Putting It All Together: Clinical Considerations in the Care of Critically Ill Obstetric Patients with COVID-19

Author:

Oxford-Horrey Corrina1ORCID,Savage Megan1,Prabhu Malavika1,Abramovitz Sharon2,Griffin Kelly3,LaFond Elyse3,Riley Laura1,Easter Sarah Rae4

Affiliation:

1. Department of Obstetrics and Gynecology, Weill Cornell Medicine, New York, New York

2. Department of Medicine/Critical Care, Weill Cornell Medicine, New York, New York

3. Department of Anesthesiology, Weill Cornell Medicine, New York, New York

4. Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts

Abstract

Pregnant patients with severe acute respiratory syndrome coronavirus 2, the virus responsible for the clinical condition newly described in 2019 as coronavirus disease 2019 (COVID-19) and illness severity to warrant intensive care have a complex disease process that must involve multiple disciplines. Guidelines from various clinical societies, along with direction from local health authorities, must be considered when approaching the care of an obstetric patient with known or suspected COVID-19. With a rapidly changing landscape, a simplified and cohesive perspective using guidance from different clinical society recommendations regarding the critically-ill obstetric patient with COVID-19 is needed. In this article, we synthesize various high-level guidelines of clinical relevance in the management of pregnant patients with severe disease or critical illness due to COVID-19. Key Points

Publisher

Georg Thieme Verlag KG

Subject

Obstetrics and Gynecology,Pediatrics, Perinatology and Child Health

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