Timing of delivery with coronavirus disease 2019 pneumonia requiring intensive care unit admission

Approximately 4% of pregnant patients with coronavirus disease 2019 require intensive care unit admission. Given the practical implications of advanced ventilatory and circulatory support techniques, urgent or emergent delivery for nonreassuring fetal status frequently presents a logistical impossib...

Descripción completa

Detalles Bibliográficos
Autores principales: Rose, Carl H., Wyatt, Michelle A., Narang, Kavita, Lorenz, Kathleen E., Szymanski, Linda M., Vaught, Arthur J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Inc. 2021
Materias:
Clinical Perspective
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8021500/
https://www.ncbi.nlm.nih.gov/pubmed/33831584
http://dx.doi.org/10.1016/j.ajogmf.2021.100373
_version_ 1783674759221870592
author Rose, Carl H.
Wyatt, Michelle A.
Narang, Kavita
Lorenz, Kathleen E.
Szymanski, Linda M.
Vaught, Arthur J.
author_facet Rose, Carl H.
Wyatt, Michelle A.
Narang, Kavita
Lorenz, Kathleen E.
Szymanski, Linda M.
Vaught, Arthur J.
author_sort Rose, Carl H.
collection PubMed
description Approximately 4% of pregnant patients with coronavirus disease 2019 require intensive care unit admission. Given the practical implications of advanced ventilatory and circulatory support techniques, urgent or emergent delivery for nonreassuring fetal status frequently presents a logistical impossibility. This article proposes a protocol for obstetrical management of patients in these situations, emphasizing coordinated preparation among obstetrical, anesthesiology, and intensivist teams for planned preterm delivery at gestational ages when neonatal outcomes are likely to be favorable.
format Online
Article
Text
id pubmed-8021500
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Elsevier Inc.
record_format MEDLINE/PubMed
spelling pubmed-80215002021-04-06 Timing of delivery with coronavirus disease 2019 pneumonia requiring intensive care unit admission Rose, Carl H. Wyatt, Michelle A. Narang, Kavita Lorenz, Kathleen E. Szymanski, Linda M. Vaught, Arthur J. Am J Obstet Gynecol MFM Clinical Perspective Approximately 4% of pregnant patients with coronavirus disease 2019 require intensive care unit admission. Given the practical implications of advanced ventilatory and circulatory support techniques, urgent or emergent delivery for nonreassuring fetal status frequently presents a logistical impossibility. This article proposes a protocol for obstetrical management of patients in these situations, emphasizing coordinated preparation among obstetrical, anesthesiology, and intensivist teams for planned preterm delivery at gestational ages when neonatal outcomes are likely to be favorable. Elsevier Inc. 2021-07 2021-04-06 /pmc/articles/PMC8021500/ /pubmed/33831584 http://dx.doi.org/10.1016/j.ajogmf.2021.100373 Text en © 2021 Elsevier Inc. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Clinical Perspective
Rose, Carl H.
Wyatt, Michelle A.
Narang, Kavita
Lorenz, Kathleen E.
Szymanski, Linda M.
Vaught, Arthur J.
Timing of delivery with coronavirus disease 2019 pneumonia requiring intensive care unit admission
title Timing of delivery with coronavirus disease 2019 pneumonia requiring intensive care unit admission
title_full Timing of delivery with coronavirus disease 2019 pneumonia requiring intensive care unit admission
title_fullStr Timing of delivery with coronavirus disease 2019 pneumonia requiring intensive care unit admission
title_full_unstemmed Timing of delivery with coronavirus disease 2019 pneumonia requiring intensive care unit admission
title_short Timing of delivery with coronavirus disease 2019 pneumonia requiring intensive care unit admission
title_sort timing of delivery with coronavirus disease 2019 pneumonia requiring intensive care unit admission
topic Clinical Perspective
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8021500/
https://www.ncbi.nlm.nih.gov/pubmed/33831584
http://dx.doi.org/10.1016/j.ajogmf.2021.100373
work_keys_str_mv AT rosecarlh timingofdeliverywithcoronavirusdisease2019pneumoniarequiringintensivecareunitadmission
AT wyattmichellea timingofdeliverywithcoronavirusdisease2019pneumoniarequiringintensivecareunitadmission
AT narangkavita timingofdeliverywithcoronavirusdisease2019pneumoniarequiringintensivecareunitadmission
AT lorenzkathleene timingofdeliverywithcoronavirusdisease2019pneumoniarequiringintensivecareunitadmission
AT szymanskilindam timingofdeliverywithcoronavirusdisease2019pneumoniarequiringintensivecareunitadmission
AT vaughtarthurj timingofdeliverywithcoronavirusdisease2019pneumoniarequiringintensivecareunitadmission

Ejemplares similares