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

Carl H. Rose; Michelle A. Wyatt; Kavita Narang; Kathleen E. Lorenz; Linda M. Szymanski; Arthur J. Vaught

doi:10.1016/j.ajogmf.2021.100373

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

Carl H. Rose, Michelle A. Wyatt, Kavita Narang, Kathleen E. Lorenz, Linda M. Szymanski, Arthur J. Vaught

School of Medicine

Research output: Contribution to journal › Article › peer-review

Abstract

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.

Original language	English (US)
Article number	100373
Journal	American Journal of Obstetrics and Gynecology MFM
Volume	3
Issue number	4
DOIs	https://doi.org/10.1016/j.ajogmf.2021.100373
State	Published - Jul 2021

ASJC Scopus subject areas

Obstetrics and Gynecology

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10.1016/j.ajogmf.2021.100373

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title = "Timing of delivery with coronavirus disease 2019 pneumonia requiring intensive care unit admission",

abstract = "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.",

author = "Rose, {Carl H.} and Wyatt, {Michelle A.} and Kavita Narang and Lorenz, {Kathleen E.} and Szymanski, {Linda M.} and Vaught, {Arthur J.}",

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AU - Wyatt, Michelle A.

AU - Narang, Kavita

AU - Lorenz, Kathleen E.

AU - Szymanski, Linda M.

AU - Vaught, Arthur J.

PY - 2021/7

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AB - 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.

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

Abstract

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