A symptomatic near-term pregnant woman recovered from SARS-CoV-2 infection

Taiwan J Obstet Gynecol. 2021 Sep;60(5):945-948. doi: 10.1016/j.tjog.2021.07.046. Epub 2021 Aug 3.

Abstract

Objective: Coronavirus-2019 (COVID-19) is a global health crisis. Although pregnant women are a vulnerable population during the infectious pandemics, extremely rare cases of pregnant women infected by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) are described in Taiwan. We share our experience to manage a pregnant women with COVID-19 in the third trimester and subsequent delivery at term.

Case report: A 43-year-old woman presented with sore throat, cough and rhinorrhea was diagnosed as laboratory-confirmed SARS-CoV-2 infection at the 35 gestational weeks (GW). During the hospitalization, the disease progressed with a need of oxygen supplement and prednisolone therapy. She was discharged uneventfully at 37 GW. Finally, she delivered a female baby with Apgar score of 8-9 points at 38 GW by cesarean section due to the deformity of pelvic cavity resulted from previous surgery for pelvic bone tumor. Both mother and her offspring (without SARS-CoV-2 infection) were discharged uneventfully.

Conclusion: Our report adds the growing body of experience toward management of pregnant women with SARS-CoV-2 infection. Decision making of timing and method of delivery is regarding to individualized condition and hospital setting.

Keywords: COVID-19; Coronavirus-2019; Pregnancy; Pregnant; SARS-CoV-2.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Apgar Score
  • COVID-19* / therapy
  • Cesarean Section*
  • Female
  • Glucocorticoids / therapeutic use
  • Humans
  • Infant, Newborn
  • Oxygen Inhalation Therapy
  • Prednisolone / therapeutic use
  • Pregnancy
  • Pregnancy Complications, Infectious* / therapy
  • Pregnancy Trimester, Third*

Substances

  • Glucocorticoids
  • Prednisolone