Successful outcome of severe COVID-19 in pregnancy: individualised approach

Anupama Dave; Priyansha Joshi; Sunil Jaiswal; Pradnya Kapdeo

doi:10.1136/bcr-2021-246648

Successful outcome of severe COVID-19 in pregnancy: individualised approach

BMJ Case Rep. 2022 Jan 17;15(1):e246648. doi: 10.1136/bcr-2021-246648.

Authors

Anupama Dave¹, Priyansha Joshi², Sunil Jaiswal³, Pradnya Kapdeo²

Affiliations

¹ Obstetrics and Gynaecology, Mahatma Gandhi Memorial Medical College, Indore, Madhya Pradesh, India anupamadave10@gmail.com.
² Obstetrics and Gynaecology, Mahatma Gandhi Memorial Medical College, Indore, Madhya Pradesh, India.
³ Pathology, Mahatma Gandhi Memorial Medical College, Indore, Madhya Pradesh, India.

Abstract

A 32-year-old homemaker, 28 weeks pregnant, was admitted to a dedicated COVID-19 hospital with a history of dyspnoea for 1 day; oral and nasopharyngeal swabs were positive for SARS-CoV-2 on real-time PCR. She had type 1 respiratory failure and oxygen saturation of 88%, so was put on non-invasive ventilation. Treatment as per guidelines was started. Given her deteriorating condition, a decision to deliver was taken and induction of labour was done. Her condition improved after delivery; but on day 5, she was suspected to have rhino-orbital mucormycosis and antifungals were started. Her condition improved gradually and she was discharged home. This case highlights the importance of individualised decision-making in cases with COVID-19 infection in pregnancy and that prompt treatment of the complications like mucormycosis would be lifesaving.

Keywords: COVID-19; pregnancy.

Publication types

Case Reports

MeSH terms

Adult
COVID-19*
Female
Humans
Oxygen Saturation
Pregnancy
Pregnancy Complications, Infectious* / drug therapy
Respiratory Insufficiency*
SARS-CoV-2
Treatment Outcome