Obstetric Outcomes of Severe COVID-19 Pneumonia in Pregnant Lady After Caesarean Delivery: A Case report

Severe Life-threatening Peripartum Covid Pneumonia

Authors

DOI:

https://doi.org/10.37978/tijfs.v6i1.389

Keywords:

Coronavirus, Covid-19 pneumonia, Cytokine Release Syndrome, Acutre Respiratory Distress Syndrome, Pregnancy, Obstetrics

Abstract

Since the outbreak of coronavirus (COVID-19) in December 2019, understanding regarding coronavirus symptoms has been evolving. Medical issues in pregnancy usually resolve after delivery. Similarly, pregnant ladies with COVID-19 pneumonia had improvement in their condition after giving birth. However, in this case, the patient tested positive for "SARS-Cov-19 antigen PCR" and intended for vaginal birth, which was unsuccessful and resulted in a caesarean surgery. After the healthy baby was delivered, she experienced a life-threatening cytokine storm that necessitated elective intubation and mechanical breathing, as well as anti-viral medication. She was extubated after two weeks and then discharged on recovery. Previously, the Middle Eastern Respiratory Syndrome Coronavirus (MERS-SARS) and the Influenza virus (H1N1) were the most well-known viruses for generating potentially fatal results in pregnancy. This is first reported instance in Pakistan of a pregnant lady developing severe COVID-19 pneumonia. This research fills a vacuum in the medical literature and alerts obstetricians and clinicians to the likelihood of life-threatening postpartum, COVID-19 pneumonia complications.

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References

Last accessed at: https://www.hhs.gov/coronavirus/COVID-19-public-health-emergency/index.html.

Rasmussen SA, Jamieson DJ, Honein MA, Petersen LR. Zika virus and birth defects—reviewing the evidence for causality. New England Journal of Medicine. 2016 May 19;374(20):1981-7.

Dashraath P, Wong JL, Lim MX, Lim LM, Li S, Biswas A, Choolani M, Mattar C, Su LL. Coronavirus disease 2019 (COVID-19) pandemic and pregnancy. American journal of obstetrics and gynecology. 2020 Jun 1;222(6):521-31.

Chen D, Yang H, Cao Y, Cheng W, Duan T, Fan C, Fan S, Feng L, Gao Y, He F, He J. Expert consensus for managing pregnant women and neonates born to mothers with suspected or confirmed novel coronavirus (COVID?19) infection. International Journal of gynecology & obstetrics. 2020 May;149(2):130-6.

Yu N, Li W, Kang Q, Xiong Z, Wang S, Lin X, Liu Y, Xiao J, Liu H, Deng D, Chen S. Clinical features and obstetric and neonatal outcomes of pregnant patients with COVID-19 in Wuhan, China: a retrospective, single-centre, descriptive study. The Lancet Infectious Diseases. 2020 May 1;20(5):559-64.

Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z, Xiang J, Wang Y, Song B, Gu X, Guan L. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. The lancet. 2020 Mar 28;395(10229):1054-62.

Oliva M, Hsu K, Alsamarai S, de Chavez V, Ferrara L. Clinical improvement of severe COVID-19 pneumonia in a pregnant patient after caesarean delivery. BMJ Case Reports CP. 2020 Jul 1;13(7):e236290.

Liu Y, Chen H, Tang K, Guo Y. Clinical manifestations and outcome of SARS-CoV-2 infection during pregnancy. J infect. 2020 Mar 4;10:30109-2.

Wang Y, Wang Y, Chen Y, Qin Q. Unique epidemiological and clinical features of the emerging 2019 novel coronavirus pneumonia (COVID?19) implicate special control measures. Journal of medical virology. 2020 Jun;92(6):568-76.

Hughes L. Coronavirus (COVID-19) and pregnancy: what maternal-fetal medicine subspecialists need to know 4.11. 20 (this is an update from draft posted on 3-17-2020). Washington, DC: The Society for Maternal-Fetal Medicine. 2020.

Last accessed at: https://www.COVID19treatmentguidelines.nih.gov/.

Xu X, Han M, Li T, Sun W, Wang D, Fu B, Zhou Y, Zheng X, Yang Y, Li X, Zhang X. Effective treatment of severe COVID-19 patients with tocilizumab. Proceedings of the National Academy of Sciences. 2020 May 19;117(20):10970-5.

Chen H, Guo J, Wang C, Luo F, Yu X, Zhang W, Li J, Zhao D, Xu D, Gong Q, Liao J. Clinical characteristics and intrauterine vertical transmission potential of COVID-19 infection in nine pregnant women: a retrospective review of medical records. The lancet. 2020 Mar 7;395(10226):809-15.

Selim M, Mohamed S, Abdo M, Abdelhaffez A. Is COVID-19 similar in pregnant and non-pregnant women?. Cureus. 2020 Jun 28;12(6).

Qiancheng X, Jian S, Lingling P, Lei H, Xiaogan J, Weihua L, Gang Y, Shirong L, Zhen W, GuoPing X, Lei Z. Coronavirus disease 2019 in pregnancy. International journal of infectious diseases. 2020 Jun 1;95:376-83.

Wang X, Wang D, He S. The role of a cytokine storm in severe coronavirus disease 2019 in pregnancy. American Journal of Obstetrics & Gynecology. 2020 Nov 1;223(5):780-2.

Hantoushzadeh S, Shamshirsaz AA, Aleyasin A, Seferovic MD, Aski SK, Arian SE, Pooransari P, Ghotbizadeh F, Aalipour S, Soleimani Z, Naemi M. Maternal death due to COVID-19. American journal of obstetrics and gynecology. 2020 Jul 1;223(1):109-e1.

Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, Zhang L, Fan G, Xu J, Gu X, Cheng Z. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The lancet. 2020 Feb 15;395(10223):497-506.

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Published

2022-06-30

How to Cite

Kumari, U., Manjunath, K., Hassan, Z. ., & Abbas, F. (2022). Obstetric Outcomes of Severe COVID-19 Pneumonia in Pregnant Lady After Caesarean Delivery: A Case report: Severe Life-threatening Peripartum Covid Pneumonia. The International Journal of Frontier Sciences, 6(1). https://doi.org/10.37978/tijfs.v6i1.389