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A COVID Dilemma: How to Manage Pregnancies in Case of Severe Respiratory Failure?

To date, the impact of the COVID-19 pandemic on the world’s health, economics and politics is still heavy, and efforts to mitigate virus transmission have caused remarkable disruption. From the early onset of the pandemic, generated by SARS-CoV-2 spread, the scientific community was aware of its imp...

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Autores principales: Di Lorenzo, Pierpaolo, Casella, Claudia, Marisei, Mariagrazia, Sarno, Laura, Aquino, Carmen Imma, Osuna, Eduardo, Guida, Maurizio, Niola, Massimo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9957288/
https://www.ncbi.nlm.nih.gov/pubmed/36833020
http://dx.doi.org/10.3390/healthcare11040486
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author Di Lorenzo, Pierpaolo
Casella, Claudia
Marisei, Mariagrazia
Sarno, Laura
Aquino, Carmen Imma
Osuna, Eduardo
Guida, Maurizio
Niola, Massimo
author_facet Di Lorenzo, Pierpaolo
Casella, Claudia
Marisei, Mariagrazia
Sarno, Laura
Aquino, Carmen Imma
Osuna, Eduardo
Guida, Maurizio
Niola, Massimo
author_sort Di Lorenzo, Pierpaolo
collection PubMed
description To date, the impact of the COVID-19 pandemic on the world’s health, economics and politics is still heavy, and efforts to mitigate virus transmission have caused remarkable disruption. From the early onset of the pandemic, generated by SARS-CoV-2 spread, the scientific community was aware of its impact on vulnerable individuals, including pregnant women. The purpose of this paper is to highlight scientific pitfalls and ethical dilemmas emerging from management of severe respiratory distress in pregnant women in order to add evidence to this topic through an ethical debate. In the here-presented paper, three cases of severe respiratory syndrome are analyzed. No specific therapeutic protocol was available to guide physicians in a cost–benefit balance, and unequivocal conduct was not a priori suggested from scientific evidence. However, vaccines’ advent, viral variants lurking on the horizon and other possible pandemic challenges make it necessary to maximize the experience gained through these difficult years. Antenatal management of pregnancies complicated by COVID-19 infection with severe respiratory failure is still heterogeneous and ethical concerns must be pointed out.
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spelling pubmed-99572882023-02-25 A COVID Dilemma: How to Manage Pregnancies in Case of Severe Respiratory Failure? Di Lorenzo, Pierpaolo Casella, Claudia Marisei, Mariagrazia Sarno, Laura Aquino, Carmen Imma Osuna, Eduardo Guida, Maurizio Niola, Massimo Healthcare (Basel) Article To date, the impact of the COVID-19 pandemic on the world’s health, economics and politics is still heavy, and efforts to mitigate virus transmission have caused remarkable disruption. From the early onset of the pandemic, generated by SARS-CoV-2 spread, the scientific community was aware of its impact on vulnerable individuals, including pregnant women. The purpose of this paper is to highlight scientific pitfalls and ethical dilemmas emerging from management of severe respiratory distress in pregnant women in order to add evidence to this topic through an ethical debate. In the here-presented paper, three cases of severe respiratory syndrome are analyzed. No specific therapeutic protocol was available to guide physicians in a cost–benefit balance, and unequivocal conduct was not a priori suggested from scientific evidence. However, vaccines’ advent, viral variants lurking on the horizon and other possible pandemic challenges make it necessary to maximize the experience gained through these difficult years. Antenatal management of pregnancies complicated by COVID-19 infection with severe respiratory failure is still heterogeneous and ethical concerns must be pointed out. MDPI 2023-02-07 /pmc/articles/PMC9957288/ /pubmed/36833020 http://dx.doi.org/10.3390/healthcare11040486 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Di Lorenzo, Pierpaolo
Casella, Claudia
Marisei, Mariagrazia
Sarno, Laura
Aquino, Carmen Imma
Osuna, Eduardo
Guida, Maurizio
Niola, Massimo
A COVID Dilemma: How to Manage Pregnancies in Case of Severe Respiratory Failure?
title A COVID Dilemma: How to Manage Pregnancies in Case of Severe Respiratory Failure?
title_full A COVID Dilemma: How to Manage Pregnancies in Case of Severe Respiratory Failure?
title_fullStr A COVID Dilemma: How to Manage Pregnancies in Case of Severe Respiratory Failure?
title_full_unstemmed A COVID Dilemma: How to Manage Pregnancies in Case of Severe Respiratory Failure?
title_short A COVID Dilemma: How to Manage Pregnancies in Case of Severe Respiratory Failure?
title_sort covid dilemma: how to manage pregnancies in case of severe respiratory failure?
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9957288/
https://www.ncbi.nlm.nih.gov/pubmed/36833020
http://dx.doi.org/10.3390/healthcare11040486
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