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.