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

Douedi, Steven; Albayati, Asseel; Alfraji, Nasam; Mazahir, Usman; Costanzo, Eric

Case series Patients: Female, 26-year-old • Female, 27-year-old • Female, 19-year-old Final Diagnosis: Acute Respiratory Distress Syndrome (ARDS) • COVID-19 Symptoms: Fever • hypoxia • shortness of breath Medication: — Clinical Procedure: Cesarian section • mechanical ventilation Specialty: Critical Care Medicine • Infectious Diseases • Medicine, General and Internal • Obstetrics and Gynecology OBJECTIVE: Management of emergency care BACKGROUND: 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.