Expectant Management of a Critically Ill Pregnant Patient with COVID-19 with Good Maternal and Neonatal Outcomes
Joint Authors
Alsayyed, Farah
Hastings, Victoria
Lederman, Sanford
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-11-28
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
Coronavirus Disease 2019 (COVID-19) is responsible for a global pandemic that has significantly affected New York City.
There is limited data about COVID-19 infection in pregnancy, especially in critically ill patients.
Case.
A 30-year-old female who presented at 26 weeks gestation with acute severe respiratory distress that required intubation and intensive care unit (ICU) admission.
We had a high suspicion of COVID-19 disease despite repeated negative SARS-CoV-2 PCR testing, with eventual positive COVID IgG antibody testing.
Through an integration of obstetrical knowledge, critical care, and comparing outcomes from similar cases in the literature, we decided to expectantly manage her pregnancy and did not recommend administration of antenatal steroids.
She was extubated after 23 days of mechanical ventilation and recovered from her respiratory illness.
She had a full-term spontaneous vaginal delivery of a baby boy at 39 weeks gestation with excellent maternal and fetal outcomes at delivery.
Conclusion.
In the face of COVID-19, a new disease with unclear maternal and fetal outcomes to date, a collaboration of care teams is essential to navigate through the challenging decisions made, including timing of delivery, treatment options, and administration of steroids.
Our paper is unique as there is no other published case report of a critically ill pregnant patient with COVID-19 in which delivery was deferred, and a full recovery was observed, with a vaginal delivery at term.
American Psychological Association (APA)
Alsayyed, Farah& Hastings, Victoria& Lederman, Sanford. 2020. Expectant Management of a Critically Ill Pregnant Patient with COVID-19 with Good Maternal and Neonatal Outcomes. Case Reports in Obstetrics and Gynecology،Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1149258
Modern Language Association (MLA)
Alsayyed, Farah…[et al.]. Expectant Management of a Critically Ill Pregnant Patient with COVID-19 with Good Maternal and Neonatal Outcomes. Case Reports in Obstetrics and Gynecology No. 2020 (2020), pp.1-6.
https://search.emarefa.net/detail/BIM-1149258
American Medical Association (AMA)
Alsayyed, Farah& Hastings, Victoria& Lederman, Sanford. Expectant Management of a Critically Ill Pregnant Patient with COVID-19 with Good Maternal and Neonatal Outcomes. Case Reports in Obstetrics and Gynecology. 2020. Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1149258
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1149258