Successful Maternal and Fetal Outcomes in COVID-19 Pregnant Women: An Institutional Approach.

Content Provider	Europe PMC
Author	Douedi, Steven Albayati, Asseel Alfraji, Nasam Mazahir, Usman Costanzo, Eric
Copyright Year	2020
Abstract	Case seriesPatients: Female, 26-year-old • Female, 27-year-old • Female, 19-year-oldFinal Diagnosis: Acute Respiratory Distress Syndrome (ARDS) • COVID-19Symptoms: Fever • hypoxia • shortness of breathMedication: —Clinical Procedure: Cesarian section • mechanical ventilationSpecialty: Critical Care Medicine • Infectious Diseases • Medicine, General and Internal • Obstetrics and GynecologyObjective:Management of emergency careBackground:Novel Coronavirus 2019 (COVID-19) has been defined as a pandemic infecting millions of individuals with a significantly high mortality and morbidity rate. Treatment and management for pregnant patients infected with COVID-19 has been poorly described in the literature. Furthermore, vertical transmission of COVID-19 to the fetus has been poorly described. The purpose of this case series is to present 3 patients in their trimester who underwent emergent cesarean sections and were successfully managed in the intensive care unit.Case Reports:We present the cases of 3 patients diagnosed with COVID-19 via RT-PCR in their third trimester of pregnancy. All patients underwent emergent cesarean sections and were managed on mechanical ventilation in the intensive care unit and eventually discharged in stable condition.Conclusions:Early cesarean section and aggressive management with mechanical ventilation has been shown to be very beneficial for mothers diagnosed with COVID-19 and their infants. All 3 patients were successfully extubated, and all 3 infants tested negative for COVID-19, suggesting no vertical transmission; although, further studies are needed to confirm this finding.
Volume Number	21
PubMed Central reference number	PMC7414836
PubMed reference number	32716009
Journal	The American Journal of Case Reports [Am J Case Rep]
e-ISSN	19415923
DOI	10.12659/AJCR.925513
Language	English
Publisher	International Scientific Literature, Inc.
Publisher Date	2020-07-27
Access Restriction	Open
Rights License	This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) © Am J Case Rep, 2020
Subject Keyword	Cesarean Section Coronavirus COVID-19 Disease Transmission, Infectious Pregnancy
Content Type	Text
Resource Type	Article
Subject	Medicine