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August 14, 2026VirusesOpen Access

Congenital Cytomegalovirus Infection in Fetal Demise: A Retrospective Cohort Study

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Key result

Confirmed fetal CMV infection accounts for ~4% of fetal demises following positive maternal testing.

  • n=61,973

Why the study?

Severe congenital CMV can lead to fetal demise, prompting the need to quantify and characterize confirmed CMV infection among fetal demises.

Population

61,973 recorded pregnancies, including 1173 fetal demises, at a pediatric hospital in the US

Design

Retrospective cohort study

Authors

RRRyan H. RochatBaylor College of MedicineGDGail J. Demmler‐HarrisonBaylor College of MedicineMCMagdalena Sanz CortésBaylor College of Medicine

Discussion

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Overview

CMV testing may identify cases among fetal demises; leaves open whether routine screening alters outcomes.

Key Points

  • To quantify and characterize confirmed congenital cytomegalovirus infections among cases of fetal demise at a large US pediatric medical center.
  • Retrospective electronic health record review analyzing 61,973 recorded pregnancies and 1,173 fetal demises between 2013 and 2024.
  • Evaluated pregnancies undergoing CMV testing (IgG, IgM, DNA) with confirmation via amniocentesis, placental pathology, fetal tissue, or autopsy records.
  • Among 94 fetal demise cases with positive CMV testing and complete delivery records, 4 (4%) were directly attributable to CMV, occurring at a significantly earlier mean gestational age than overall demises (23.7 ± 3.7 weeks vs. 28.4 ± 6.6 weeks).
  • Maternal CMV IgM was positive in 9 of 93 tested demise cases (9.7%), and 100% of confirmed CMV-attributable demises occurred within this IgM-positive subset.

Study Design

Type

Cohort (n=61,973)

Multicenter

No

Structured PICO

P
Population
61,973 pregnancies recorded at a single US pediatric hospital, including 1,173 fetal demises, evaluated for confirmed congenital CMV infection.
O
Outcome
Confirmed CMV infection among fetal demises

CMV infection is a measurable cause of fetal demise, particularly among CMV IgM-positive pregnancies, highlighting the need for improved screening.

Cite This Study

Rochat et al. (2026) conducted a cohort in Fetal demise and congenital CMV infection (n=61,973). Maternal CMV infection vs. No maternal CMV infection was evaluated on Fetal demise directly attributable to CMV. Among 94 fetal demises with positive maternal CMV testing and complete records, 4 (4%) were directly attributable to confirmed fetal CMV infection.

synapsesocial.com/papers/6a7ec79cb70b84ec8b914169https://doi.org/10.3390/v18080881
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Updated National and State-Specific Prevalence of Congenital Cytomegalovirus Infection, United States, 2018-20222024 · 19 citations
  2. 2The MRI spectrum of congenital cytomegalovirus infection2019 · 84 citations
  3. 3A Trial of Hyperimmune Globulin to Prevent Congenital Cytomegalovirus Infection2021 · 159 citations
  4. 4Passive Immunization during Pregnancy for Congenital Cytomegalovirus Infection2005 · 784 citations
  5. 5Cytomegalovirus urinary excretion and long term outcome in children with congenital cytomegalovirus infection2000 · 150 citations