TY - JOUR
T1 - Multiprofessional perinatal care in a pregnant patient with acute respiratory distress syndrome due to COVID-19
AU - Palmrich, Pilar
AU - Roessler, Bernhard
AU - Wisgrill, Lukas
AU - Kampf, Stephanie
AU - Gattinger, Pia
AU - Valenta, Rudolf
AU - Fleischmann, Edith
AU - Berger, Angelika
AU - Kiss, Herbert
AU - Farr, Alex
N1 - Funding Information:
The authors thank Heinrich Husslein, Thomas Laml, Mohammad Ahmadi, Katarzyna Niespodziana, and Thomas Schlederer for their clinical and scientific support.
Publisher Copyright:
© 2021, The Author(s).
PY - 2021/12
Y1 - 2021/12
N2 - BACKGROUND: The coronavirus disease (COVID-19) pandemic has caused ongoing challenges in health services worldwide. Despite the growing body of literature on COVID-19, reports on perinatal care in COVID-19 cases are limited.CASE PRESENTATION: We describe a case of severe acute respiratory distress syndrome (ARDS) in a 36-year-old G5/P2 pregnant woman with morbid obesity, confirmed severe acute respiratory syndrome coronavirus 2 infection, and fulminant respiratory failure. At 28+ 1 gestational weeks, the patient delivered an uninfected newborn. Using ImmunoCAP ISAC® technology, we found no immunoglobulin (Ig) M antibodies, suggesting that no mother-to-child viral transmission occurred during pregnancy or delivery. The maternal respiratory state improved rapidly after delivery; both maternal and neonatal outcomes were encouraging given the early gestational age and fulminant course of respiratory failure in our patient.CONCLUSIONS: The management of ARDS in pregnant women with COVID-19 is complex and requires an individualized, multidisciplinary approach, while considering maternal and fetal outcomes.
AB - BACKGROUND: The coronavirus disease (COVID-19) pandemic has caused ongoing challenges in health services worldwide. Despite the growing body of literature on COVID-19, reports on perinatal care in COVID-19 cases are limited.CASE PRESENTATION: We describe a case of severe acute respiratory distress syndrome (ARDS) in a 36-year-old G5/P2 pregnant woman with morbid obesity, confirmed severe acute respiratory syndrome coronavirus 2 infection, and fulminant respiratory failure. At 28+ 1 gestational weeks, the patient delivered an uninfected newborn. Using ImmunoCAP ISAC® technology, we found no immunoglobulin (Ig) M antibodies, suggesting that no mother-to-child viral transmission occurred during pregnancy or delivery. The maternal respiratory state improved rapidly after delivery; both maternal and neonatal outcomes were encouraging given the early gestational age and fulminant course of respiratory failure in our patient.CONCLUSIONS: The management of ARDS in pregnant women with COVID-19 is complex and requires an individualized, multidisciplinary approach, while considering maternal and fetal outcomes.
KW - Adult
KW - COVID-19/complications
KW - Cesarean Section/methods
KW - Female
KW - Fetal Monitoring/methods
KW - Gestational Age
KW - Humans
KW - Obesity, Morbid/diagnosis
KW - Patient Care Team/organization & administration
KW - Perinatal Care/methods
KW - Pneumonia, Viral/diagnostic imaging
KW - Pregnancy
KW - Pregnancy Complications, Infectious/diagnosis
KW - Pregnancy Outcome
KW - Premature Birth/etiology
KW - Respiration, Artificial/methods
KW - Respiratory Distress Syndrome/diagnosis
KW - SARS-CoV-2/isolation & purification
KW - Treatment Outcome
KW - Transmission
KW - COVID-19
KW - SARS-CoV-2
KW - Perinatal care
KW - ARDS
UR - http://www.scopus.com/inward/record.url?scp=85113520489&partnerID=8YFLogxK
U2 - 10.1186/s12884-021-04059-y
DO - 10.1186/s12884-021-04059-y
M3 - Case report
C2 - 34445988
SN - 1471-2393
VL - 21
SP - 587
JO - BMC Pregnancy and Childbirth
JF - BMC Pregnancy and Childbirth
IS - 1
M1 - 587
ER -