tetano
Editor, Senior Moderator
Obstet Med
. 2021 Sep;14(3):170-176.
doi: 10.1177/1753495X21990213. Epub 2021 Mar 9.
Severe and critical COVID-19 in pregnancy: A case series from Montreal
Marie-Julie Trahan[SUP] 1 [/SUP], Isabelle Malhamé[SUP] 2 3 [/SUP], Cristina Mitric[SUP] 1 [/SUP], Camille Simard[SUP] 2 [/SUP], Jed Lipes[SUP] 2 4 5 [/SUP], Haim A Abenhaim[SUP] 6 [/SUP]
Affiliations
Abstract
Background: Optimal obstetric management for women with coronavirus disease (COVID-19) is not known. We describe the management of six pregnant women requiring in-hospital care for severe COVID-19.
Methods: A retrospective chart review was conducted to identify pregnant women who tested positive for Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV-2) between 15 March and 30 June 2020. A subset of women meeting criteria for severe COVID-19 was included.
Results: Four women required non-invasive supplemental oxygen therapy and two required mechanical ventilation. Four women were discharged from hospital undelivered and two required preterm delivery. One woman had a pulmonary embolism, and two required re-admission for worsening symptoms.
Conclusion: Management of pregnant women with severe COVID-19 is complex and should involve multidisciplinary expertise. Avoiding early delivery may be a safe option. We recommend an individualized approach to care, including careful consideration of the expected risks and benefits of expectant obstetric management versus delivery.
Keywords: COVID-19; coronavirus; critical care; delivery; intensive care unit; mechanical ventilation; pregnancy; supplemental oxygen symptoms; thromboprophylaxis.
. 2021 Sep;14(3):170-176.
doi: 10.1177/1753495X21990213. Epub 2021 Mar 9.
Severe and critical COVID-19 in pregnancy: A case series from Montreal
Marie-Julie Trahan[SUP] 1 [/SUP], Isabelle Malhamé[SUP] 2 3 [/SUP], Cristina Mitric[SUP] 1 [/SUP], Camille Simard[SUP] 2 [/SUP], Jed Lipes[SUP] 2 4 5 [/SUP], Haim A Abenhaim[SUP] 6 [/SUP]
Affiliations
- PMID: 34646346
- PMCID: PMC8504303
- DOI: 10.1177/1753495X21990213
Abstract
Background: Optimal obstetric management for women with coronavirus disease (COVID-19) is not known. We describe the management of six pregnant women requiring in-hospital care for severe COVID-19.
Methods: A retrospective chart review was conducted to identify pregnant women who tested positive for Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV-2) between 15 March and 30 June 2020. A subset of women meeting criteria for severe COVID-19 was included.
Results: Four women required non-invasive supplemental oxygen therapy and two required mechanical ventilation. Four women were discharged from hospital undelivered and two required preterm delivery. One woman had a pulmonary embolism, and two required re-admission for worsening symptoms.
Conclusion: Management of pregnant women with severe COVID-19 is complex and should involve multidisciplinary expertise. Avoiding early delivery may be a safe option. We recommend an individualized approach to care, including careful consideration of the expected risks and benefits of expectant obstetric management versus delivery.
Keywords: COVID-19; coronavirus; critical care; delivery; intensive care unit; mechanical ventilation; pregnancy; supplemental oxygen symptoms; thromboprophylaxis.