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Supplemental Digital Content 2: Antibody levels at delivery and 6 weeks in maternal blood, infant blood, and breastmilk after COVID-19 infection in pregnancy

Sample Type

Antibod y

Delivery Mean (SD)+

6 weeks Mean (SD)+

Mean Difference (95% CI)*

P-Value

Spike Protein Maternal blood

IgG 22527.1

(42791.0)

81528.7 (161908.6)

56971.3 (-6928.6, 120871)

0.08

IgM 2753.3

(3512.3)

2529.3 (422.5)

-229.0 (-1523.4, 1065.5)

0.72

IgA 1302.0

(1735.9)

3284.0 (5845.0)

1843.5

(-417.2, 4104.2)

0.11 Infant / cord

blood

IgG 17638.0

(37849.8)

4397.1 (4564.2)

-21178.0 (-45262.3, 2906.4)

0.08

IgM 107.6

(382.4)

25.4 (42.0)

-168.7

(-449.1, 111.7)

0.22

IgA 65.5

(236.9)

352.6 (1164.5)

251.5

(-200.7, 703.7)

0.26 Breast milk IgG 150.6

(385.3)

2602.7 (11048.8)

263.0

(-779.9, 1305.9)

0.58

IgM 409.3

(837.0) 145.5

(503.5) -568.2

(-1384.0, 247.5) 0.15

IgA 2198.1

(2197.7) 1935.1

(2463.7) 550.6

(-857.2, 1958.4) 0.42 Nucleocapsid Protein

Maternal blood

IgG 293728.2

(497515.8)

358871.9 (438150.2)

18590.8 (-100338, 137519)

0.75

IgM 6206.6

(1415.2)

8727.2 (22452.6)

1956.1 (-2989.7, 6901.9)

0.42

IgA 9182.4

(17297.0)

25943.7 (104935.8)

17714.4 (- 20107.1, 55535.8)

0.34

Infant / cord blood

IgG 310041.8 (697422.6)

313661.7 (915379.7)

-98510.7 (-780716, 583694)

0.76

IgM 651.2

(2214.9) 108.3

(84.8) -1083.4

(-2671.7, 504.9) 0.17

IgA 213.7

(384.0)

156.67 (388.9)

-138.3

(-434.1, 157.5)

0.34

Breast milk IgG 159734.1 82158.9 -140474 (- 0.17

(2)

(319749.5) (130726.0) 356074, 75127.2)

IgM 1458.8

(1919.0) 168.2

(259.7) -1687.9

(-3289, -86.8) 0.04

IgA 35125.5

(31996.0)

4459.0 (5626.4)

-35083.3 (- 59151.9, -11014.7)

0.009

*Delivery time point used as reference +All values reported as AU

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