Multiprofessional perinatal care in a pregnant patient with acute respiratory distress syndrome due to COVID-19

Pilar Palmrich; Bernhard Roessler; Lukas Wisgrill; Stephanie Kampf; Pia Gattinger; Rudolf Valenta; Edith Fleischmann; Angelika Berger; Herbert Kiss; Alex Farr

doi:10.1186/s12884-021-04059-y

Multiprofessional perinatal care in a pregnant patient with acute respiratory distress syndrome due to COVID-19

Pilar Palmrich, Bernhard Roessler, Lukas Wisgrill, Stephanie Kampf, Pia Gattinger, Rudolf Valenta, Edith Fleischmann, Angelika Berger, Herbert Kiss, Alex Farr

Scientific Working Group Allergology and Immunology

Research output: Journal article (peer-reviewed) › Case report

6 Citations (Scopus)

Abstract

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.

Original language	English
Article number	587
Pages (from-to)	587
Journal	BMC Pregnancy and Childbirth
Volume	21
Issue number	1
DOIs	https://doi.org/10.1186/s12884-021-04059-y
Publication status	Published - Dec 2021

Keywords

Adult
COVID-19/complications
Cesarean Section/methods
Female
Fetal Monitoring/methods
Gestational Age
Humans
Obesity, Morbid/diagnosis
Patient Care Team/organization & administration
Perinatal Care/methods
Pneumonia, Viral/diagnostic imaging
Pregnancy
Pregnancy Complications, Infectious/diagnosis
Pregnancy Outcome
Premature Birth/etiology
Respiration, Artificial/methods
Respiratory Distress Syndrome/diagnosis
SARS-CoV-2/isolation & purification
Treatment Outcome
Transmission
COVID-19
SARS-CoV-2
Perinatal care
ARDS

ASJC Scopus subject areas

Obstetrics and Gynecology

Access to Document

10.1186/s12884-021-04059-y

Cite this

@article{8de6a35f4307470cbf371b3e1869f8b5,

title = "Multiprofessional perinatal care in a pregnant patient with acute respiratory distress syndrome due to COVID-19",

abstract = "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{\textregistered} 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.",

keywords = "Adult, COVID-19/complications, Cesarean Section/methods, Female, Fetal Monitoring/methods, Gestational Age, Humans, Obesity, Morbid/diagnosis, Patient Care Team/organization & administration, Perinatal Care/methods, Pneumonia, Viral/diagnostic imaging, Pregnancy, Pregnancy Complications, Infectious/diagnosis, Pregnancy Outcome, Premature Birth/etiology, Respiration, Artificial/methods, Respiratory Distress Syndrome/diagnosis, SARS-CoV-2/isolation & purification, Treatment Outcome, Transmission, COVID-19, SARS-CoV-2, Perinatal care, ARDS",

author = "Pilar Palmrich and Bernhard Roessler and Lukas Wisgrill and Stephanie Kampf and Pia Gattinger and Rudolf Valenta and Edith Fleischmann and Angelika Berger and Herbert Kiss and Alex Farr",

note = "Funding Information: The authors thank Heinrich Husslein, Thomas Laml, Mohammad Ahmadi, Katarzyna Niespodziana, and Thomas Schlederer for their clinical and scientific support. Publisher Copyright: {\textcopyright} 2021, The Author(s).",

year = "2021",

month = dec,

doi = "10.1186/s12884-021-04059-y",

language = "English",

volume = "21",

pages = "587",

journal = "BMC Pregnancy and Childbirth",

issn = "1471-2393",

publisher = "BioMed Central Ltd.",

number = "1",

}

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 -

Multiprofessional perinatal care in a pregnant patient with acute respiratory distress syndrome due to COVID-19

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this