Maternal-Neonatal Dyad Outcomes of Maternal COVID-19 Requiring Extracorporeal Membrane Support: A Case Series

Autor: Annabelle de St Maurice, Katie M. Strobel, Rashmi Rao, Andrew Young, K. Marie Douglass, Alison Chu, Lydia Lee, Yalda Afshar, Peyman Benharash, Thalia Mok, Viviana M. Fajardo, Michael Richley
Jazyk: angličtina
Rok vydání: 2020
Předmět:
ARDS
Infectious Disease Transmission
medicine.medical_treatment
Reproductive health and childbirth
030204 cardiovascular system & hematology
Low Birth Weight and Health of the Newborn
0302 clinical medicine
Pregnancy
Obstetrics and Gynaecology
Infant Mortality
Vertical
Medicine
030212 general & internal medicine
Pregnancy Complications
Infectious
Lung
Pediatric
Respiratory Distress Syndrome
Respiration
Infectious
Pregnancy Outcome
Obstetrics and Gynecology
surgical procedures
operative
Treatment Outcome
Artificial
Original Article
Female
Risk Adjustment
Adult
medicine.medical_specialty
Critical Care
Clinical Sciences
Extracorporeal
7.3 Management and decision making
Paediatrics and Reproductive Medicine
03 medical and health sciences
Rare Diseases
Extracorporeal Membrane Oxygenation
Preterm
Intensive care
severe acute respiratory syndrome-coronavirus-2
Extracorporeal membrane oxygenation
Coagulopathy
Humans
Pediatrics
Perinatology
and Child Health
Conditions Affecting the Embryonic and Fetal Periods
Obesity
Obstetrics & Reproductive Medicine
Intensive care medicine
Fetus
business.industry
Cesarean Section
SARS-CoV-2
Infant
Newborn
Infant
COVID-19
Perinatal Period - Conditions Originating in Perinatal Period
extracorporeal membrane oxygenation
Newborn
medicine.disease
Respiration
Artificial
Infectious Disease Transmission
Vertical
COVID-19 Drug Treatment
Pregnancy Complications
Good Health and Well Being
Pediatrics
Perinatology and Child Health
Management of diseases and conditions
business
Postpartum period
Zdroj: American Journal of Perinatology
American journal of perinatology, vol 38, iss 1
ISSN: 1098-8785
0735-1631
Popis: Objective This study aimed to describe two cases of acute respiratory distress syndrome (ARDS) secondary to novel coronavirus disease 2019 (COVID-19) in pregnant women requiring extracorporeal membrane oxygenation (ECMO), and resulting in premature delivery. Study Design The clinical course of two women hospitalized with ARDS due to COVID-19 care in our intensive care (ICU) is summarized; both participants provided consent to be included in this case series. Results Both women recovered with no clinical sequelae. Neonatal outcomes were within the realm of expected for prematurity with the exception of coagulopathy. There was no vertical transmission to the neonates. Conclusion This case series highlights that ECMO is a feasible treatment in the pregnant woman with severe COVID-19 and that delivery can be performed safely on ECMO with no additional risk to the fetus. While ECMO carries its natural risks, it should be considered a viable option during pregnancy and the postpartum period. Key Points COVID-19 may present with a more severe course in pregnancy. ECMO may be used in pregnant woman with severe COVID-19. Delivery can be performed on ECMO without added fetal risk.
Databáze: OpenAIRE
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