妊娠期重症及危重症 COVID-19：来自蒙特利尔的病例系列
Severe and critical COVID-19 in pregnancy: A case series from Montreal.
作者信息
Trahan Marie-Julie, Malhamé Isabelle, Mitric Cristina, Simard Camille, Lipes Jed, Abenhaim Haim A
机构信息
Department of Obstetrics and Gynecology, McGill University, Montreal, Canada.
Department of Medicine, McGill University, Montreal, Canada.
出版信息
Obstet Med. 2021 Sep;14(3):170-176. doi: 10.1177/1753495X21990213. Epub 2021 Mar 9.
BACKGROUND
Optimal obstetric management for women with coronavirus disease (COVID-19) is not known. We describe the management of six pregnant women requiring in-hospital care for severe COVID-19.
METHODS
A retrospective chart review was conducted to identify pregnant women who tested positive for Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV-2) between 15 March and 30 June 2020. A subset of women meeting criteria for severe COVID-19 was included.
RESULTS
Four women required non-invasive supplemental oxygen therapy and two required mechanical ventilation. Four women were discharged from hospital undelivered and two required preterm delivery. One woman had a pulmonary embolism, and two required re-admission for worsening symptoms.
CONCLUSION
Management of pregnant women with severe COVID-19 is complex and should involve multidisciplinary expertise. Avoiding early delivery may be a safe option. We recommend an individualized approach to care, including careful consideration of the expected risks and benefits of expectant obstetric management versus delivery.
背景
冠状病毒病（COVID-19）孕妇的最佳产科管理方法尚不清楚。我们描述了六名因重症COVID-19需要住院治疗的孕妇的管理情况。
方法
进行了一项回顾性病历审查，以确定2020年3月15日至6月30日期间严重急性呼吸综合征冠状病毒（SARS-CoV-2）检测呈阳性的孕妇。纳入了符合重症COVID-19标准的一部分女性。
结果
四名女性需要无创补充氧气治疗，两名需要机械通气。四名女性未分娩即出院，两名需要早产。一名女性发生肺栓塞，两名因症状恶化需要再次入院。
结论
重症COVID-19孕妇的管理很复杂，应涉及多学科专业知识。避免过早分娩可能是一个安全的选择。我们建议采用个体化的护理方法，包括仔细考虑期待性产科管理与分娩的预期风险和益处。
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