Outcomes of early delivery in pregnant patients with acute respiratory distress syndrome

Hung, CY; Hu, HC; Chang, CH; Huang, Cheng‐Hung; Kao, KC

doi:10.1186/cc10719

Cited by 4 publications

(2 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For pregnant ARDS patients, both fetal and maternal lifethreatening distress are a challenge for intensivists. This study suggests that early delivery combined with a lung-protective ventilation strategy may provide significantly better fetal and maternal outcomes [8]. Although mechanical ventilation alone should not be an indication for delivery, it is reasonable to consider delivery in the setting of worsening critical illness [9].…”

Section: Discussionmentioning

confidence: 99%

Pregnancy with COVID-19-related severe ARDS: A case report from rural critical care unit in India

Handyal¹,

Gouni²,

Reddy³

et al. 2022

Indian J Case Reports

View full text Add to dashboard Cite

Acute Respiratory Distress Syndrome (ARDS) can frequently occur as a complication of Coronavirus Disease 19 (COVID-19). As a result of the increasing number of COVID-19 cases around the world, it is inevitable that ARDS will complicate some pregnancies with COVID-19. At present, there are scarce data to guide decision-making on the timing of delivery for these patients. We present a case of a pregnant woman at 30 weeks gestation with COVID-19-related ARDS, who was successfully managed with lung protective strategies for mechanical ventilation and early delivery by cesarean section in the rural critical care setting.

show abstract

Section: Discussionmentioning

confidence: 99%

Pregnancy with COVID-19-related severe ARDS: A case report from rural critical care unit in India

Handyal¹,

Gouni²,

Reddy³

et al. 2022

Indian J Case Reports

View full text Add to dashboard Cite

show abstract

“…Data related to the timing of delivery in women with acute respiratory distress syndrome (ARDS) is limited, and there is much debate surrounding the topic of therapeutic delivery to improve maternal outcome in ARDS. It has been suggested that delivery of the fetus may improve maternal respiratory status by improving FRC and pulmonary mechanics and reducing metabolic stress [41,42]. Decisions regarding delivery in this setting should be made based on a case-by-case basis by a multidisciplinary team including intensivists, obstetricians/maternal fetal medicine specialists, neonatologists, and obstetric anesthesiologists.…”

Section: Timing and Mode Of Deliverymentioning

confidence: 99%

Pregnant Patients and COVID-19

Mahendra

Murugan

2020

Clinical Synopsis of COVID-19

View full text Add to dashboard Cite

Management of COVID-19 disease in pregnancy poses unique challenges, as it requires consideration of maternal physiologic changes, fetal and placental physiology, and a multidisciplinary approach to decision-making, particularly in patients with severe or critical disease. Though the majority of pregnant patients who test positive for SARS-CoV-2 remain asymptomatic or have mild disease and recover without undergoing delivery [1], a significant number develop critical illness and may have prolonged and complex disease courses [2].The prevalence of SARS-CoV-2 infection in pregnant women approximates the overall population prevalence. Based on data from the H1N1 influenza and SARS pandemics during which pregnant women were at a higher risk of infection and had worse clinical outcomes [3,4], it was anticipated that parturients during the SARS-CoV-2 outbreak would follow similar patterns.Current studies, however, have found that pregnant women have similar rates of infection with SARS-CoV-2 and clinical courses and outcomes when compared with reproductive-aged non-pregnant women [5,6]. In a systematic review of 538 pregnancies from China, Italy, and the United States, 15% of patients met criteria for severe disease, and only 1.4% were considered critical. This is in contrast to the SARS, H1N1, and MERS pandemics, during which pregnant women suffered disproportionately from critical respiratory disease and mortality [4,7].

show abstract

Clinical decision analysis of elective delivery vs expectant management for pregnant individuals with COVID-19–related acute respiratory distress syndrome

RESENDE

Yarnell²,

D’Souza³

et al. 2022

American Journal of Obstetrics & Gynecology MFM

View full text Add to dashboard Cite

Outcomes of early delivery in pregnant patients with acute respiratory distress syndrome

Cited by 4 publications

References 3 publications

Pregnancy with COVID-19-related severe ARDS: A case report from rural critical care unit in India

Pregnancy with COVID-19-related severe ARDS: A case report from rural critical care unit in India

Pregnant Patients and COVID-19

Clinical decision analysis of elective delivery vs expectant management for pregnant individuals with COVID-19–related acute respiratory distress syndrome

Contact Info

Product

Resources

About