Silverstein Jenna S, Limaye Meghana A, Brubaker Sara G, Roman Ashley S, Bautista Judita, Chervenak Judith, Ratner Adam J, Sommer Philip M, Roselli Nicole M, Gibson Charlisa D, Ellenberg David, Penfield Christina A
Department of Obstetrics and Gynecology, New York University Langone Medical Center, New York, New York.
Department of Obstetrics and Gynecology, Bellevue Hospital Center, New York, New York.
AJP Rep. 2020 Apr;10(2):e169-e175. doi: 10.1055/s-0040-1712925. Epub 2020 Jun 4.
There is a current paucity of information about the obstetric and perinatal outcomes of pregnant novel coronavirus disease 2019 (COVID-19) patients in North America. Data from China suggest that pregnant women with COVID-19 have favorable maternal and neonatal outcomes, with rare cases of critical illness or respiratory compromise. However, we report two cases of pregnant women diagnosed with COVID-19 in the late preterm period admitted to tertiary care hospitals in New York City for respiratory indications. After presenting with mild symptoms, both quickly developed worsening respiratory distress requiring intubation, and both delivered preterm via caesarean delivery. These cases highlight the potential for rapid respiratory decompensation in pregnant COVID-19 patients and the maternal-fetal considerations in managing these cases.
目前北美地区关于感染2019年新型冠状病毒病（COVID-19）的孕妇的产科和围产期结局的信息匮乏。来自中国的数据表明，感染COVID-19的孕妇有良好的母婴结局，危重症或呼吸功能不全的病例罕见。然而，我们报告了两例在纽约市三级护理医院因呼吸问题在晚期早产时被诊断为COVID-19的孕妇病例。在出现轻微症状后，两人均迅速出现呼吸窘迫加重，需要插管，且均通过剖宫产提前分娩。这些病例凸显了感染COVID-19的孕妇快速呼吸失代偿的可能性以及处理这些病例时的母婴相关考虑因素。
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