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Multiprofessional perinatal care in a pregnant patient with acute respiratory distress syndrome due to COVID-19.
Palmrich, Pilar; Roessler, Bernhard; Wisgrill, Lukas; Kampf, Stephanie; Gattinger, Pia; Valenta, Rudolf; Fleischmann, Edith; Berger, Angelika; Kiss, Herbert; Farr, Alex.
Affiliation
  • Palmrich P; Department of Obstetrics and Gynecology, Division of Obstetrics and Feto-Maternal Medicine, Comprehensive Center for Pediatrics, Medical University of Vienna, Waehringer Guertel 18-20, A-1090, Vienna, Austria.
  • Roessler B; Medical Simulation and Emergency Management Research Group, Department of Anesthesia, Intensive Care Medicine and Pain Medicine, Medical University of Vienna, Vienna, Austria.
  • Wisgrill L; Department of Pediatrics and Adolescent Medicine, Division of Neonatology, Intensive Care Medicine and Neuropediatrics, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria.
  • Kampf S; Department of Surgery, Division of General Surgery, Medical University of Vienna, Vienna, Austria.
  • Gattinger P; Department of Pathophysiology and Allergy Research, Division of Immunopathology, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.
  • Valenta R; Department of Pathophysiology and Allergy Research, Division of Immunopathology, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.
  • Fleischmann E; NRC Institute of Immunology FMBA of Russia, Moscow, Russia.
  • Berger A; Laboratory for Immunopathology, Department of Clinical Immunology and Allergy, Sechenov First Moscow State Medical University, Moscow, Russia.
  • Kiss H; Karl Landsteiner University of Health Sciences, Krems, Austria.
  • Farr A; Medical Simulation and Emergency Management Research Group, Department of Anesthesia, Intensive Care Medicine and Pain Medicine, Medical University of Vienna, Vienna, Austria.
BMC Pregnancy Childbirth ; 21(1): 587, 2021 Aug 26.
Article in En | MEDLINE | ID: mdl-34445988
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.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Pneumonia, Viral / Pregnancy Complications, Infectious / Respiratory Distress Syndrome / Cesarean Section / Premature Birth / SARS-CoV-2 / COVID-19 Type of study: Diagnostic_studies / Etiology_studies Limits: Adult / Female / Humans / Pregnancy Language: En Journal: BMC Pregnancy Childbirth Journal subject: OBSTETRICIA Year: 2021 Document type: Article Affiliation country: Country of publication:

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Pneumonia, Viral / Pregnancy Complications, Infectious / Respiratory Distress Syndrome / Cesarean Section / Premature Birth / SARS-CoV-2 / COVID-19 Type of study: Diagnostic_studies / Etiology_studies Limits: Adult / Female / Humans / Pregnancy Language: En Journal: BMC Pregnancy Childbirth Journal subject: OBSTETRICIA Year: 2021 Document type: Article Affiliation country: Country of publication: