Primary cytomegalovirus infection during pregnancy and congenital infection: a population-based, mother-child, prospective cohort study.
J Perinatol
; 41(10): 2474-2481, 2021 10.
Article
in En
| MEDLINE
| ID: mdl-34285356
ABSTRACT
OBJECTIVE:
This study assessed maternal cytomegalovirus antibodies, and the occurrence of primary and congenital cytomegalovirus infections, and risk factors of congenital infection after a maternal primary infection. STUDYDESIGN:
We included 19,435 pregnant women in Japan, who were tested for serum cytomegalovirus antibodies before 20 gestational weeks. Immunoglobulin (Ig) G avidity was evaluated in women with both IgG and IgM antibodies; tests were repeated at ≥28 gestational weeks among women without IgG and IgM antibodies.RESULT:
Primary and congenital infections were 162 and 23 cases, respectively. The risk ratios for congenital infection were 8.18 (95% confidence interval 2.44-27.40) in teenage versus older women, and 2.25 (95% confidence interval 1.28-3.94) in parity ≥ 2 versus parity ≤ 1. Of 22 live birth congenital infection cases, three had abnormal neurological findings.CONCLUSION:
We demonstrated teenage and parity ≥ 2 pregnant women as risk factors of post-primary congenital infection.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pregnancy Complications, Infectious
/
Cytomegalovirus Infections
Type of study:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limits:
Adolescent
/
Aged
/
Female
/
Humans
/
Pregnancy
Language:
En
Journal:
J Perinatol
Journal subject:
PERINATOLOGIA
Year:
2021
Document type:
Article
Affiliation country: