Особливості Інтенсивної Терапії Вагітних Та Породіль З Тяжким Перебігом Коронавірусної Хвороби (COVID-19)

Abstract

Background. Coronavirus disease (COVID-19) is the biggest challenge the whole modern world has faced. Physicians and scientists are trying to find a solution to this problem. That is why many guidelines for the management of patients with ­COVID-19 have been created recently and they are constantly updating because of new results of the latest studies. But it is noticeable that there is a lack of protocols for certain special groups of the population the management of which differs from the treatment of the general population. Such groups include children, pregnant and postpartum women, the elderly, and patients who need surgery. The purpose of our study is to evaluate the management of pregnant and postpartum women in the Municipal Non-Profit Enterprise “Lviv Clinical Emergency Care Hospital”. Materials and methods. From September 2020, at the premises of the Municipal Non-Profit Enterprise “Lviv Clinical Emergency Care Hospital”, treatment has been carried out for pregnant and postpartum women with ­COVID-19; three case reports are presented. Results. Unfortunately, the treatment does not always lead to positive outcomes, sometimes it can be fatal, as the course is often accompanied by bacterial complications on the background of immunosuppression. However, it was found that the best treatment regimen is still a combination of antibiotics, anticoagulants and hormones and excludes the widespread use of antiviral or antimalarial drugs. Continuous monitoring of vital functions and assessment of liver, kidney, and heart function is essential to prevent complications or detect them at an early stage. Conclusions. During treatment of pregnant women in the intensive care units, it is important to choose the right empirical therapy, think about delivery done in time and oxygen therapy, based on theoretical and practical principles of ventilation.