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Am J Obstet Gynecol MFM ; 3(4): 100373, 2021 07.
Article in English | MEDLINE | ID: covidwho-1525658


Approximately 4% of pregnant patients with coronavirus disease 2019 require intensive care unit admission. Given the practical implications of advanced ventilatory and circulatory support techniques, urgent or emergent delivery for nonreassuring fetal status frequently presents a logistical impossibility. This article proposes a protocol for obstetrical management of patients in these situations, emphasizing coordinated preparation among obstetrical, anesthesiology, and intensivist teams for planned preterm delivery at gestational ages when neonatal outcomes are likely to be favorable.

COVID-19 , Premature Birth , Female , Gestational Age , Humans , Infant, Newborn , Intensive Care Units , Pregnancy , SARS-CoV-2
Obstet Gynecol ; 137(3): 431-433, 2021 03 01.
Article in English | MEDLINE | ID: covidwho-1135905


BACKGROUND: Pregnant women with coronavirus disease 2019 (COVID-19) infection are at risk for a variety of COVID-19 complications. CASE: We report a case of acute pancreatitis in a pregnant patient hospitalized for COVID-19 pneumonia. Comprehensive evaluation ruled out other etiologies of acute pancreatitis. Preterm labor developed at 33 5/7 weeks of gestation, and the patient delivered a liveborn male neonate; neonatal severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) screening was negative. The patient improved significantly postpartum and was discharged home on postpartum day 3. CONCLUSION: Coronavirus disease 2019 may present in pregnancy with a myriad of clinical symptoms other than respiratory. Acute pancreatitis represents an infrequent complication of primary COVID-19 infection.

COVID-19/diagnosis , Pancreatitis/etiology , Pregnancy Complications, Infectious/diagnosis , COVID-19/therapy , COVID-19 Testing , Female , Gestational Age , Humans , Infant, Newborn , Male , Pancreatitis/therapy , Pregnancy , Pregnancy Complications, Infectious/therapy , Pregnancy Outcome , Premature Birth , SARS-CoV-2 , Young Adult