occurred during the first trimester. Lymphocyte counts were dimin-ished in neonates born to COVID-19-positive mothers, irrespective of infection trimester. Gesta-tional age played a role in altering neonatal immune profiles, with correlations observed between GA and parameters in the Control Group (COVID-19 negative during pregnancy). However, the influence of neonatal immunoreactivity on laboratory parameters remained generally non-significant after adjusting for GA and infection trimester. In conclusion, maternal COVID-19 infection during pregnancy has a discernible impact on neonatal inflammatory parameters, in-cluding WBC and lymphocyte counts, which may have clinical implications.

Keywords

COVID-19; neonatal outcomes; inflammatory markers; maternal infection

Subject

Medicine and Pharmacology, Pediatrics, Perinatology and Child Health

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