Six Critically Ill COVID-19 Pregnant Patients at a Detroit Hospital: A Case Series
Nicolina Smith, DO, MBA,1 Leah Hong, MD,1 Monica Lee-Griffith, MD/MBA,1Madhurima Keerthy, MD,1 Majid Shaman, MD,2 Robyn Garcia, MD,2 Gregory Goyert, MD2
1Department of Obstetrics and Gynecology, Henry Ford Hospital, Detroit, MI
2Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Henry Ford Hospital, Detroit, MI
Mailing address to all authors 2799 W. Grand Blvd. Detroit, MI 48202
Corresponding Author: Nicolina Smith,NSmith22@hfhs.org, 313-848-0620
2799 W. Grand Blvd. Detroit, MI 48202
Short Title: Critically Ill COVID-19 Pregnant Patients
Acknowledgments: We would like to acknowledge Stephanie Stebens for her assistance with preparing the manuscript for submission.
Abstract
Objective: To highlight treatment modalities, management, and outcomes of 6 critically ill Coronavirus 2019 (COVID-19) pregnant patients.Design: We present a case series of 6 pregnant patients with severe COVID-19 infection requiring admission into the intensive care unit.Setting: Urban educational facility in Detroit, Michigan.Population: Pregnant women between the ages of 18-37 years old who tested positive for COVID-19 and required intensive care interventions.Methods: This is a retrospective, single-center case series of pregnant women who were infected with COVID-19 and subsequently required critical care.Main Outcome Measures: Maternal and fetal outcomes were measured.Results: All women required intensive care unit intervention, with 5 requiring mechanical ventilation. The average length of intubation was 5.6 days and average length of stay was 10.8 days. There was 1 full-term delivery via cesarean section and 2 preterm deliveries. All neonates tested negative for COVID-19. All patients discharged home on room air.Conclusion: This case series adds to the expanding literature describing the complex care surrounding pregnant patients with severe COVID-19 pneumonia requiring intensive care management. As the pandemic continues we hope our experience and treatment modalities can contribute to future care of patients.