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

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

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Obstetric and intensive-care strategies in a high-risk pregnancy with critical respiratory failure due to COVID-19: A case report
Creator	Bjurström, Martin Hamer, Maria Hansson, Stefan Herbst, Andreas Kolkova, Zuzana Länsberg, John-Kalle Svedas, Eimantas Zaigham, Mehreen
Source	Elsevier; Medline; PMC
abstract	BACKGROUND: With the disease burden increasing daily, there is a lack of evidence regarding the impact of COVID-19 in pregnancy. Healthy pregnant women are still not regarded as a susceptible group despite physiological changes that make pregnant women more vulnerable to severe infection. However, high-risk pregnancies may be associated with severe COVID-19 disease with respiratory failure, as outlined in this report. We discuss the importance of timely delivery and antenatal steroid administration in a critically ill patient. CASE: A 27-year-old pregnant woman (gravida 2, para 1) with type I diabetes, morbid obesity, hypothyroidism and a previous Caesarean section presented with critical respiratory failure secondary to COVID-19 at 32 weeks of gestation. A preterm emergency Caesarean section was performed, after steroid treatment for foetal lung maturation. The patient benefited from prone positioning; however, transient acute renal injury, rhabdomyolysis and sepsis led to prolonged intensive care and mechanical ventilation for 30 days. The baby had an uncomplicated recovery. CONCLUSION: COVID-19 infection in high-risk pregnancies may result in severe maternal and neonatal outcomes such as critical respiratory failure requiring mechanical ventilation and premature termination of the pregnancy. Antenatal steroids may be of benefit for foetal lung maturation but should not delay delivery in severe cases.
has issue date	2020-07-08(xsd:dateTime)
bibo:doi	10.1016/j.crwh.2020.e00240
bibo:pmid	32714844
has license	no-cc
sha1sum (hex)	9682b4b7220df7972795318e8bb1d1daeaad034a
schema:url	https://doi.org/10.1016/j.crwh.2020.e00240
resource representing a document's title	Obstetric and intensive-care strategies in a high-risk pregnancy with critical respiratory failure due to COVID-19: A case report
has PubMed Central identifier	PMC7340590
has PubMed identifier	32714844
schema:publication	Case Rep Womens Health
resource representing a document's body	covid:9682b4b7220df7972795318e8bb1d1daeaad034a#body_text
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