Evaluation of Cytomegalovirus Seroprevalence in Pregnant Women: A Multicenter Study

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dc.authorid0000-0002-1480-8567
dc.authorid0000-0002-8205-4752
dc.contributor.authorSayar, Merve Sefa
dc.contributor.authorCag, Yasemin
dc.contributor.authorYilmaz, Neziha
dc.contributor.authorSenbayrak, Seniha
dc.contributor.authorCakirca, Tuba Damar
dc.contributor.authorCaydasi, Ozge
dc.contributor.authorAltunay, Deniz Gur
dc.date.accessioned2026-02-03T11:59:43Z
dc.date.available2026-02-03T11:59:43Z
dc.date.issued2025
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractIntroduction: Cytomegalovirus (CMV) infection during pregnancy poses a significant risk of congenital infection, particularly in seronegative women. This study aimed to assess CMV seroprevalence among pregnant women and evaluate the incidence of primary CMV infections during pregnancy. Materials and Methods: This retrospective multicenter study included pregnant women aged >= 18 year who were hospitalized between January 2018 and December 2022. Demographic data-including maternal age, gravidity, and educational and occupational status-along with CMV serological results, gestational age at CMV diagnosis, and fetal ultrasonographic (USG) findings were collected and analyzed. In cases with positive CMV immunoglobulin M (IgM) and IgG, CMV-IgG avidity values, amniotic fluid CMV-DNA polymerase chain reaction results, and fetal USG findings were recorded to assess the likelihood of primary infection. Results: Among 16,761 pregnant women, 261 (1.6%) tested positive for CMV-IgM. Of these, 126 (48.3%) underwent CMV-IgG avidity testing, and three cases demonstrated low avidity, indicating recent primary infection. Ultrasonographic abnormalities in these three fetuses included hydrops fetalis, polyhydramnios, skin edema, and hyperechogenic bowel. Despite high CMV-IgG avidity, five cases showed abnormal findings on detailed fetal ultrasonography namely intrauterine growth restriction, oligohydramnios, and cranial anomalies. Conclusion: Primary CMV infection during pregnancy is associated with adverse outcomes such as fetal anomalies, spontaneous abortion, and preterm birth. Preventive strategies, including educating CMV-seronegative women about transmission routes and routine assessment of CMV-IgG avidity and fetal USG findings, are essential for early diagnosis and improved perinatal outcomes.
dc.identifier.doi10.4274/mjima.galenos.2025.25310.11
dc.identifier.issn2147-673X
dc.identifier.trdizinid1334314
dc.identifier.urihttps://doi.org/10.4274/mjima.galenos.2025.25310.11
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1334314
dc.identifier.urihttps://hdl.handle.net/20.500.12428/34397
dc.identifier.volume14
dc.identifier.wosWOS:001554458800001
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.publisherGalenos Publ House
dc.relation.ispartofMediterranean Journal of Infection Microbes and Antimicrobials
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WOS_20260130
dc.subjectAbortion
dc.subjectcongenital infection
dc.subjectcytomegalovirus
dc.subjectfetal abnormalities
dc.subjectpregnancy
dc.subjectseroprevalence
dc.titleEvaluation of Cytomegalovirus Seroprevalence in Pregnant Women: A Multicenter Study
dc.typeArticle

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