Successful management of a pregnant woman with COVID-19 and multiple severe complications.
BMJ Case Rep
; 14(9)2021 Sep 16.
Article
in English
| MEDLINE | ID: covidwho-1416639
ABSTRACT
We report a case of a 36-year-old gravida 2 para 1 woman at 38 weeks of gestation. A caesarean section was performed for severe pre-eclampsia, intrauterine growth restriction and oligohydramnios. The patient suffered postoperative bleeding, and exploratory laparotomy was performed. Uterine atonia, Couvelaire uterus and left adnexal haematoma were found, requiring a supracervical hysterectomy. As COVID-19 pneumonia and superimposed bacterial infection developed, the patient was mechanically ventilated in the intensive care unit. Remdesivir and meropenem were initially administered, but were changed to levofloxacin and ciprofloxacin following antibiotic sensitivity tests. Blood culture grew Enterococcus galinarum Meanwhile, bleeding of the incisional wound occurred, which was controlled by the cessation of heparin therapy and regular wound care. With intensive monitoring and multidisciplinary management, the patient's condition improved, and she was discharged from the hospital on day 25 from admission.
Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Cesarean Section
/
COVID-19
Type of study:
Case report
/
Experimental Studies
Limits:
Adult
/
Female
/
Humans
/
Pregnancy
Language:
English
Year:
2021
Document Type:
Article
Affiliation country:
Bcr-2021-243594
Similar
MEDLINE
...
LILACS
LIS