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Risk factors associated with adverse fetal outcomes in pregnancies affected by Coronavirus disease 2019 (COVID-19): a secondary analysis of the WAPM study on COVID-19
D. Di Mascio, C. Sen, G. Saccone, A. Galindo, A. Grünebaum, J. Yoshimatsu, M. Stanojevic, A. Kurjak, F. Chervenak, MJ. Rodríguez Suárez, ZM. Gambacorti-Passerini, MLAA. Baz, EV. Aguilar Galán, YC. López, JA. De León Luis, IC. Hernández, I....
Journal of perinatal medicine.
2020 ;
48 (9) :
950-958.
[pub] 2020Nov26
Language English Country Germany
Document type Journal Article
Persistent link
https://www.medvik.cz/link/bmc20027631
PubMed
32975205
DOI
10.1515/jpm-2020-0355
Knihovny.cz E-resources
- MeSH
- Betacoronavirus * genetics isolation & purification MeSH
- COVID-19 MeSH
- Gestational Age MeSH
- Pregnancy Complications, Infectious epidemiology virology MeSH
- Clinical Laboratory Techniques MeSH
- Cohort Studies MeSH
- Coronavirus Infections complications diagnosis epidemiology MeSH
- Humans MeSH
- Infant, Premature MeSH
- Infant, Newborn MeSH
- Fetal Death * MeSH
- Pandemics MeSH
- Perinatal Death * MeSH
- Reverse Transcriptase Polymerase Chain Reaction MeSH
- Risk Factors MeSH
- Abortion, Spontaneous epidemiology MeSH
- SARS-CoV-2 MeSH
- Pregnancy MeSH
- COVID-19 Testing MeSH
- COVID-19 Vaccines MeSH
- Infectious Disease Transmission, Vertical statistics & numerical data MeSH
- Pneumonia, Viral complications diagnosis epidemiology MeSH
- Pregnancy Outcome MeSH
- Check Tag
- Humans MeSH
- Infant, Newborn MeSH
- Pregnancy MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
Objectives To evaluate the strength of association between maternal and pregnancy characteristics and the risk of adverse perinatal outcomes in pregnancies with laboratory confirmed COVID-19. Methods Secondary analysis of a multinational, cohort study on all consecutive pregnant women with laboratory-confirmed COVID-19 from February 1, 2020 to April 30, 2020 from 73 centers from 22 different countries. A confirmed case of COVID-19 was defined as a positive result on real-time reverse-transcriptase-polymerase-chain-reaction (RT-PCR) assay of nasal and pharyngeal swab specimens. The primary outcome was a composite adverse fetal outcome, defined as the presence of either abortion (pregnancy loss before 22 weeks of gestations), stillbirth (intrauterine fetal death after 22 weeks of gestation), neonatal death (death of a live-born infant within the first 28 days of life), and perinatal death (either stillbirth or neonatal death). Logistic regression analysis was performed to evaluate parameters independently associated with the primary outcome. Logistic regression was reported as odds ratio (OR) with 95% confidence interval (CI). Results Mean gestational age at diagnosis was 30.6±9.5 weeks, with 8.0% of women being diagnosed in the first, 22.2% in the second and 69.8% in the third trimester of pregnancy. There were six miscarriage (2.3%), six intrauterine device (IUD) (2.3) and 5 (2.0%) neonatal deaths, with an overall rate of perinatal death of 4.2% (11/265), thus resulting into 17 cases experiencing and 226 not experiencing composite adverse fetal outcome. Neither stillbirths nor neonatal deaths had congenital anomalies found at antenatal or postnatal evaluation. Furthermore, none of the cases experiencing IUD had signs of impending demise at arterial or venous Doppler. Neonatal deaths were all considered as prematurity-related adverse events. Of the 250 live-born neonates, one (0.4%) was found positive at RT-PCR pharyngeal swabs performed after delivery. The mother was tested positive during the third trimester of pregnancy. The newborn was asymptomatic and had negative RT-PCR test after 14 days of life. At logistic regression analysis, gestational age at diagnosis (OR: 0.85, 95% CI 0.8-0.9 per week increase; p<0.001), birthweight (OR: 1.17, 95% CI 1.09-1.12.7 per 100 g decrease; p=0.012) and maternal ventilatory support, including either need for oxygen or CPAP (OR: 4.12, 95% CI 2.3-7.9; p=0.001) were independently associated with composite adverse fetal outcome. Conclusions Early gestational age at infection, maternal ventilatory supports and low birthweight are the main determinants of adverse perinatal outcomes in fetuses with maternal COVID-19 infection. Conversely, the risk of vertical transmission seems negligible.
Academic Unit of Obstetrics and Gynaecology IRCCS Ospedale Policlinico San Martino Genova Italy
Alexandra Hospital National and Kapodistrian University of Athens Athens Greece
Alvaro Cunqueiro University Hospital of Vigo Vigo Spain
American Hospital Istanbul Turkey
Asklepios Hospital Barmbek Hamburg Germany
Assistência Obstétrica do Grupo Perinatal Rio de Janeiro Brazil
Batman Maternity and Child Health Hospital Batman Turkey
Bursa City Hospital Bursa Turkey
Campus Bio Medico University of Rome Rome Italy
Centro de Educación Médica e Investigaciones Clínicas Norberto Quirno Buenos Aires Argentina
Clinic of Obstetrics and Gynaecology University of Udine Udine Italy
Departamento de Ginecologia e Obstetrícia Hospital Universitário Polydoro Ernani Santiago Brazil
Department Gynaecology and Obstetrics Fornaroli Hospital Magenta Italy
Department of Anaesthesia Lyell McEwin Hospital Adelaide Australia
Department of General Surgery and Medical Surgical Specialties University of Catania Catania Italy
Department of Gynaecologic Oncology University of Palermo Palermo Sicilia Italy
Department of Gynaecology and Obstetrics Vivantes Klinikum im Friedrichshain Berlin Germany
Department of Medical Sciences University of Ferrara Ferrara Italy
Department of Obstetrics and Gynaecology AOUI Verona University of Verona Verona Italy
Department of Obstetrics and Gynaecology Centro Hospitalar e Universitário São João Porto Portugal
Department of Obstetrics and Gynaecology Ciudad Real University General Hospital Ciudad Real Spain
Department of Obstetrics and Gynaecology Ospedale AOSG Moscati Avellino Italy
Department of Obstetrics and Gynaecology Ospedale di San Leonardo Castellammare di Stabia Italy
Department of Obstetrics and Gynaecology Saint John Hospital UMF Carol Davila Bucharest Romania
Department of Obstetrics and Gynaecology Sant'Anna Hospital University of Turin Turin Italy
Department of Obstetrics and Gynaecology University of Dicle Diyarbakır Turkey
Department of Obstetrics and Gynaecology University of Messina Messina Italy
Department of Obstetrics and Gynaecology University of Parma Parma Italy
Department of Perinatology and Gynaecology National Cerebral and Cardiovascular Center Osaka Japan
Department of Translational Medicine University of Eastern Piedmont Novara Italy
Department of Woman' and Child's Health University of Padova Padova Italy
Fetal Medicine Unit Di Venere Hospital Bari Italy
Hisar Intercontinental Hospital Istanbul Turkey
Hospital Raul F Larcade Buenos Aires Argentina
Hospital Regional Universitario de Málaga Malaga Spain
Hospital Universitari Germans Trias i Pujol Barcelona Spain
Hospital Universitario Central de Asturias Asturias Spain
Hospital Universitario de Móstoles Mostoles Spain
Hospital Virgen De La Luz Cuenca Spain
Instituto Nacional Materno Perinatal Lima Peru
Istituto di Clinica Ostetrica e Ginecologica Università Cattolica del Sacro Cuore Rome Italy
Karaman Public Hospital Karaman Turkey
Kbc Dr Dragisa Misovic Dedinje Belgrade Beograd Serbia
Maternal and Child Health Department Santa Maria Hospital Terni Italy
National Medical Research Center for Obstetrics Gynaecology and Perinatology Moscow Russia
Neonatal Intensive Care Unit University of Chieti ChietiItaly
Ospedale Generale Regionale F Miulli Acquaviva delle Fonti Italy
Ospedale Maggiore Policlinico Milano Milan Italy
Perinatal Medicine Foundation and Department of Perinatal Medicine Memorial Hospital Istanbul Turkey
Regional Hospital Gjakova Kosovo Republic of Kosovo
Servicio de Obstetricia y Ginecología Hospital Universitario y Politécnico La Fe Valencia Spain
Unit of Obstetrics and Gynaecology Ospedale Maggiore Bologna Italy
Universitatea de Medicină și Farmacie Grigore T Popa Iași Iasi Romania
University Clinic Hospital Of Valladolid Valladolid Spain
University Clinic of Obstetrics and Gynaecology Skopje North Macedonia
University of Milan Milan Italy
References provided by Crossref.org
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- $a Di Mascio, Daniele $u Department of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Rome, Italy.
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- $a Risk factors associated with adverse fetal outcomes in pregnancies affected by Coronavirus disease 2019 (COVID-19): a secondary analysis of the WAPM study on COVID-19 / $c D. Di Mascio, C. Sen, G. Saccone, A. Galindo, A. Grünebaum, J. Yoshimatsu, M. Stanojevic, A. Kurjak, F. Chervenak, MJ. Rodríguez Suárez, ZM. Gambacorti-Passerini, MLAA. Baz, EV. Aguilar Galán, YC. López, JA. De León Luis, IC. Hernández, I. Herraiz, C. Villalain, R. Venturella, G. Rizzo, I. Mappa, G. Gerosolima, L. Hellmeyer, J. Königbauer, G. Ameli, T. Frusca, N. Volpe, GB. Luca Schera, S. Fieni, E. Esposito, G. Simonazzi, G. Di Donna, A. Youssef, AN. Della Gatta, MC. Di Donna, V. Chiantera, N. Buono, G. Sozzi, P. Greco, D. Morano, B. Bianchi, MG. Lombana Marino, F. Laraud, A. Ramone, A. Cagnacci, F. Barra, C. Gustavino, S. Ferrero, F. Ghezzi, A. Cromi, AS. Laganà, V. Laurita Longo, F. Stollagli, A. Sirico, A. Lanzone, L. Driul, F. Cecchini D, S. Xodo, B. Rodriguez, F. Mercado-Olivares, D. Elkafrawi, G. Sisti, R. Esposito, A. Coviello, M. Cerbone, M. Morlando, A. Schiattarella, N. Colacurci, P. De Franciscis, I. Cataneo, M. Lenzi, F. Sandri, R. Buscemi, G. Gattei, FD. Sala, E. Valori, MC. Rovellotti, E. Done, G. Faron, L. Gucciardo, V. Esposito, F. Vena, A. Giancotti, R. Brunelli, L. Muzii, L. Nappi, F. Sorrentino, L. Vasciaveo, M. Liberati, D. Buca, M. Leombroni, F. Di Sebastiano, L. Di Tizio, D. Gazzolo, M. Franchi, QC. Ianniciello, S. Garzon, G. Petriglia, L. Borrello, AJ. Nieto-Calvache, JM. Burgos-Luna, C. Kadji, A. Carlin, E. Bevilacqua, M. Moucho, PV. Pinto, R. Figueiredo, JM. Roselló, G. Loscalzo, A. Martinez-Varea, V. Diago, JS. Jimenez Lopez, AY. Aykanat, S. Cosma, A. Carosso, C. Benedetto, A. Bermejo, OH. May Feuerschuette, O. Uyaniklar, SR. Ocakouglu, Z. Atak, R. Gündüz, ET. Haberal, B. Froessler, A. Parange, P. Palm, I. Samardjiski, C. Taccaliti, E. Okuyan, G. Daskalakis, RA. Moreira de Sa, A. Pittaro, ML. Gonzalez-Duran, AC. Guisan, ŞÖ. Genç, B. Zlatohlávková, AL. Piqueras, DE. Oliva, AP. Cil, O. Api, P. Antsaklis, L. Ples, I. Kyvernitakis, H. Maul, M. Malan, A. Lila, R. Granese, A. Ercoli, G. Zoccali, A. Villasco, N. Biglia, C. Madalina, E. Costa, C. Daelemans, A. Pintiaux, E. Cueto, E. Hadar, S. Dollinger, NA. Brzezinski Sinai, E. Huertas, P. Arango, A. Sanchez, JA. Schvartzman, L. Cojocaru, S. Turan, O. Turan, MC. Di Dedda, RG. Molpeceres, S. Zdjelar, T. Premru-Srsen, LK. Cerar, M. Druškovič, V. De Robertis, V. Stefanovic, I. Nupponen, K. Nelskylä, Z. Khodjaeva, KA. Gorina, GT. Sukhikh, GM. Maruotti, S. Visentin, E. Cosmi, J. Ferrari, A. Gatti, D. Luvero, R. Angioli, L. Puri, M. Palumbo, G. D'Urso, F. Colaleo, AM. Chiara Rapisarda, IF. Carbone, A. Mollo, G. Nazzaro, M. Locci, M. Guida, A. Di Spiezio Sardo, PB. Panici, V. Berghella, ME. Flacco, L. Manzoli, G. Bifulco, G. Scambia, F. Zullo, F. D'Antonio,
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- $a Objectives To evaluate the strength of association between maternal and pregnancy characteristics and the risk of adverse perinatal outcomes in pregnancies with laboratory confirmed COVID-19. Methods Secondary analysis of a multinational, cohort study on all consecutive pregnant women with laboratory-confirmed COVID-19 from February 1, 2020 to April 30, 2020 from 73 centers from 22 different countries. A confirmed case of COVID-19 was defined as a positive result on real-time reverse-transcriptase-polymerase-chain-reaction (RT-PCR) assay of nasal and pharyngeal swab specimens. The primary outcome was a composite adverse fetal outcome, defined as the presence of either abortion (pregnancy loss before 22 weeks of gestations), stillbirth (intrauterine fetal death after 22 weeks of gestation), neonatal death (death of a live-born infant within the first 28 days of life), and perinatal death (either stillbirth or neonatal death). Logistic regression analysis was performed to evaluate parameters independently associated with the primary outcome. Logistic regression was reported as odds ratio (OR) with 95% confidence interval (CI). Results Mean gestational age at diagnosis was 30.6±9.5 weeks, with 8.0% of women being diagnosed in the first, 22.2% in the second and 69.8% in the third trimester of pregnancy. There were six miscarriage (2.3%), six intrauterine device (IUD) (2.3) and 5 (2.0%) neonatal deaths, with an overall rate of perinatal death of 4.2% (11/265), thus resulting into 17 cases experiencing and 226 not experiencing composite adverse fetal outcome. Neither stillbirths nor neonatal deaths had congenital anomalies found at antenatal or postnatal evaluation. Furthermore, none of the cases experiencing IUD had signs of impending demise at arterial or venous Doppler. Neonatal deaths were all considered as prematurity-related adverse events. Of the 250 live-born neonates, one (0.4%) was found positive at RT-PCR pharyngeal swabs performed after delivery. The mother was tested positive during the third trimester of pregnancy. The newborn was asymptomatic and had negative RT-PCR test after 14 days of life. At logistic regression analysis, gestational age at diagnosis (OR: 0.85, 95% CI 0.8-0.9 per week increase; p<0.001), birthweight (OR: 1.17, 95% CI 1.09-1.12.7 per 100 g decrease; p=0.012) and maternal ventilatory support, including either need for oxygen or CPAP (OR: 4.12, 95% CI 2.3-7.9; p=0.001) were independently associated with composite adverse fetal outcome. Conclusions Early gestational age at infection, maternal ventilatory supports and low birthweight are the main determinants of adverse perinatal outcomes in fetuses with maternal COVID-19 infection. Conversely, the risk of vertical transmission seems negligible.
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- $a Saccone, Gabriele $u Department of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples Federico II, Naples, Italy.
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- $a Galindo, Alberto $u Fetal Medicine Unit, Maternal and Child Health and Development Network, University Hospital 12 de Octubre, Complutense University of MadridDepartment of Obstetrics and Gynaecology, Madrid, Spain.
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- $a Stanojevic, Milan $u Department of Obstetrics and Gynaecology, Medical School University of Zagreb, Sveti Duh University Hospital, Zagreb, Croatia.
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
- $a Aguilar Galán, Esther Vanessa $u Department of Obstetrics and Gynaecology, Ciudad Real University General Hospital, Ciudad Real, Spain. University of Castilla-La Mancha, Ciudad Real, Spain.
- 700 1_
- $a López, Yolanda Cuñarro $u Fetal Medicine Unit, Maternal and Child Health anad Development Network, Gregorio Marañón Hospital, Complutense University of Madrid, Department of Obstetrics and Gynaecology, Madrid, Spain.
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- $a De León Luis, Juan Antonio $u Fetal Medicine Unit, Maternal and Child Health anad Development Network, Gregorio Marañón Hospital, Complutense University of Madrid, Department of Obstetrics and Gynaecology, Madrid, Spain.
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- $a Hernández, Ignacio Cueto $u Fetal Medicine Unit, Maternal and Child Health anad Development Network, Gregorio Marañón Hospital, Complutense University of Madrid, Department of Obstetrics and Gynaecology, Madrid, Spain.
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- 700 1_
- $a Venturella, Roberta $u Department of Obstetrics and Gynaecology, School of Medicin, Magna Graecia University of Catanzaro, Catanzaro, Italy.
- 700 1_
- $a Rizzo, Giuseppe $u University of Roma Tor Vergata, Division of Maternal Fetal Medicine, Ospedale Cristo Re Roma, Rome, Italy. Department of Obstetrics and Gynaecology The First I.M.Sechenov Moscow State Medical University, Moscow, Russia.
- 700 1_
- $a Mappa, Ilenia $u University of Roma Tor Vergata, Division of Maternal Fetal Medicine, Ospedale Cristo Re Roma, Rome, Italy.
- 700 1_
- $a Gerosolima, Giovanni $u Department of Obstetrics and Gynaecology, Ospedale AOSG Moscati, Avellino, Italy.
- 700 1_
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- 700 1_
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- 700 1_
- $a Frusca, Tiziana $u Department of Obstetrics and Gynaecology, University of Parma, Parma, Italy.
- 700 1_
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- 700 1_
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- 700 1_
- $a Esposito, Eutalia $u Department of Obstetrics and Gynaecology, Ospedale di San Leonardo, Castellammare di Stabia, Italy.
- 700 1_
- $a Simonazzi, Giuliana $u Department of Obstetrics and Gynaecology, University of Bologna, Sant'Orsola- Malpighi University Hospital, Bologna, Italy.
- 700 1_
- $a Di Donna, Gaetana $u Department of Obstetrics and Gynaecology, University of Bologna, Sant'Orsola- Malpighi University Hospital, Bologna, Italy.
- 700 1_
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- 700 1_
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- 700 1_
- $a Di Donna, Mariano Catello $u Department of Gynaecologic Oncology, University of Palermo, Palermo, Sicilia, Italy.
- 700 1_
- $a Chiantera, Vito $u Department of Gynaecologic Oncology, University of Palermo, Palermo, Sicilia, Italy.
- 700 1_
- $a Buono, Natalina $u Department of Gynaecologic Oncology, University of Palermo, Palermo, Sicilia, Italy.
- 700 1_
- $a Sozzi, Giulio $u Department of Gynaecologic Oncology, University of Palermo, Palermo, Sicilia, Italy.
- 700 1_
- $a Greco, Pantaleo $u Department of Medical Sciences, Section of Obstetrics and Gynaecology, Azienda Ospedaliera-Universitaria Sant' Anna, University of Ferrara, Ferrara, Italy.
- 700 1_
- $a Morano, Danila $u Department of Medical Sciences, Section of Obstetrics and Gynaecology, Azienda Ospedaliera-Universitaria Sant' Anna, University of Ferrara, Ferrara, Italy.
- 700 1_
- $a Bianchi, Beatrice $u Department of Medical Sciences, Section of Obstetrics and Gynaecology, Azienda Ospedaliera-Universitaria Sant' Anna, University of Ferrara, Ferrara, Italy.
- 700 1_
- $a Lombana Marino, Maria Giulia $u Department of Medical Sciences, Section of Obstetrics and Gynaecology, Azienda Ospedaliera-Universitaria Sant' Anna, University of Ferrara, Ferrara, Italy.
- 700 1_
- $a Laraud, Federica $u Academic Unit of Obstetrics and Gynaecology, IRCCS Ospedale Policlinico, San Martino, Genova, Italy.
- 700 1_
- $a Ramone, Arianna $u Academic Unit of Obstetrics and Gynaecology, IRCCS Ospedale Policlinico, San Martino, Genova, Italy.
- 700 1_
- $a Cagnacci, Angelo $u Academic Unit of Obstetrics and Gynaecology, IRCCS Ospedale Policlinico, San Martino, Genova, Italy.
- 700 1_
- $a Barra, Fabio $u Academic Unit of Obstetrics and Gynaecology, IRCCS Ospedale Policlinico, San Martino, Genova, Italy.
- 700 1_
- $a Gustavino, Claudio $u Academic Unit of Obstetrics and Gynaecology, IRCCS Ospedale Policlinico, San Martino, Genova, Italy.
- 700 1_
- $a Ferrero, Simone $u Academic Unit of Obstetrics and Gynaecology, IRCCS Ospedale Policlinico, San Martino, Genova, Italy.
- 700 1_
- $a Ghezzi, Fabio $u Department of Obstetrics and Gynaecology, "Filippo Del Ponte" Hospita University of Insubria, Varese, Italy.
- 700 1_
- $a Cromi, Antonella $u Department of Obstetrics and Gynaecology, "Filippo Del Ponte" Hospita University of Insubria, Varese, Italy.
- 700 1_
- $a Laganà, Antonio Simone $u Department of Obstetrics and Gynaecology, "Filippo Del Ponte" Hospita University of Insubria, Varese, Italy.
- 700 1_
- $a Laurita Longo, Valentina $u Department of Obstetrics and Gynaecology, Fondazione Policlinico Universitario A Gemelli IRCCS - Università Cattolica del Sacro Cuore, Rome, Italy. Istituto di Clinica Ostetrica e Ginecologica, Università Cattolica del Sacro Cuore, Rome, Italy. Queen Margaret University,Institute for Global Health and Development, Edinburgh, UK.
- 700 1_
- $a Stollagli, Francesca $u Istituto di Clinica Ostetrica e Ginecologica, Università Cattolica del Sacro Cuore, Rome, Italy.
- 700 1_
- $a Sirico, Angelo $u Department of Obstetrics and Gynaecology, Fondazione Policlinico Universitario A Gemelli IRCCS - Università Cattolica del Sacro Cuore, Rome, Italy.
- 700 1_
- $a Lanzone, Antonio $u Department of Obstetrics and Gynaecology, Fondazione Policlinico Universitario A Gemelli IRCCS - Università Cattolica del Sacro Cuore, Rome, Italy. Istituto di Clinica Ostetrica e Ginecologica, Università Cattolica del Sacro Cuore, Rome, Italy.
- 700 1_
- $a Driul, Lorenza $u Clinic of Obstetrics and Gynaecology, University of Udine, Udine, Italy.
- 700 1_
- $a Cecchini D, Fabiana $u Clinic of Obstetrics and Gynaecology, University of Udine, Udine, Italy.
- 700 1_
- $a Xodo, Serena $u Clinic of Obstetrics and Gynaecology, University of Udine, Udine, Italy.
- 700 1_
- $a Rodriguez, Brian $u Department of Obstetrics and Gynaecology, New York Health and Hospitals/Lincoln Bronx, The Bronx, NY, USA.
- 700 1_
- $a Mercado-Olivares, Felipe $u Department of Obstetrics and Gynaecology, New York Health and Hospitals/Lincoln Bronx, The Bronx, NY, USA.
- 700 1_
- $a Elkafrawi, Deena $u Department of Obstetrics and Gynaecology, New York Health and Hospitals/Lincoln Bronx, The Bronx, NY, USA.
- 700 1_
- $a Sisti, Giovanni $u Department of Obstetrics and Gynaecology, New York Health and Hospitals/Lincoln Bronx, The Bronx, NY, USA.
- 700 1_
- $a Esposito, Rosanna $u Department of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples Federico II, Naples, Italy.
- 700 1_
- $a Coviello, Antonio $u Department of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples Federico II, Naples, Italy.
- 700 1_
- $a Cerbone, Marco $u Department of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples Federico II, Naples, Italy.
- 700 1_
- $a Morlando, Maddalena $u Department of Woman, Child and General and Specialized Surgery, University of Campania Luigi Vanvitelli, Naples, Italy.
- 700 1_
- $a Schiattarella, Antonio $u Department of Woman, Child and General and Specialized Surgery, University of Campania Luigi Vanvitelli, Naples, Italy.
- 700 1_
- $a Colacurci, Nicola $u Department of Woman, Child and General and Specialized Surgery, University of Campania Luigi Vanvitelli, Naples, Italy.
- 700 1_
- $a De Franciscis, Pasquale $u Department of Woman, Child and General and Specialized Surgery, University of Campania Luigi Vanvitelli, Naples, Italy.
- 700 1_
- $a Cataneo, Ilaria $u Unit of Obstetrics and Gynaecology, Ospedale Maggiore, Bologna, Italy.
- 700 1_
- $a Lenzi, Marinella $u Unit of Obstetrics and Gynaecology, Ospedale Maggiore, Bologna, Italy.
- 700 1_
- $a Sandri, Fabrizio $u Unit of Obstetrics and Gynaecology, Ospedale Maggiore, Bologna, Italy.
- 700 1_
- $a Buscemi, Riccardo $u Department of Translational Medicine, University of Eastern Piedmont, Novara, Italy.
- 700 1_
- $a Gattei, Giorgia $u Department of Translational Medicine, University of Eastern Piedmont, Novara, Italy.
- 700 1_
- $a Sala, Francesca Della $u Department of Translational Medicine, University of Eastern Piedmont, Novara, Italy.
- 700 1_
- $a Valori, Eleonora $u Department of Translational Medicine, University of Eastern Piedmont, Novara, Italy. Hospital Castelli, Verbania, Italy.
- 700 1_
- $a Rovellotti, Maria Cristina $u Department of Translational Medicine, University of Eastern Piedmont, Novara, Italy.
- 700 1_
- $a Done, Elisa $u UZ Brussel, Universitair Ziekenhuis, Brussel, Belgium.
- 700 1_
- $a Faron, Gilles $u UZ Brussel, Universitair Ziekenhuis, Brussel, Belgium.
- 700 1_
- $a Gucciardo, Leonardo $u UZ Brussel, Universitair Ziekenhuis, Brussel, Belgium.
- 700 1_
- $a Esposito, Valentina $u University of Milan, Milan, Italy.
- 700 1_
- $a Vena, Flaminia $u Department of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Rome, Italy.
- 700 1_
- $a Giancotti, Antonella $u Department of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Rome, Italy.
- 700 1_
- $a Brunelli, Roberto $u Department of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Rome, Italy.
- 700 1_
- $a Muzii, Ludovico $u Department of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Rome, Italy.
- 700 1_
- $a Nappi, Luigi $u Department of Obstetrics and Gynaecology, Department of Medical and Surgical Sciences, University of Foggia, Foggia, Italy.
- 700 1_
- $a Sorrentino, Felice $u Department of Obstetrics and Gynaecology, Department of Medical and Surgical Sciences, University of Foggia, Foggia, Italy.
- 700 1_
- $a Vasciaveo, Lorenzo $u Department of Obstetrics and Gynaecology, Department of Medical and Surgical Sciences, University of Foggia, Foggia, Italy.
- 700 1_
- $a Liberati, Marco $u Centre for High Risk Pregnancy and Fetal Care, University of Chieti, Department of Obstetrics and Gynaecology, Chieti, Italy.
- 700 1_
- $a Buca, Danilo $u Centre for High Risk Pregnancy and Fetal Care, University of Chieti, Department of Obstetrics and Gynaecology, Chieti, Italy.
- 700 1_
- $a Leombroni, Martina $u Centre for High Risk Pregnancy and Fetal Care, University of Chieti, Department of Obstetrics and Gynaecology, Chieti, Italy.
- 700 1_
- $a Di Sebastiano, Francesca $u Centre for High Risk Pregnancy and Fetal Care, University of Chieti, Department of Obstetrics and Gynaecology, Chieti, Italy.
- 700 1_
- $a Di Tizio, Luciano $u Centre for High Risk Pregnancy and Fetal Care, University of Chieti, Department of Obstetrics and Gynaecology, Chieti, Italy.
- 700 1_
- $a Gazzolo, Diego $u Neonatal Intensive Care Unit, University of Chieti, ChietiItaly.
- 700 1_
- $a Franchi, Massimo $u Department of Obstetrics and Gynaecology, AOUI Verona, University of Verona, Verona, Italy.
- 700 1_
- $a Ianniciello, Quintino Cesare $u Department of Obstetrics and Gynaecology, AOUI Verona, University of Verona, Verona, Italy.
- 700 1_
- $a Garzon, Simone $u Department of Obstetrics and Gynaecology, AOUI Verona, University of Verona, Verona, Italy.
- 700 1_
- $a Petriglia, Giuliano $u Maternal and Child Health Department, Santa Maria Hospital, Terni, Italy.
- 700 1_
- $a Borrello, Leonardo $u Maternal and Child Health Department, Santa Maria Hospital, Terni, Italy.
- 700 1_
- $a Nieto-Calvache, Albaro Josè $u Fundación Valle del Lili,Tertiary Obstetric Unit, Cali, Colombia. Postgraduate Department, Universidad Icesi, Cali, Colombia.
- 700 1_
- $a Burgos-Luna, Juan Manuel $u Fundación Valle del Lili,Tertiary Obstetric Unit, Cali, Colombia. Postgraduate Department, Universidad Icesi, Cali, Colombia.
- 700 1_
- $a Kadji, Caroline $u Department of Obstetrics and Gynaecology, University Hospital Brugmann, Université Libre de Bruxelles, Brussels, Belgium.
- 700 1_
- $a Carlin, Andrew $u Department of Obstetrics and Gynaecology, University Hospital Brugmann, Université Libre de Bruxelles, Brussels, Belgium.
- 700 1_
- $a Bevilacqua, Elisa $u Department of Obstetrics and Gynaecology, University Hospital Brugmann, Université Libre de Bruxelles, Brussels, Belgium.
- 700 1_
- $a Moucho, Marina $u Department of Obstetrics and Gynaecology, Centro Hospitalar e Universitário São João, Porto, Portugal.
- 700 1_
- $a Pinto, Pedro Viana $u Department of Obstetrics and Gynaecology, Centro Hospitalar e Universitário São João, Porto, Portugal.
- 700 1_
- $a Figueiredo, Rita $u Department of Obstetrics and Gynaecology, Centro Hospitalar e Universitário São João, Porto, Portugal.
- 700 1_
- $a Roselló, José Morales $u Servicio de Obstetricia y Ginecología, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
- 700 1_
- $a Loscalzo, Gabriela $u Servicio de Obstetricia y Ginecología, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
- 700 1_
- $a Martinez-Varea, Alicia $u Servicio de Obstetricia y Ginecología, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
- 700 1_
- $a Diago, Vincente $u Servicio de Obstetricia y Ginecología, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
- 700 1_
- $a Jimenez Lopez, Jesús S $u Hospital Regional Universitario de Málaga, Malaga, Spain.
- 700 1_
- $a Aykanat, Alicia Yeliz $u Department of Obstetrics and Gynaecology, Istanbul University-Cerrahpasa Medical School, Istanbul, Turkey.
- 700 1_
- $a Cosma, Stefano $u Department of Obstetrics and Gynaecology, Sant'Anna Hospital, University of Turin, Turin, Italy.
- 700 1_
- $a Carosso, Andrea $u Department of Obstetrics and Gynaecology, Sant'Anna Hospital, University of Turin, Turin, Italy.
- 700 1_
- $a Benedetto, Chiara $u Department of Obstetrics and Gynaecology, Sant'Anna Hospital, University of Turin, Turin, Italy.
- 700 1_
- $a Bermejo, Amanda $u Hospital Universitario de Móstoles, Mostoles, Spain.
- 700 1_
- $a May Feuerschuette, Otto Henrique $u Departamento de Ginecologia e Obstetrícia, Hospital Universitário Polydoro Ernani, Santiago, Brazil.
- 700 1_
- $a Uyaniklar, Ozlem $u Bursa City Hospital, Bursa, Turkey.
- 700 1_
- $a Ocakouglu, Sakine Rahimli $u Bursa City Hospital, Bursa, Turkey.
- 700 1_
- $a Atak, Zeliha $u Bursa City Hospital, Bursa, Turkey.
- 700 1_
- $a Gündüz, Reyhan $u Department of Obstetrics and Gynaecology, University of Dicle, Diyarbakır, Turkey.
- 700 1_
- $a Haberal, Esra Tustas $u Hisar Intercontinental Hospital, Istanbul, Turkey.
- 700 1_
- $a Froessler, Bernd $u Department of Anaesthesia, Lyell McEwin Hospital, Adelaide, Australia.
- 700 1_
- $a Parange, Anupam $u Department of Anaesthesia, Lyell McEwin Hospital, Adelaide, Australia.
- 700 1_
- $a Palm, Peter $u Department of Anaesthesia, Lyell McEwin Hospital, Adelaide, Australia.
- 700 1_
- $a Samardjiski, Igor $u University Clinic of Obstetrics and Gynaecology, Skopje, North Macedonia.
- 700 1_
- $a Taccaliti, Chiara $u Ospedale Generale Regionale "F. Miulli", Acquaviva delle Fonti, Italy.
- 700 1_
- $a Okuyan, Erhan $u Batman Maternity and Child Health Hospital, Batman, Turkey.
- 700 1_
- $a Daskalakis, George $u Alexandra Hospital - National and Kapodistrian, University of Athens, Athens, Greece.
- 700 1_
- $a Moreira de Sa, Renato Augusto $u Assistência Obstétrica do Grupo Perinatal, Rio de Janeiro, Brazil.
- 700 1_
- $a Pittaro, Alejandro $u Hospital Raul F. Larcade, Buenos Aires, Argentina.
- 700 1_
- $a Gonzalez-Duran, Maria Luisa $u Alvaro Cunqueiro University Hospital of Vigo, Vigo, Spain.
- 700 1_
- $a Guisan, Ana Concheiro $u Alvaro Cunqueiro University Hospital of Vigo, Vigo, Spain.
- 700 1_
- $a Genç, Şerife Özlem $u Karaman Public Hospital, Karaman, Turkey.
- 700 1_
- $a Zlatohlávková, Blanka $u Department of Obstetrics and Gynaecology, Division of Neonatology, General Hospital in Prague and First Faculty of Medicine,Charles University, Prague, Czech Republic.
- 700 1_
- $a Piqueras, Anna Luengo $u Hospital Universitari Germans Trias i Pujol, Barcelona, Spain.
- 700 1_
- $a Oliva, Dolores Esteban $u Hospital Universitari Germans Trias i Pujol, Barcelona, Spain.
- 700 1_
- $a Cil, Aylin Pelin $u American Hospital, Istanbul, Turkey.
- 700 1_
- $a Api, Olus $u American Hospital, Istanbul, Turkey.
- 700 1_
- $a Antsaklis, Panos $u Alexandra Hospital - National and Kapodistrian, University of Athens, Athens, Greece.
- 700 1_
- $a Ples, Liana $u Department of Obstetrics and Gynaecology, Saint John Hospital, UMF Carol Davila, Bucharest, Romania.
- 700 1_
- $a Kyvernitakis, Ioannis $u Asklepios Hospital Barmbek, Hamburg, Germany.
- 700 1_
- $a Maul, Holger $u Asklepios Hospital Barmbek, Hamburg, Germany.
- 700 1_
- $a Malan, Marcel $u Asklepios Hospital Barmbek, Hamburg, Germany.
- 700 1_
- $a Lila, Albert $u Regional Hospital Gjakova, Kosovo, Republic of Kosovo.
- 700 1_
- $a Granese, Roberta $u Department of Obstetrics and Gynaecology, University of Messina, Messina, Italy.
- 700 1_
- $a Ercoli, Alfredo $u Department of Obstetrics and Gynaecology, University of Messina, Messina, Italy.
- 700 1_
- $a Zoccali, Giuseppe $u Department of Obstetrics and Gynaecology, University of Messina, Messina, Italy.
- 700 1_
- $a Villasco, Andrea $u Academic Division of Obstetrics and Gynaecolog, Mauriziano Umberto I Hospital, University of Turin, Turin, Italy.
- 700 1_
- $a Biglia, Nicoletta $u Academic Division of Obstetrics and Gynaecolog, Mauriziano Umberto I Hospital, University of Turin, Turin, Italy.
- 700 1_
- $a Madalina, Ciuhodaru $u Universitatea de Medicină și Farmacie Grigore T. Popa Iași, Iasi, Romania.
- 700 1_
- $a Costa, Elena $u Department of Obstetrics and Gynaecology, Hospital Erasme, Cliniques Universitaires de Bruxells, Brussels, Belgium.
- 700 1_
- $a Daelemans, Caroline $u Department of Obstetrics and Gynaecology, Hospital Erasme, Cliniques Universitaires de Bruxells, Brussels, Belgium.
- 700 1_
- $a Pintiaux, Axelle $u Department of Obstetrics and Gynaecology, Hospital Erasme, Cliniques Universitaires de Bruxells, Brussels, Belgium.
- 700 1_
- $a Cueto, Elisa $u Hospital Virgen De La Luz, Cuenca, Spain.
- 700 1_
- $a Hadar, Eran $u Helen Schneider Hospital for Women, Rabin Medical Center, Petach-Tikva and Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
- 700 1_
- $a Dollinger, Sarah $u Helen Schneider Hospital for Women, Rabin Medical Center, Petach-Tikva and Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
- 700 1_
- $a Brzezinski Sinai, Noa A $u Helen Schneider Hospital for Women, Rabin Medical Center, Petach-Tikva and Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
- 700 1_
- $a Huertas, Erasmo $u Instituto Nacional Materno Perinatal, Lima, Peru.
- 700 1_
- $a Arango, Pedro $u Instituto Nacional Materno Perinatal, Lima, Peru.
- 700 1_
- $a Sanchez, Amadeo $u Instituto Nacional Materno Perinatal, Lima, Peru.
- 700 1_
- $a Schvartzman, Javier Alfonso $u Centro de Educación Médica e Investigaciones Clínicas "Norberto Quirno", Buenos Aires, Argentina.
- 700 1_
- $a Cojocaru, Liviu $u Department of Obstetrics, Gynaecology and Reproductive Science, University of Maryland Medical Center, Baltimore, MD, USA.
- 700 1_
- $a Turan, Sifa $u Department of Obstetrics, Gynaecology and Reproductive Science, University of Maryland Medical Center, Baltimore, MD, USA.
- 700 1_
- $a Turan, Ozhan $u Department of Obstetrics, Gynaecology and Reproductive Science, University of Maryland Medical Center, Baltimore, MD, USA.
- 700 1_
- $a Di Dedda, Maria Carmela $u Department Gynaecology and Obstetrics, Fornaroli Hospital, Magenta, Italy.
- 700 1_
- $a Molpeceres, Rebeca Garrote $u University Clinic Hospital Of Valladolid, Valladolid, Spain.
- 700 1_
- $a Zdjelar, Snezana $u Kbc Dr Dragisa Misovic Dedinje Belgrade, Beograd, Serbia.
- 700 1_
- $a Premru-Srsen, Tanja $u Department of Perinatology, University Medical Center, Medical Faculty, University of Ljubljana, Ljubljana, Slovenia.
- 700 1_
- $a Cerar, Lilijana Kornhauser $u Department of Perinatology, University Medical Center, Medical Faculty, University of Ljubljana, Ljubljana, Slovenia.
- 700 1_
- $a Druškovič, Mirjam $u Department of Perinatology, University Medical Center, Medical Faculty, University of Ljubljana, Ljubljana, Slovenia.
- 700 1_
- $a De Robertis, Valentina $u Fetal Medicine Unit, Di Venere Hospital, Bari, Italy.
- 700 1_
- $a Stefanovic, Vedran $u Department of Obstetrics and Gynaecology, Neonatology and Intensive Care, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
- 700 1_
- $a Nupponen, Irmeli $u Department of Obstetrics and Gynaecology, Neonatology and Intensive Care, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
- 700 1_
- $a Nelskylä, Kaisa $u Department of Obstetrics and Gynaecology, Neonatology and Intensive Care, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
- 700 1_
- $a Khodjaeva, Zulfiya $u National Medical Research Center for Obstetrics, Gynaecology and Perinatology, Moscow, Russia.
- 700 1_
- $a Gorina, Ksenia A $u National Medical Research Center for Obstetrics, Gynaecology and Perinatology, Moscow, Russia.
- 700 1_
- $a Sukhikh, Gennady T $u National Medical Research Center for Obstetrics, Gynaecology and Perinatology, Moscow, Russia.
- 700 1_
- $a Maruotti, Giuseppe Maria $u Department of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples Federico II, Naples, Italy.
- 700 1_
- $a Visentin, Silvia $u Department of Woman' and Child's Health, University of Padova, Padova, Italy.
- 700 1_
- $a Cosmi, Erich $u Department of Woman' and Child's Health, University of Padova, Padova, Italy.
- 700 1_
- $a Ferrari, Jacopo $u Department of Woman' and Child's Health, University of Padova, Padova, Italy.
- 700 1_
- $a Gatti, Alessandra $u Campus Bio Medico, University of Rome, Rome, Italy.
- 700 1_
- $a Luvero, Daniela $u Campus Bio Medico, University of Rome, Rome, Italy.
- 700 1_
- $a Angioli, Roberto $u Campus Bio Medico, University of Rome, Rome, Italy.
- 700 1_
- $a Puri, Ludovica $u Istituto di Clinica Ostetrica e Ginecologica, Università Cattolica del Sacro Cuore, Rome, Italy.
- 700 1_
- $a Palumbo, Marco $u Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania, Italy.
- 700 1_
- $a D'Urso, Giusella $u Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania, Italy.
- 700 1_
- $a Colaleo, Francesco $u Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania, Italy.
- 700 1_
- $a Chiara Rapisarda, Agnese Maria $u Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania, Italy.
- 700 1_
- $a Carbone, Ilma Floriana $u Ospedale Maggiore Policlinico Milano, Milan, Italy.
- 700 1_
- $a Mollo, Antonio $u University of Salerno, Salerno, Italy.
- 700 1_
- $a Nazzaro, Giovanni $u Department of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples Federico II, Naples, Italy.
- 700 1_
- $a Locci, Mariavittoria $u Department of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples Federico II, Naples, Italy.
- 700 1_
- $a Guida, Maurizio $u Department of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples Federico II, Naples, Italy.
- 700 1_
- $a Di Spiezio Sardo, Attilio $u Department of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples Federico II, Naples, Italy.
- 700 1_
- $a Panici, Pierluigi Benedetti $u Department of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Rome, Italy.
- 700 1_
- $a Berghella, Vincenzo $u Maternal Fetal Medicine Division, Sidney Kimmel Medical College at Thomas Jefferson University, Obstetrics and Gynaecology Department, Philadelphia, PA, USA.
- 700 1_
- $a Flacco, Maria Elena $u Department of Medical Sciences, University of Ferrara, Ferrara, Italy.
- 700 1_
- $a Manzoli, Lamberto $u Department of Medical Sciences, University of Ferrara, Ferrara, Italy.
- 700 1_
- $a Bifulco, Giuseppe $u Department of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples Federico II, Naples, Italy.
- 700 1_
- $a Scambia, Giovanni $u Department of Obstetrics and Gynaecology, Fondazione Policlinico Universitario A Gemelli IRCCS - Università Cattolica del Sacro Cuore, Rome, Italy.
- 700 1_
- $a Zullo, Fulvio $u Department of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples Federico II, Naples, Italy.
- 700 1_
- $a D'Antonio, Francesco $u Centre for High Risk Pregnancy and Fetal Care, University of Chieti, Department of Obstetrics and Gynaecology, Chieti, Italy.
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