CC BY-NC-ND 4.0 · AJP Rep 2020; 10(02): e169-e175
DOI: 10.1055/s-0040-1712925
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

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

Jenna S. Silverstein
1  Department of Obstetrics and Gynecology, New York University Langone Medical Center, New York, New York
2  Department of Obstetrics and Gynecology, Bellevue Hospital Center, New York, New York
,
Meghana A. Limaye
3  Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, New York University Langone Medical Center, New York, New York
4  Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Bellevue Hospital Center, New York, New York
,
Sara G. Brubaker
3  Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, New York University Langone Medical Center, New York, New York
4  Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Bellevue Hospital Center, New York, New York
,
Ashley S. Roman
3  Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, New York University Langone Medical Center, New York, New York
,
Judita Bautista
1  Department of Obstetrics and Gynecology, New York University Langone Medical Center, New York, New York
2  Department of Obstetrics and Gynecology, Bellevue Hospital Center, New York, New York
,
Judith Chervenak
3  Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, New York University Langone Medical Center, New York, New York
4  Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Bellevue Hospital Center, New York, New York
,
Adam J. Ratner
5  Division of Pediatric Infectious Diseases, Department of Pediatrics, Hassenfeld Children's Hospital at New York University Langone Medical Center, New York, New York
,
Philip M. Sommer
6  Department of Anesthesiology and Critical Care Medicine, New York University Langone Medical Center, New York, New York
,
Nicole M. Roselli
1  Department of Obstetrics and Gynecology, New York University Langone Medical Center, New York, New York
2  Department of Obstetrics and Gynecology, Bellevue Hospital Center, New York, New York
,
Charlisa D. Gibson
7  Division of Pulmonary and Critical Care, Department of Internal Medicine, New York University Langone Medical Center, New York, New York
,
David Ellenberg
7  Division of Pulmonary and Critical Care, Department of Internal Medicine, New York University Langone Medical Center, New York, New York
,
Christina A. Penfield
3  Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, New York University Langone Medical Center, New York, New York
4  Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Bellevue Hospital Center, New York, New York
› Author Affiliations
Funding No financial support was received for this case report. IRB exemption status was received for this report.
Further Information

Publication History

27 April 2020

30 April 2020

Publication Date:
04 June 2020 (online)

  

Abstract

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.