Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan; Institute of Clinical Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan.
Institute of Clinical Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan; Department of Medicine, Cheng-Hsin General Hospital, Taipei, Taiwan; Department of Nursing, Oriental Institute of Technology, New Taipei City, 220, Taiwan.
Taiwan J Obstet Gynecol. 2021 Sep;60(5):945-948. doi: 10.1016/j.tjog.2021.07.046. Epub 2021 Aug 3.
Coronavirus-2019 (COVID-19) is a global health crisis. Although pregnant women are a vulnerable population during the infectious pandemics, extremely rare cases of pregnant women infected by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) are described in Taiwan. We share our experience to manage a pregnant women with COVID-19 in the third trimester and subsequent delivery at term.
A 43-year-old woman presented with sore throat, cough and rhinorrhea was diagnosed as laboratory-confirmed SARS-CoV-2 infection at the 35 gestational weeks (GW). During the hospitalization, the disease progressed with a need of oxygen supplement and prednisolone therapy. She was discharged uneventfully at 37 GW. Finally, she delivered a female baby with Apgar score of 8-9 points at 38 GW by cesarean section due to the deformity of pelvic cavity resulted from previous surgery for pelvic bone tumor. Both mother and her offspring (without SARS-CoV-2 infection) were discharged uneventfully.
Our report adds the growing body of experience toward management of pregnant women with SARS-CoV-2 infection. Decision making of timing and method of delivery is regarding to individualized condition and hospital setting.
2019 年冠状病毒病(COVID-19)是一场全球卫生危机。尽管孕妇在传染病流行期间是一个脆弱的人群,但在台湾也有极少量孕妇感染严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)的病例描述。我们分享了管理一名妊娠晚期(35 孕周)COVID-19 孕妇和随后足月分娩的经验。
一名 43 岁女性因咽痛、咳嗽和流涕就诊,被诊断为实验室确诊的 SARS-CoV-2 感染,此时处于 35 孕周。住院期间,疾病进展,需要氧疗和泼尼松龙治疗。她在 37 孕周时顺利出院。最后,由于骨盆肿瘤先前手术导致骨盆畸形,她在 38 孕周时经剖宫产分娩了一名女婴,阿普加评分 8-9 分。母婴均未发生 SARS-CoV-2 感染,顺利出院。
本报告增加了对 SARS-CoV-2 感染孕妇管理的经验。分娩时机和方式的决策取决于个体情况和医院设置。