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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
1   Department of Gynecology and Obstetrics, Vivantes Klinikum im Friedrichshain, Berlin, Germany
,
Daniel Zickler
2   Department of Nephrology and Medical Intensive Care, Charité Medical Faculty Berlin, Berlin, Germany
,
Melanie Metz
1   Department of Gynecology and Obstetrics, Vivantes Klinikum im Friedrichshain, Berlin, Germany
,
Anja Jebens
1   Department of Gynecology and Obstetrics, Vivantes Klinikum im Friedrichshain, Berlin, Germany
,
Ute Jarchau
1   Department of Gynecology and Obstetrics, Vivantes Klinikum im Friedrichshain, Berlin, Germany
,
Julia Fischer
1   Department of Gynecology and Obstetrics, Vivantes Klinikum im Friedrichshain, Berlin, Germany
,
Viktor Kimmel
3   Department of Angiology and Pulmonology, Vivantes Klinikum im Friedrichshain, Berlin, Germany
,
Eric Prueter
4   Department of Neonatology, Vivantes Klinikum im Friedrichshain, Berlin, Germany
,
Lars Hellmeyer
1   Department of Gynecology and Obstetrics, Vivantes Klinikum im Friedrichshain, Berlin, Germany
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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


Publication History

Received: 18 August 2020

Accepted after revision: 31 December 2020

Article published online:
19 April 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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