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

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 i...

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Main Authors: Jenna S. Silverstein, Meghana A. Limaye, Sara G. Brubaker, Ashley S. Roman, Judita Bautista, Judith Chervenak, Adam J. Ratner, Philip M. Sommer, Nicole M. Roselli, Charlisa D. Gibson, David Ellenberg, Christina A. Penfield
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2020-04-01
Series:American Journal of Perinatology Reports
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1712925
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author Jenna S. Silverstein
Meghana A. Limaye
Sara G. Brubaker
Ashley S. Roman
Judita Bautista
Judith Chervenak
Adam J. Ratner
Philip M. Sommer
Nicole M. Roselli
Charlisa D. Gibson
David Ellenberg
Christina A. Penfield
author_facet Jenna S. Silverstein
Meghana A. Limaye
Sara G. Brubaker
Ashley S. Roman
Judita Bautista
Judith Chervenak
Adam J. Ratner
Philip M. Sommer
Nicole M. Roselli
Charlisa D. Gibson
David Ellenberg
Christina A. Penfield
author_sort Jenna S. Silverstein
collection DOAJ
description 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.
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spelling doaj.art-57a8e47e2ee040898e2cc73db4c0afef2022-12-22T01:46:19ZengThieme Medical Publishers, Inc.American Journal of Perinatology Reports2157-69982157-70052020-04-011002e169e17510.1055/s-0040-1712925Acute Respiratory Decompensation Requiring Intubation in Pregnant Women with SARS-CoV-2 (COVID-19)Jenna S. Silverstein0Meghana A. Limaye1Sara G. Brubaker2Ashley S. Roman3Judita Bautista4Judith Chervenak5Adam J. Ratner6Philip M. Sommer7Nicole M. Roselli8Charlisa D. Gibson9David Ellenberg10Christina A. Penfield11Department of Obstetrics and Gynecology, New York University Langone Medical Center, New York, New YorkDivision of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, New York University Langone Medical Center, New York, New YorkDivision of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, New York University Langone Medical Center, New York, New YorkDivision of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, New York University Langone Medical Center, New York, New YorkDepartment of Obstetrics and Gynecology, New York University Langone Medical Center, New York, New YorkDivision of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, New York University Langone Medical Center, New York, New YorkDivision of Pediatric Infectious Diseases, Department of Pediatrics, Hassenfeld Children's Hospital at New York University Langone Medical Center, New York, New YorkDepartment of Anesthesiology and Critical Care Medicine, New York University Langone Medical Center, New York, New YorkDepartment of Obstetrics and Gynecology, New York University Langone Medical Center, New York, New YorkDivision of Pulmonary and Critical Care, Department of Internal Medicine, New York University Langone Medical Center, New York, New YorkDivision of Pulmonary and Critical Care, Department of Internal Medicine, New York University Langone Medical Center, New York, New YorkDivision of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, New York University Langone Medical Center, New York, New YorkThere 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.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1712925covid-19critical illnessintubationpregnancysars-cov-2
spellingShingle Jenna S. Silverstein
Meghana A. Limaye
Sara G. Brubaker
Ashley S. Roman
Judita Bautista
Judith Chervenak
Adam J. Ratner
Philip M. Sommer
Nicole M. Roselli
Charlisa D. Gibson
David Ellenberg
Christina A. Penfield
Acute Respiratory Decompensation Requiring Intubation in Pregnant Women with SARS-CoV-2 (COVID-19)
American Journal of Perinatology Reports
covid-19
critical illness
intubation
pregnancy
sars-cov-2
title Acute Respiratory Decompensation Requiring Intubation in Pregnant Women with SARS-CoV-2 (COVID-19)
title_full Acute Respiratory Decompensation Requiring Intubation in Pregnant Women with SARS-CoV-2 (COVID-19)
title_fullStr Acute Respiratory Decompensation Requiring Intubation in Pregnant Women with SARS-CoV-2 (COVID-19)
title_full_unstemmed Acute Respiratory Decompensation Requiring Intubation in Pregnant Women with SARS-CoV-2 (COVID-19)
title_short Acute Respiratory Decompensation Requiring Intubation in Pregnant Women with SARS-CoV-2 (COVID-19)
title_sort acute respiratory decompensation requiring intubation in pregnant women with sars cov 2 covid 19
topic covid-19
critical illness
intubation
pregnancy
sars-cov-2
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1712925
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