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

Research output: Journal article (peer-reviewed)Case study

5 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 languageEnglish
Article number587
Pages (from-to)587
JournalBMC Pregnancy and Childbirth
Volume21
Issue number1
DOIs
Publication statusPublished - 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

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