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Medical Science Monitor Basic Research


Successful Maternal and Fetal Outcomes in COVID-19 Pregnant Women: An Institutional Approach

Management of emergency care

Steven Douedi, Asseel Albayati, Nasam Alfraji, Usman Mazahir, Eric Costanzo

USA Department of Internal Medicine, Jersey Shore University Medical Center, Neptune, NJ, USA

Am J Case Rep 2020; 21:e925513

DOI: 10.12659/AJCR.925513

Available online: 2020-06-23

Published: 2020-07-27

BACKGROUND: Novel Coronavirus 2019 (COVID-19) has been defined as a pandemic infecting millions of individuals with a significantly high mortality and morbidity rate. Treatment and management for pregnant patients infected with COVID-19 has been poorly described in the literature. Furthermore, vertical transmission of COVID-19 to the fetus has been poorly described. The purpose of this case series is to present 3 patients in their trimester who underwent emergent cesarean sections and were successfully managed in the intensive care unit.
CASE REPORT: We present the cases of 3 patients diagnosed with COVID-19 via RT-PCR in their third trimester of pregnancy. All patients underwent emergent cesarean sections and were managed on mechanical ventilation in the intensive care unit and eventually discharged in stable condition.
CONCLUSIONS: Early cesarean section and aggressive management with mechanical ventilation has been shown to be very beneficial for mothers diagnosed with COVID-19 and their infants. All 3 patients were successfully extubated, and all 3 infants tested negative for COVID-19, suggesting no vertical transmission; although, further studies are needed to confirm this finding.

Keywords: Cesarean Section, Disease Transmission, Infectious, Pregnancy