Peripartum Covid-19 Pneumonia with Severe ARDS – A Case Report

Josefine Theresia Maier; Daniel Zickler; Melanie Metz; Anja Jebens; Ute Jarchau; Julia Fischer; Viktor Kimmel; Eric Prueter; Lars Hellmeyer

doi:10.1055/a-1365-9262

Zeitschrift für Geburtshilfe und Neonatologie, Table of Contents

Z Geburtshilfe Neonatol 2021; 225(02): 183-187
DOI: 10.1055/a-1365-9262

Case Report

Peripartum Covid-19 Pneumonia with Severe ARDS – A Case Report

Josefine Theresia Maier

¹Department of Gynecology and Obstetrics, Vivantes Klinikum im Friedrichshain, Berlin, Germany

,

Daniel Zickler

²Department of Nephrology and Medical Intensive Care, Charité Medical Faculty Berlin, Berlin, Germany

,

Melanie Metz

¹Department of Gynecology and Obstetrics, Vivantes Klinikum im Friedrichshain, Berlin, Germany

,

Anja Jebens

¹Department of Gynecology and Obstetrics, Vivantes Klinikum im Friedrichshain, Berlin, Germany

,

Ute Jarchau

¹Department of Gynecology and Obstetrics, Vivantes Klinikum im Friedrichshain, Berlin, Germany

,

Julia Fischer

¹Department of Gynecology and Obstetrics, Vivantes Klinikum im Friedrichshain, Berlin, Germany

,

Viktor Kimmel

³Department of Angiology and Pulmonology, Vivantes Klinikum im Friedrichshain, Berlin, Germany

,

Eric Prueter

⁴Department of Neonatology, Vivantes Klinikum im Friedrichshain, Berlin, Germany

,

Lars Hellmeyer

¹Department of Gynecology and Obstetrics, Vivantes Klinikum im Friedrichshain, Berlin, Germany

› Author Affiliations

Abstract

Introduction SARS-CoV-2 is a novel coronavirus that was first isolated in Wuhan, China, and resulted in a rapidly spreading pandemic worldwide. Currently there is only limited evidence on the effect of COVID-19 on pregnant women.

Case Here we present one of the first serious COVID-19 cases in pregnancy at term with subsequent delivery. Postpartum the mother required antibiotic and symptomatic treatment. She experienced acute worsening of symptoms and developed acute respiratory failure requiring endotracheal intubation and subsequently extracorporeal membrane oxygenation.

Conclusion COVID-19 affects all medical disciplines, requiring interdisciplinary approaches and development of patient care regimes. Obstetricians should be aware and be prepared for the special needs of pregnant women with potential prenatal and postnatal issues. Ideally pregnant COVID-19 patients should be cared for at a tertiary perinatal center with experienced perinatologists and neonatologists.

Key words

COVID-19 - SARS-CoV-2 - peripartum COVID-19 - ECMO - ARDS - pregnancy COVID-19

Full Text

References

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