Two cases of severe COVID-19 in gestational week 27 and 28 respectively, after which both pregnancies proceeded to term.
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Östling H, Ugarph-Edfeldt M, Hildén K
Int J Obstet Anesth 48 (-) 103212 [2021-08-18; online 2021-08-18]
COVID-19 in pregnancy increases the risk of caesarean section. We present two cases of late gestation pregnant women with severe COVID-19. Both were successfully treated with mechanical ventilation without termination of pregnancy and, following recovery from COVID-19, had vaginal deliveries at term. These two cases demonstrate the possibility of treating pregnant women with severe COVID-19 with mechanical ventilation in the late second and early third trimesters without them having a pre-term delivery. With a multidisciplinary approach, such management could avoid the maternal risks of surgery during a severe infection and, at the same time, enable term birth with a lower risk of neonatal complications.
PubMed 34500190
DOI 10.1016/j.ijoa.2021.103212
Crossref 10.1016/j.ijoa.2021.103212
pii: S0959-289X(21)00270-3
pmc: PMC8372455