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.
- Cesarean Section/methods
- Fetal Monitoring/methods
- Gestational Age
- Obesity, Morbid/diagnosis
- Patient Care Team/organization & administration
- Perinatal Care/methods
- Pneumonia, Viral/diagnostic imaging
- Pregnancy Complications, Infectious/diagnosis
- Pregnancy Outcome
- Premature Birth/etiology
- Respiration, Artificial/methods
- Respiratory Distress Syndrome/diagnosis
- SARS-CoV-2/isolation & purification
- Treatment Outcome
- Perinatal care
ASJC Scopus subject areas
- Obstetrics and Gynecology