Acute Respiratory Decompensation Requiring Intubation in Pregnant Women with SARS-CoV-2 (COVID-19).

COVID-19 SARS-CoV-2 critical illness intubation pregnancy

Journal

AJP reports
ISSN: 2157-6998
Titre abrégé: AJP Rep
Pays: United States
ID NLM: 101569862

Informations de publication

Date de publication:
Apr 2020
Historique:
received: 27 04 2020
accepted: 30 04 2020
entrez: 9 6 2020
pubmed: 9 6 2020
medline: 9 6 2020
Statut: ppublish

Résumé

There is a current paucity of information about the obstetric and perinatal outcomes of pregnant novel coronavirus disease 2019 (COVID-19) patients in North America. Data from China suggest that pregnant women with COVID-19 have favorable maternal and neonatal outcomes, with rare cases of critical illness or respiratory compromise. However, we report two cases of pregnant women diagnosed with COVID-19 in the late preterm period admitted to tertiary care hospitals in New York City for respiratory indications. After presenting with mild symptoms, both quickly developed worsening respiratory distress requiring intubation, and both delivered preterm via caesarean delivery. These cases highlight the potential for rapid respiratory decompensation in pregnant COVID-19 patients and the maternal-fetal considerations in managing these cases.

Identifiants

pubmed: 32509416
doi: 10.1055/s-0040-1712925
pii: 200047
pmc: PMC7272216
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e169-e175

Déclaration de conflit d'intérêts

Conflict of Interest None declared.

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Auteurs

Jenna S Silverstein (JS)

Department of Obstetrics and Gynecology, New York University Langone Medical Center, New York, New York.
Department of Obstetrics and Gynecology, Bellevue Hospital Center, New York, New York.

Meghana A Limaye (MA)

Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, New York University Langone Medical Center, New York, New York.
Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Bellevue Hospital Center, New York, New York.

Sara G Brubaker (SG)

Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, New York University Langone Medical Center, New York, New York.
Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Bellevue Hospital Center, New York, New York.

Ashley S Roman (AS)

Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, New York University Langone Medical Center, New York, New York.

Judita Bautista (J)

Department of Obstetrics and Gynecology, New York University Langone Medical Center, New York, New York.
Department of Obstetrics and Gynecology, Bellevue Hospital Center, New York, New York.

Judith Chervenak (J)

Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, New York University Langone Medical Center, New York, New York.
Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Bellevue Hospital Center, New York, New York.

Adam J Ratner (AJ)

Division of Pediatric Infectious Diseases, Department of Pediatrics, Hassenfeld Children's Hospital at New York University Langone Medical Center, New York, New York.

Philip M Sommer (PM)

Department of Anesthesiology and Critical Care Medicine, New York University Langone Medical Center, New York, New York.

Nicole M Roselli (NM)

Department of Obstetrics and Gynecology, New York University Langone Medical Center, New York, New York.
Department of Obstetrics and Gynecology, Bellevue Hospital Center, New York, New York.

Charlisa D Gibson (CD)

Division of Pulmonary and Critical Care, Department of Internal Medicine, New York University Langone Medical Center, New York, New York.

David Ellenberg (D)

Division of Pulmonary and Critical Care, Department of Internal Medicine, New York University Langone Medical Center, New York, New York.

Christina A Penfield (CA)

Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, New York University Langone Medical Center, New York, New York.
Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Bellevue Hospital Center, New York, New York.

Classifications MeSH