Timing of delivery with COVID-19 pneumonia requiring intensive care unit admission

Approximately 4% of pregnant patients with COVID-19 infection require intensive care unit admission. Given the practical implications of advanced ventilatory and circulatory support techniques, urgent or emergent delivery for non-reassuring fetal status frequently represents a logistical impossibili...

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Bibliographic Details
Published in:American journal of obstetrics & gynecology MFM 2021-04, p.100373
Main Authors: Rose, Carl H, Wyatt, Michelle A, Narang, Kavita, Lorenz, Kathleen E, Szymanski, Linda M, Vaught, Arthur J
Format: Article
Language:English
Online Access:Get full text
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Summary:Approximately 4% of pregnant patients with COVID-19 infection require intensive care unit admission. Given the practical implications of advanced ventilatory and circulatory support techniques, urgent or emergent delivery for non-reassuring fetal status frequently represents a logistical impossibility. This manuscript proposes a protocol for obstetrical management of patients in these situations, emphasizing coordinated preparation between obstetric, anesthesiology, and intensivist teams, with planned preterm delivery at gestational ages when neonatal outcomes are likely to be favorable.
ISSN:2589-9333