ABSTRACT
Background: SARS-CoV-2 can infect anyone, including pregnant women. Pregnant women with COVID-19 experienced fetal hypoxia and reduced amniotic fluid;therefore, a cesarean section was performed. This study aimed to report a case of fatality in pregnant women's G3P1A1 status with COVID-19 after a cesarean section. Case Report: The patient was a 33-year-old female 36-37 weeks pregnant with G3P1A1 status and infected with SARS-CoV-2. A cesarean section is performed to save the mother and fetus in cases of pregnancy complications. Due to fetal hypoxia and reduced amniotic fluid, a cesarean section was performed, thereby changing the patient status from G3P1A1 to P2A1. The baby survived, healthy and normal after the cesarean section, while the mother underwent COVID-19 treatment. However, the patient still experienced shortness of breath and acute respiratory distress syndrome. Unfortunately, she experienced more symptoms, including hematuria, respiratory failure, acute respiratory distress syndrome, and cardiac arrest on cardiopulmonary resuscitation, before her eventual death. Conclusion: The pregnant mother G3P1A1, successfully underwent a cesarean section, and the baby is healthy and normal. The pregnant woman's condition worsened during treatment for COVID-19, and she died.
ABSTRACT
Background: Until May 2020, Indonesia is still on COVID-19 emergency status. South Jakarta is part of the Special Capital Region of Jakarta that has applied large-scale social restrictions. The Indonesian government has extended Jakarta’s large-scale social restrictions to Friday, May 22nd, 2020 to curb the spread of the corona-virus that causes COVID-19. Case report: Patients with diabetic ketoacidosis and hypertension were infected with SARS-CoV-2. He had traveled from Saudi Arabia a week before and already has a fever. Arriving in Indonesia, the patient showed symptoms of worsening disease, experienced coughing, shortness of breath, and sore throat. The patient does not inject insulin due to loss of appetite. On March 30th, 2020, a laboratory examination showed high blood sugar levels (369 mg/ dL) followed by positive ketones bodies. On April 2nd, 2020, the patient was designated as a confirmed case of COVID-19 after a positive polymerase chain reaction test. The rapid diagnostic test also showed a positive IgM. Management of patient includes giving O2 through the non-rebreathing oxygen mask, infusion of sodium chloride, 20 IU Apidra®, 12 IU Lantus® injection, Oseltamivir orally, Levofloxacin, Paracetamol, Vitamin C, Candesartan, Concor. This therapy was continued until April 5th, 2020. On April 5th, the patient complained about a cold sensation all over his body. The patient died on the afternoon of April 6th, 2020 (8 days of hospitalization) due to sudden cardiac arrest and acute respiratory distress syndrome. Cardiopulmonary resuscitation was done with standardized protocol with no avail. Conclusion: Diabetic ketoacidosis and hypertension worsen the condition of COVID-19 patients. There are many unknown disease progression outcomes in these patients. © 2020, Sanglah General Hospital. All rights reserved.