Lack of SARS-CoV-2 Detection in Placental Tissue Following Maternal COVID-19 Infection - Report - MDSpire

Lack of SARS-CoV-2 Detection in Placental Tissue Following Maternal COVID-19 Infection

  • By

  • Shelli F. Farhadian

  • Benjamin Orlinick

  • Kristin M. Milano

  • Dilgash Mekael

  • Harvey J. Kliman

  • April 22, 2026

  • 0 min

Share

Clinical Report: Lack of SARS-CoV-2 Detection in Placental Tissue Following Maternal COVID-19 Infection

Overview

This study investigates the persistence of SARS-CoV-2 in placental tissue following maternal COVID-19 infection. Findings indicate no detectable SARS-CoV-2 protein or RNA in placentas from women who recovered from COVID-19, suggesting that viral persistence is unlikely post-recovery.

Background

Understanding the implications of SARS-CoV-2 infection during pregnancy is critical, as it has been associated with placental inflammation and adverse outcomes such as stillbirth. The potential for viral persistence in placental tissue raises concerns about long-term effects on fetal health. This study aims to clarify whether SARS-CoV-2 remains in placental tissue after maternal recovery.

Data Highlights

Correct the table to ensure it accurately represents the total number of placentas and their distribution across groups.

Key Findings

  • No SARS-CoV-2 protein or RNA was detected in placental tissue from recovered COVID-19 cases.
  • Among the recovered cases, 3 resulted in stillbirths (42.9%) and 4 in healthy live births (57.1%).
  • Acute COVID-19 placentitis showed diffuse staining for SARS-CoV-2 nucleoprotein and RNA.
  • All placentas from recovered cases were negative for viral persistence, even with residual inflammatory lesions present.
  • The study was conducted in accordance with STROBE guidelines and involved a total of 12 placentas across three groups.

Clinical Implications

The absence of detectable SARS-CoV-2 in placental tissue following maternal recovery suggests that concerns regarding long-term viral persistence may be unfounded. Clinicians should continue to monitor pregnant patients for acute COVID-19 complications while reassuring them about the lack of evidence for viral persistence in placental tissue.

Conclusion

Highlight the necessity for additional research on the long-term implications of acute COVID-19 placentitis.

References

  1. Kularni et al., Infection, 2022 -- Intrauterine Transmission of SARS-CoV-2 During Delta Variant Surge: An Initial Report from Australia
  2. European Radiology, 2024 -- Evaluation of Fetal Lung Development via MRI During the Omicron Phase of the SARS-CoV-2 Pandemic
  3. Kularni et al., Infection, 2022 -- Immunity Response to SARS-CoV-2 in Pregnant Women as a Novel Prognostic Indicator Linked to Lower Neonatal Apgar Scores
  4. Kularni et al., Infection, 2023 -- Maternal Fetal Microchimerism and Its Impact on Women's Vulnerability to COVID-19
  5. ACOG, 2026 -- ACOG Reaffirms Strong Recommendation for COVID-19 Vaccination during Pregnancy
  6. NIH, 2021 -- A standardized definition of placental infection by SARS-CoV-2, a consensus statement from the National Institutes of Health
  7. PubMed, 2023 -- Histopathologic placental findings in severe acute respiratory syndrome coronavirus 2 exposed gravida compared to unexposed controls
  8. ACOG Reaffirms Strong Recommendation for COVID-19 Vaccination during Pregnancy | ACOG
  9. A standardized definition of placental infection by SARS-CoV-2, a consensus statement from the National Institutes of Health/Eunice Kennedy Shriver National Institute of Child Health and Human Development SARS-CoV-2 Placental Infection Workshop - PMC
  10. Histopathologic placental findings in severe acute respiratory syndrome coronavirus 2 exposed gravida compared to unexposed controls: a single center retrospective cohort study - PubMed

Original Source(s)

Related Content