The case is presented of a 29-year-old primiparous woman who was COVID-19-positive at 34 weeks of gestation and who developed severe acute respiratory distress syndrome . After a four-day history of fever and mild dyspnea, she was referred to hospital . Ciclesonide, dexamethasone, heparin sodium, and sulbactam/ampicillin were initiated, followed by remdesivir and tocilizumab . On the fourth day after admission (at 34 weeks 5 days of gestation), respiratory failure required ventilator management . An emergency cesarean section was performed and a 2565-g male infant was delivered with an Apgar score of 8/8 and negative COVID-19 status . However, on the following day the patient's respiratory condition deteriorated and mechanical ventilation was initiated . Subsequently, her respiratory condition quickly improved and mechanical ventilation was terminated 4 days after intubation . She was discharged 12 days after cesarean delivery . Our case provides additional evidence that raises concerns regarding the unfavorable maternal consequences of COVID-19 infection during pregnancy.
Index: COVID-19, Pneumonia, Pregnancy, Respiratory failure