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Oxygen saturation in pregnant individuals with COVID-19: time for re-appraisal?

Managing pregnant individuals with acute respiratory disease secondary to COVID-19 has been a challenge. Most professional societies including the Society for Maternal-Fetal Medicine recommend keeping O(2) saturation at ≥95% in pregnant individuals. Reaching this target has been increasingly difficu...

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Detalles Bibliográficos
Autores principales: Eid, Joe, Stahl, David, Costantine, Maged M., Rood, Kara M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8675122/
https://www.ncbi.nlm.nih.gov/pubmed/34922921
http://dx.doi.org/10.1016/j.ajog.2021.12.023
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author Eid, Joe
Stahl, David
Costantine, Maged M.
Rood, Kara M.
author_facet Eid, Joe
Stahl, David
Costantine, Maged M.
Rood, Kara M.
author_sort Eid, Joe
collection PubMed
description Managing pregnant individuals with acute respiratory disease secondary to COVID-19 has been a challenge. Most professional societies including the Society for Maternal-Fetal Medicine recommend keeping O(2) saturation at ≥95% in pregnant individuals. Reaching this target has been increasingly difficult in some patients, especially during the latest wave of infections attributed to the delta variant of SARS-CoV-2. In the absence of adequate supporting data, and in the setting of a reassuring fetal status, we propose that maternal O(2) saturation should be maintained between 92% and 96% for admitted patients with acute respiratory failure who require supplemental O(2). This may prevent unnecessary invasive interventions that might not hold maternal or fetal benefit, specifically at very preterm gestational ages.
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spelling pubmed-86751222021-12-17 Oxygen saturation in pregnant individuals with COVID-19: time for re-appraisal? Eid, Joe Stahl, David Costantine, Maged M. Rood, Kara M. Am J Obstet Gynecol Clinical Opinion Managing pregnant individuals with acute respiratory disease secondary to COVID-19 has been a challenge. Most professional societies including the Society for Maternal-Fetal Medicine recommend keeping O(2) saturation at ≥95% in pregnant individuals. Reaching this target has been increasingly difficult in some patients, especially during the latest wave of infections attributed to the delta variant of SARS-CoV-2. In the absence of adequate supporting data, and in the setting of a reassuring fetal status, we propose that maternal O(2) saturation should be maintained between 92% and 96% for admitted patients with acute respiratory failure who require supplemental O(2). This may prevent unnecessary invasive interventions that might not hold maternal or fetal benefit, specifically at very preterm gestational ages. Elsevier Inc. 2022-06 2021-12-16 /pmc/articles/PMC8675122/ /pubmed/34922921 http://dx.doi.org/10.1016/j.ajog.2021.12.023 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 Opinion
Eid, Joe
Stahl, David
Costantine, Maged M.
Rood, Kara M.
Oxygen saturation in pregnant individuals with COVID-19: time for re-appraisal?
title Oxygen saturation in pregnant individuals with COVID-19: time for re-appraisal?
title_full Oxygen saturation in pregnant individuals with COVID-19: time for re-appraisal?
title_fullStr Oxygen saturation in pregnant individuals with COVID-19: time for re-appraisal?
title_full_unstemmed Oxygen saturation in pregnant individuals with COVID-19: time for re-appraisal?
title_short Oxygen saturation in pregnant individuals with COVID-19: time for re-appraisal?
title_sort oxygen saturation in pregnant individuals with covid-19: time for re-appraisal?
topic Clinical Opinion
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8675122/
https://www.ncbi.nlm.nih.gov/pubmed/34922921
http://dx.doi.org/10.1016/j.ajog.2021.12.023
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