Year: 2020
Type: Article
Title: Post Partum Death in a Patient Diagnosed With COVID-19
Author: Sivevski, Atanas
Author: Karadzova, Dafina
Author: Davcheva, Natasha
Author: Aleksioska Papestiev, Irena
Author: Kadriu, Romir
Author: Velickovic, Ivan
Author: Markovic, Ivana
Author: Pejcic, Nada
Author: Baysinger, Curtis L
Abstract: Background: There are few case reports describing maternal mortality and intensive care of the pregnant patient with COVID-19 infection. Case: A 27-year-old patient at 34 weeks of gestation was admitted for the evaluation of cough, fever, tachypnea, and oligohydramnios. The day of admission she underwent cesarean delivery for a non-reassuring fetal heart rate tracing. Over the next 6 days her clinical condition deteriorated, she developed multi organ system failure, and died despite aggressive supportive care. Conclusion: Although mortality related to COVID-19 in pregnancy has been rarely reported to date, we describe a case of progressive clinical deterioration postpartum despite aggressive supportive care. Management strategies specific for pregnant women have not been developed. In timing delivery, the obstetrician must consider the possibility that the inflammatory response associated with CD may increase the risk for multiorgan system failure in parturients with COVID-19 while recognizing that risks to the fetus may be higher in patients with COVID-19 than in other critically ill parturients. Vertical transmission of infection to the neonate did not occur in our case and has not been demonstrated in other pregnancies with COVID-19 disease.
Publisher: Frontiers Media SA
Relation: Frontiers in Global Women's Health
Identifier: oai:repository.ukim.mk:20.500.12188/29341
Identifier: http://hdl.handle.net/20.500.12188/29341Identifier: 10.3389/fgwh.2020.567810
Identifier: https://www.frontiersin.org/article/10.3389/fgwh.2020.567810/fullIdentifier: 1
