Putting It All Together: Clinical Considerations in the Care of Critically Ill Obstetric Patients with COVID-19.

Abstract:

:Pregnant patients with severe acute respiratory syndrome coronavirus 2, the virus responsible for the clinical condition newly described in 2019 as coronavirus disease 2019 (COVID-19) and illness severity to warrant intensive care have a complex disease process that must involve multiple disciplines. Guidelines from various clinical societies, along with direction from local health authorities, must be considered when approaching the care of an obstetric patient with known or suspected COVID-19. With a rapidly changing landscape, a simplified and cohesive perspective using guidance from different clinical society recommendations regarding the critically-ill obstetric patient with COVID-19 is needed. In this article, we synthesize various high-level guidelines of clinical relevance in the management of pregnant patients with severe disease or critical illness due to COVID-19. KEY POINTS: · When caring for severely ill obstetric patients with COVID-19, one must be well versed in the complications that may need to be managed including, but not limited to adult respiratory distress syndrome with need for mechanical ventilation, approach to refractory hypoxemia, hemodynamic shock, and multiorgan system failure.. · Prone positioning can be done safely in gravid patients but requires key areas of support to avoid abdominal compression.. · For the critically ill obstetric patient with COVID-19, the focus should be on supportive care as a bridge to recovery rather than delivery as a solution to recovery..

journal_name

Am J Perinatol

authors

Oxford-Horrey C,Savage M,Prabhu M,Abramovitz S,Griffin K,LaFond E,Riley L,Easter SR

doi

10.1055/s-0040-1713121

subject

Has Abstract

pub_date

2020-08-01 00:00:00

pages

1044-1051

issue

10

eissn

0735-1631

issn

1098-8785

journal_volume

37

pub_type

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