|
?:abstract
|
-
Updates on the coronavirus BACKGROUND: Data suggest that pregnant women are not at elevated risk of acquiring severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection or developing severe disease compared with nonpregnant patients However, management of pregnant patients who are critically ill with coronavirus disease 2019 (COVID-19) infection is complicated by physiologic changes and other pregnancy considerations and requires balancing maternal and fetal well-being CASE: We report the case of a patient at 28 weeks of gestation with acute respiratory distress syndrome (ARDS) from COVID-19 infection, whose deteriorating respiratory condition prompted delivery Our patient\'s oxygenation and respiratory mechanics improved within hours of delivery, though she required prolonged mechanical ventilation until postpartum day 10 Neonatal swabs for SARS-CoV-2 and COVID-19 immunoglobulin (Ig) G and IgM were negative CONCLUSION: We describe our multidisciplinary management of a preterm pregnant patient with ARDS from COVID-19 infection and her neonate Corresponding author: Stephanie L Gaw, MD, PhD, Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, San Francisco, CA;email: Stephanie Gaw@ucsf edu Financial Disclosure Anne L Donovan disclosed that funding was provided to her institution from the Network for the Investigation of Delirium: Unifying Scientists (Pilot Grant Funding) Money was paid to her from the Agency for Healthcare Research and Quality (paid consultancy) Mary Prahl disclosed that in the article, the case involves a pregnant woman who received compassionate use remdesivir Her spouse is employed at the company that makes remdesivir Her role in this case was solely confined to the management of the neonate, and she had no involvement or influence in management of woman who received the compassionate use drug The other authors did not report any potential conflicts of interest Each author has confirmed compliance with the journal\'s requirements for authorship Peer reviews and author correspondence are available at http://links lww com/AOG/B897 Received April 16, 2020 Received in revised form April 23, 2020 Accepted April 29, 2020 © 2020 by The American College of Obstetricians and Gynecologists Published by Wolters Kluwer Health, Inc All rights reserved
|
![[This page as RDF]](https://research.tib.eu/covid-19/static/rdf-icon.gif){kind=icon}