Two cases of severe COVID-19 in gestational week 27 and 28 respectively, after which both pregnancies proceeded to term
- PMID: 34500190
- PMCID: PMC8372455
- DOI: 10.1016/j.ijoa.2021.103212
Two cases of severe COVID-19 in gestational week 27 and 28 respectively, after which both pregnancies proceeded to term
Abstract
COVID-19 in pregnancy increases the risk of caesarean section. We present two cases of late gestation pregnant women with severe COVID-19. Both were successfully treated with mechanical ventilation without termination of pregnancy and, following recovery from COVID-19, had vaginal deliveries at term. These two cases demonstrate the possibility of treating pregnant women with severe COVID-19 with mechanical ventilation in the late second and early third trimesters without them having a pre-term delivery. With a multidisciplinary approach, such management could avoid the maternal risks of surgery during a severe infection and, at the same time, enable term birth with a lower risk of neonatal complications.
Keywords: COVID-19; Intensive care; Pregnancy, term.
Copyright © 2021 The Authors. Published by Elsevier Ltd.. All rights reserved.
References
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- Khan D.S.A., Pirzada A.N., Ali A., Salam R.A., Das J.K., Lassi Z.S. The differences in clinical presentation, management, and prognosis of laboratory-confirmed COVID-19 between pregnant and non-pregnant women: a systematic review and meta-analysis. Int J Environ Res Public Health. 2021;18:5613. doi: 10.3390/ijerph18115613. - DOI - PMC - PubMed
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