Obstetric and intensive-care strategies in a high-risk pregnancy with critical respiratory failure due to COVID-19: A case report

• DOI: 10.1016/j.crwh.2020.e00240
• Publication Date: 2020-07-08T01:06:18Z
• Authors: Zuzana Kolkova; Martin F. Bjurström; John-Kalle Länsberg; Eimantas Svedas; Maria Andrada Hamer; Stefan R. Hansson; Andreas Herbst; Mehreen Zaigham
• Keywords: RD1-811; SARS-CoV-2; COVID-19; Gynecology and obstetrics; Article; 3. Good health; Coronavirus; 03 medical and health sciences; 0302 clinical medicine; Pregnancy; Obstetrics and Gynaecology; RG1-991; Surgery; Intubation

With the disease burden increasing daily, there is a lack of evidence regarding impact COVID-19 in pregnancy. Healthy pregnant women are still not regarded as susceptible group despite physiological changes that make more vulnerable to severe infection. However, high-risk pregnancies may be associated with respiratory failure, outlined this report. We discuss importance timely delivery and antenatal steroid administration critically ill patient. A 27-year-old woman (gravida 2, para 1) type I diabetes, morbid obesity, hypothyroidism previous Caesarean section presented critical failure secondary at 32 weeks gestation. preterm emergency was performed, after treatment for foetal lung maturation. The patient benefited from prone positioning; however, transient acute renal injury, rhabdomyolysis sepsis led prolonged intensive care mechanical ventilation 30 days. baby had an uncomplicated recovery. infection result maternal neonatal outcomes such requiring premature termination Antenatal steroids benefit maturation but should delay cases.