tetano
Editor, Senior Moderator
Obstet Gynecol
. 2020 Jun 23.
doi: 10.1097/AOG.0000000000004044. Online ahead of print.
Induction of Labor in an Intubated Patient With Coronavirus Disease 2019 (COVID-19)
Suzanne Slayton-Milam[SUP] 1 [/SUP], Samantha Sheffels, Dominic Chan, Bashar Alkinj
Affiliations
Abstract
Background: In the global coronavirus disease 2019 (COVID-19) pandemic, to date, delivery of critically ill pregnant patients has predominantly been by cesarean.
Case: A 27-year-old pregnant woman was admitted to a 166-bed community hospital at 33 weeks of gestation with acute hypoxemic respiratory failure secondary to COVID-19. She underwent mechanical ventilation for 9 days. While ventilated, she underwent induction of labor, resulting in a successful forceps assisted-vaginal birth. She was extubated on postpartum day 5 and discharged on postpartum day 10. The neonate was intubated for 24 hours but was otherwise healthy and discharged home at 36 2/7 weeks postmenstrual age.
Conclusion: Critically ill patients requiring mechanical ventilation, in this case due to COVID-19, may undergo induction of labor and vaginal delivery when carefully selected.
. 2020 Jun 23.
doi: 10.1097/AOG.0000000000004044. Online ahead of print.
Induction of Labor in an Intubated Patient With Coronavirus Disease 2019 (COVID-19)
Suzanne Slayton-Milam[SUP] 1 [/SUP], Samantha Sheffels, Dominic Chan, Bashar Alkinj
Affiliations
- PMID: 32590725
- DOI: 10.1097/AOG.0000000000004044
Abstract
Background: In the global coronavirus disease 2019 (COVID-19) pandemic, to date, delivery of critically ill pregnant patients has predominantly been by cesarean.
Case: A 27-year-old pregnant woman was admitted to a 166-bed community hospital at 33 weeks of gestation with acute hypoxemic respiratory failure secondary to COVID-19. She underwent mechanical ventilation for 9 days. While ventilated, she underwent induction of labor, resulting in a successful forceps assisted-vaginal birth. She was extubated on postpartum day 5 and discharged on postpartum day 10. The neonate was intubated for 24 hours but was otherwise healthy and discharged home at 36 2/7 weeks postmenstrual age.
Conclusion: Critically ill patients requiring mechanical ventilation, in this case due to COVID-19, may undergo induction of labor and vaginal delivery when carefully selected.