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Characteristics and serology of pregnant women with cytomegalovirus immunoglobulin G seroconversion during pregnancy in Japan
| Content Provider | Directory of Open Access Journals (DOAJ) |
|---|---|
| Author | Makoto Ikejiri Shigeru Suga Kuniaki Toriyabe Toshio Minematsu Kyoko Shimada Fumihiro Morikawa Asa Kitamura Haruna Nakamura Tomoaki Ikeda |
| Abstract | Objective: Investigate the characteristics and serology of pregnant women with cytomegalovirus (CMV) immunoglobulin (Ig)G seroconversion during pregnancy to understand the risk factors associated with primary CMV infection and the occurrence of fetal congenital CMV infection. Materials and methods: We retrospectively studied 3202 pregnant women who were CMV IgG-negative in early pregnancy and were retested for IgG in late pregnancy. Characteristics were compared between participants with and without IgG seroconversion, and serological parameters were compared between participants with and without fetal congenital CMV infection. Results: Twenty-six participants showed CMV IgG seroconversion and fifteen showed fetal congenital CMV infection. Seroconversion rates were significantly higher in teens (5.0%) than in older women (20s: 0.8%; 30s and over: 0.6%) (p < 0.001). Titers of CMV IgM at IgG seroconversion were higher in women without (median 8.66) than with (median 6.54) congenital infection (p = 0.045). The congenital infection rate was high when IgM titers at IgG seroconversion were low (47.1% with 4.00–12.00 titers and 100% with 1.21–3.99 IgM titers) (p = 0.048). Conclusions: Nulliparous pregnant teenagers have a high risk of CMV IgG seroconversion and the CMV IgM titer at IgG seroconversion may help predict the occurrence of fetal congenital CMV infection. |
| Related Links | http://www.sciencedirect.com/science/article/pii/S1028455921001200 |
| ISSN | 10284559 |
| DOI | 10.1016/j.tjog.2021.05.008 |
| Journal | Taiwanese Journal of Obstetrics & Gynecology |
| Issue Number | 4 |
| Volume Number | 60 |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2021-01-01 |
| Publisher Place | Taiwan, Province of China |
| Access Restriction | Open |
| Subject Keyword | Gynecology and Obstetrics Congenital Cytomegalovirus Infection Immunoglobulin G Immunoglobulin M Primary Cytomegalovirus Infection Teenagers |
| Content Type | Text |
| Resource Type | Article |
| Subject | Obstetrics and Gynecology |