Cascadia Women's Clinic, Legacy Salmon Creek Hospital, Legacy Health, and the Vancouver Clinic, Vancouver, Washington.
Obstet Gynecol. 2020 Nov;136(5):962-964. doi: 10.1097/AOG.0000000000004044.
In the global coronavirus disease 2019 (COVID-19) pandemic, to date, delivery of critically ill pregnant patients has predominantly been by cesarean.
A 27-year-old pregnant woman was admitted to a 166-bed community hospital at 33 weeks of gestation with acute hypoxemic respiratory failure secondary to COVID-19. She underwent mechanical ventilation for 9 days. While ventilated, she underwent induction of labor, resulting in a successful forceps assisted-vaginal birth. She was extubated on postpartum day 5 and discharged on postpartum day 10. The neonate was intubated for 24 hours but was otherwise healthy and discharged home at 36 2/7 weeks postmenstrual age.
Critically ill patients requiring mechanical ventilation, in this case due to COVID-19, may undergo induction of labor and vaginal delivery when carefully selected.
在全球 2019 年冠状病毒病（COVID-19）大流行中，迄今为止，危重症孕妇的分娩主要通过剖宫产进行。
一名 27 岁孕妇因 COVID-19 导致急性低氧性呼吸衰竭，于妊娠 33 周入住一家拥有 166 张床位的社区医院。她接受了 9 天的机械通气治疗。在通气过程中，她接受了引产，最终成功地通过产钳辅助阴道分娩。她在产后第 5 天拔管并在产后第 10 天出院。新生儿因 COVID-19 而插管 24 小时，但情况良好，在 36 周零 2 天的胎龄时出院回家。
需要机械通气的危重症患者，在这种情况下是由于 COVID-19，在经过仔细选择后，可以进行引产和阴道分娩。
