Emergency cesarean section in an epidemic of the middle east respiratory syndrome: a case report

Park, Mi Hye; Kim, Hee Ryun; Choi, Duck Hwan; Sung, Ji Hee; Kim, Jong Hwa

Placental abruption occurred in our case, which is one of most commonly encountered uteroplacental bleeding disorders with high rates of perinatal-maternal morbidity and mortality. Several reports have indicated that maternal acute and chronic respiratory diseases during pregnancy are associated with placental abruption [15] . Acute and chronic respiratory conditions may trigger an inflammatory and hypoxic process at the mater-nal-fetal interface that may lead to placental abruption. However, placental abruption occurs in only about 1% of pregnancies [15] . Only two case reports are available on pregnant women with MERS who delivered a baby. A woman in Abu Dhabi died after giving birth to a baby by C-sec, and the other case was associated with a stillbirth in Jordan [4] . Thus, we were not convinced that the placental abruption was related with MERS. Our patient was complicated by a history of premature labor, gestational diabetes, and advanced maternal age. However, the pregnancy had a favorable outcome for the mother and baby. The reasons for the good outcome are unclear but may be due to the late stage of gestation and earlier detection of MERS. Long-term follow-ups of infants and mothers are needed to fully define the pregnancyrelated risks of MERS infection.