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Article Open Access

Long COVID‑19 and pregnancy: A systematic review

  • Authors:
    • Vasiliki Epameinondas Georgakopoulou
    • Chrysoula Taskou
    • Demetrios A. Spandidos
    • Antigoni Sarantaki
  • View Affiliations

    Affiliations: Department of Pathophysiology, Laiko General Hospital, National and Kapodistrian University of Athens, 11527 Athens, Greece, Department of Midwifery, Faculty of Health and Caring Sciences, University of West Attica, 12243 Athens, Greece, Laboratory of Clinical Virology, School of Medicine, University of Crete, 71003 Heraklion, Greece
  • Published online on: November 19, 2024     https://doi.org/10.3892/br.2024.1893
  • Article Number: 15
  • Copyright: © Georgakopoulou et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

The impact of post‑acute sequelae of SARS‑CoV‑2 infection, or Long coronavirus disease 2019 (COVID‑19), on pregnant women remains a growing concern. The present systematic review synthesizes current evidence on the prevalence, risk factors and clinical outcomes of Long COVID‑19 in pregnant women to improve understanding of its burden and implications for maternal health. A systematic search was conducted in PubMed, Scopus and Google Scholar for studies published between January 2020 and October 2024. Eligible studies included pregnant or postpartum women diagnosed with COVID‑19 and followed for at least four weeks post‑infection. Data extraction and quality assessment were performed using standardized tools, and the findings were narratively synthesized due to heterogeneity in study designs and outcome measures. A total of 13 studies encompassing 13,729 participants were included. The prevalence of Long COVID‑19 varied widely, ranging from 9.3‑93%. The most reported symptoms included fatigue, cognitive dysfunction, respiratory symptoms and psychological disturbances, with fatigue being the most prevalent. Severe acute COVID‑19, obesity, pre‑existing mental health conditions, and non‑vaccination were identified as key risk factors for developing Long COVID‑19. Several studies reported that women with Long COVID‑19 were at a higher risk for adverse maternal and neonatal outcomes, such as preterm birth and increased need for neonatal intensive care. The severity of acute infection and the presence of comorbidities significantly influenced the risk and severity of Long COVID‑19. Long COVID‑19 is a prevalent condition among pregnant women, with significant variability in reported prevalence rates. It is associated with a range of symptoms that can impact maternal health and pregnancy outcomes. The findings highlight the need for targeted follow‑up and management strategies in this population. Standardized definitions and longitudinal studies are essential to further elucidate the long‑term impact of COVID‑19 during pregnancy.
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1 

Sawicka B, Aslan I, Della Corte V, Periasamy A, Krishnamurthy SK, Mohammed A, Tolba Said MM, Saravanan P, Del Gaudio G, Adom D, et al: The coronavirus global pandemic and its impacts on society. Coronavirus Drug Discov. 1:267–311. 2022.

2 

Georgakopoulou VE, Gkoufa A, Makrodimitri S, Tsakanikas A, Basoulis D, Voutsinas PM, Karamanakos G, Eliadi I, Samara S, Triantafyllou M, et al: Risk factors for the in-hospital and 1-year mortality of elderly patients hospitalized due to COVID-19-related pneumonia. Exp Ther Med. 27(22)2023.PubMed/NCBI View Article : Google Scholar

3 

Chowdhury S, Bappy MH, Desai S, Chowdhury S, Patel V, Chowdhury MS, Fonseca A, Sekzer C, Zahid S, Patousis A, et al: COVID-19 and pregnancy. Discoveries (Craiova). 10(e147)2022.PubMed/NCBI View Article : Google Scholar

4 

Lempesis IG, Karlafti E, Papalexis P, Fotakopoulos G, Tarantinos K, Lekakis V, Papadakos SP, Cholongitas E and Georgakopoulou VE: COVID-19 and liver injury in individuals with obesity. World J Gastroenterol. 29:908–916. 2023.PubMed/NCBI View Article : Google Scholar

5 

Berumen-Lechuga MG, Leaños-Miranda A, Molina-Pérez CJ, García-Cortes LR and Palomo-Piñón S: Risk Factors for severe-critical COVID-19 in pregnant women. J Clin Med. 12(5812)2023.PubMed/NCBI View Article : Google Scholar

6 

Malgina GB, Dyakova MM, Bychkova SV, Shikhova EP and Klimova LE: Post-COVID syndrome in pregnant women with a history of mild and moderate COVID-19. Obstet Gynecol. 87–94. 2023.

7 

Backes C, Pecks U, Keil CN, Zöllkau J, Scholz C, Hütten M, Rüdiger M, Büchel J, Andresen K and Mand N: Post-COVID in women after SARS-CoV-2 infection during pregnancy-a pilot study with follow-up data from the COVID-19-related obstetric and neonatal outcome study (CRONOS). Z Geburtshilfe Neonatol. 228:74–79. 2024.PubMed/NCBI View Article : Google Scholar

8 

Nalbandian A, Sehgal K, Gupta A, Madhavan MV, McGroder C, Stevens JS, Cook JR, Nordvig AS, Shalev D, Sehrawat TS, et al: Post-acute COVID-19 syndrome. Nat Med. 27:601–615. 2021.PubMed/NCBI View Article : Google Scholar

9 

Georgakopoulou VE, Makrodimitri S, Gkoufa A, Apostolidi E, Provatas S, Papalexis P, Spandidos DA, Lempesis IG, Gamaletsou MN and Sipsas NV: Lung function at three months after hospitalization due to COVID-19 pneumonia: Comparison of alpha, delta and omicron variant predominance periods. Exp Ther Med. 27(83)2024.PubMed/NCBI View Article : Google Scholar

10 

Efstathiou V, Stefanou MI, Demetriou M, Siafakas N, Makris M, Tsivgoulis G, Zoumpourlis V, Kympouropoulos SP, Tsoporis JN, Spandidos DA, et al: Long COVID and neuropsychiatric manifestations (review). Exp Ther Med. 23(363)2022.PubMed/NCBI View Article : Google Scholar

11 

Kampouridou K, Georgakopoulou VE, Chadia K, Nena E and Steiropoulos P: Evaluating sleep disturbances in patients recovering from COVID-19. Pneumon. 37(35)2024.

12 

Karampitsakos T, Sotiropoulou V, Katsaras M, Tsiri P, Georgakopoulou VE, Papanikolaou IC, Bibaki E, Tomos I, Lambiri I, Papaioannou O, et al: Post-COVID-19 interstitial lung disease: Insights from a machine learning radiographic model. Front Med (Lausanne). 9(1083264)2023.PubMed/NCBI View Article : Google Scholar

13 

Oliveira AMDSS, Carvalho MA, Nacul L, Cabar FR, Fabri AW, Peres SV, Zaccara TA, O'Boyle S, Alexander N, Takiuti NH, et al: Post-viral fatigue following SARS-CoV-2 infection during pregnancy: A longitudinal comparative study. Int J Environ Res Public Health. 19(15735)2022.PubMed/NCBI View Article : Google Scholar

14 

Metz TD, Reeder HT, Clifton RG, Flaherman V, Aragon LV, Baucom LC, Beamon CJ, Braverman A, Brown J, Cao T, et al: Post-acute sequelae of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) after infection during pregnancy. Obstet Gynecol. 144:411–420. 2024.PubMed/NCBI View Article : Google Scholar

15 

Muñoz-Chápuli Gutiérrez M, Prat AS, Vila AD, Claverol MB, Martínez PP, Recarte PP, Benéitez MV, García CA, Muñoz EC, Navarro M, et al: Post-COVID-19 condition in pregnant and postpartum women: A long-term follow-up, observational prospective study. EClinicalMedicine. 67(102398)2024.PubMed/NCBI View Article : Google Scholar

16 

Falahi S, Abdoli A and Kenarkoohi A: Maternal COVID-19 infection and the fetus: Immunological and neurological perspectives. New Microbes New Infect. 53(101135)2023.PubMed/NCBI View Article : Google Scholar

17 

Ghizzoni APO, Santos AK, de Braga RSL, Duz JVV, Bouvier VD, de Souza MS and Silva DR: Clinical characteristics, outcomes and persistent symptoms of pregnant women with COVID-19: A retrospective cohort study. Int J Gynaecol Obstet: Aug 30, 2024 (Epub ahead of print).

18 

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, Shamseer L, Tetzlaff JM, Akl EA, Brennan SE, et al: The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ. 372(n71)2021.PubMed/NCBI View Article : Google Scholar

19 

Wells GA, Shea B, O'Connell D, Peterson J, Welch V, Losos M and Tugwell P: The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. Ottawa Hospital Research Institute, Ottawa, ON, 2016.

20 

Bruno AM, Zang C, Xu Z, Wang F, Weiner MG, Guthe N, Fitzgerald M, Kaushal R, Carton TW, Metz TD, et al: Association between acquiring SARS-CoV-2 during pregnancy and post-acute sequelae of SARS-CoV-2 infection: RECOVER electronic health record cohort analysis. EClinicalMedicine. 73(102654)2024.PubMed/NCBI View Article : Google Scholar

21 

Gu Y, Xing Y, Zhu J, Zeng L and Hu X: Post-coronavirus disease 2019 (COVID-19) liver injury in pregnant women: A retrospective cohort study. Clin Exp Obstet Gynecol. 50(248)2023.

22 

Kandemir H, Bülbül GA, Kirtiş E, Güney S, Sanhal CY and Mendilcioğlu İİ: Evaluation of long-COVID symptoms in women infected with SARS-CoV-2 during pregnancy. Int J Gynaecol Obstet. 164:148–156. 2024.PubMed/NCBI View Article : Google Scholar

23 

Vásconez-González J, Fernandez-Naranjo R, Izquierdo-Condoy JS, Delgado-Moreira K, Cordovez S, Tello-De-la-Torre A, Paz C, Castillo D, Izquierdo-Condoy N, Carrington SJ and Ortiz-Prado E: Comparative analysis of long-term self-reported COVID-19 symptoms among pregnant women. J Infect Public Health. 16:430–440. 2023.PubMed/NCBI View Article : Google Scholar

24 

Vetrugno L, Sala A, Deana C, Meroi F, Grandesso M, Maggiore SM, Isola M, De Martino M, Restaino S, Vizzielli G, et al: Quality of life 1 year after hospital discharge in unvaccinated pregnant women with COVID-19 respiratory symptoms: A prospective observational study (ODISSEA-PINK study). Front Med (Lausanne). 10(1225648)2023.PubMed/NCBI View Article : Google Scholar

25 

Belokrinitskaya TE, Frolova NI, Mudrov VA, Kargina KA, Shametova EA, Agarkova MA and Zhamiyanova CT: Postcovid syndrome in pregnant women. Obstet Gynecol. 6:60–8. 2023.

26 

Yao Y, Sun L, Luo J, Qi W, Zuo X and Yang Z: The effect of long-term COVID-19 infection on maternal and fetal complications: A retrospective cohort study conducted at a single center in China. Sci Rep. 14(17273)2024.PubMed/NCBI View Article : Google Scholar

27 

Twanow JE, McCabe C and Ream MA: The COVID-19 pandemic and pregnancy: Impact on mothers and newborns. Semin Pediatr Neurol. 42(100977)2022.PubMed/NCBI View Article : Google Scholar

28 

Marjenberg Z, Leng S, Tascini C, Garg M, Misso K, El Guerche Seblain C and Shaikh N: Risk of long COVID main symptoms after SARS-CoV-2 infection: A systematic review and meta-analysis. Sci Rep. 13(15332)2023.PubMed/NCBI View Article : Google Scholar

29 

Xue P, Merikanto I, Delale EA, Bjelajac A, Yordanova J, Chan RNY, Korman M, Mota-Rolim SA, Landtblom AM, Matsui K, et al: Associations between obesity, a composite risk score for probable long COVID, and sleep problems in SARS-CoV-2 vaccinated individuals. Int J Obes (Lond). 48:1300–1306. 2024.PubMed/NCBI View Article : Google Scholar

30 

Fatima S, Ismail M, Ejaz T, Shah Z, Fatima S, Shahzaib M and Jafri HM: Association between long COVID and vaccination: A 12-month follow-up study in a low- to middle-income country. PLoS One. 18(e0294780)2023.PubMed/NCBI View Article : Google Scholar

31 

Homann S, Mikuteit M, Niewolik J, Behrens GMN, Stölting A, Müller F, Schröder D, Heinemann S, Müllenmeister C, El-Sayed I, et al: Effects of pre-existing mental conditions on fatigue and psychological symptoms post-COVID-19. Int J Environ Res Public Health. 19(9924)2022.PubMed/NCBI View Article : Google Scholar

32 

Ellington S and Jatlaoui TC: COVID-19 vaccination is effective at preventing severe illness and complications during pregnancy. Lancet. 401:412–413. 2023.PubMed/NCBI View Article : Google Scholar

33 

Garapati J, Jajoo S, Aradhya D, Reddy LS, Dahiphale SM and Patel DJ: Postpartum mood disorders: Insights into diagnosis, prevention, and treatment. Cureus. 15(e42107)2023.PubMed/NCBI View Article : Google Scholar

34 

Machado K and Ayuk P: Post-COVID-19 condition and pregnancy. Case Rep Womens Health. 37(e00458)2023.PubMed/NCBI View Article : Google Scholar

35 

Maisonneuve E, Favre G, Boucoiran I, Dashraath P, Panchaud A and Baud D: Post-COVID-19 condition: Recommendations for pregnant individuals. Lancet Reg Health Eur. 40(100916)2024.PubMed/NCBI View Article : Google Scholar

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Copy and paste a formatted citation
Spandidos Publications style
Georgakopoulou VE, Taskou C, Spandidos DA and Sarantaki A: Long COVID‑19 and pregnancy: A systematic review. Biomed Rep 22: 15, 2025.
APA
Georgakopoulou, V.E., Taskou, C., Spandidos, D.A., & Sarantaki, A. (2025). Long COVID‑19 and pregnancy: A systematic review. Biomedical Reports, 22, 15. https://doi.org/10.3892/br.2024.1893
MLA
Georgakopoulou, V. E., Taskou, C., Spandidos, D. A., Sarantaki, A."Long COVID‑19 and pregnancy: A systematic review". Biomedical Reports 22.1 (2025): 15.
Chicago
Georgakopoulou, V. E., Taskou, C., Spandidos, D. A., Sarantaki, A."Long COVID‑19 and pregnancy: A systematic review". Biomedical Reports 22, no. 1 (2025): 15. https://doi.org/10.3892/br.2024.1893
Copy and paste a formatted citation
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Spandidos Publications style
Georgakopoulou VE, Taskou C, Spandidos DA and Sarantaki A: Long COVID‑19 and pregnancy: A systematic review. Biomed Rep 22: 15, 2025.
APA
Georgakopoulou, V.E., Taskou, C., Spandidos, D.A., & Sarantaki, A. (2025). Long COVID‑19 and pregnancy: A systematic review. Biomedical Reports, 22, 15. https://doi.org/10.3892/br.2024.1893
MLA
Georgakopoulou, V. E., Taskou, C., Spandidos, D. A., Sarantaki, A."Long COVID‑19 and pregnancy: A systematic review". Biomedical Reports 22.1 (2025): 15.
Chicago
Georgakopoulou, V. E., Taskou, C., Spandidos, D. A., Sarantaki, A."Long COVID‑19 and pregnancy: A systematic review". Biomedical Reports 22, no. 1 (2025): 15. https://doi.org/10.3892/br.2024.1893
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