Vaginal delivery after improvement in COVID-19 by monoclonal antibody treatment: A case report and literature review

J Infect Chemother. 2022 Jul;28(7):982-986. doi: 10.1016/j.jiac.2022.02.023. Epub 2022 Mar 7.

Abstract

As the COVID-19 pandemic persists, pregnant women have been increasingly affected worldwide. Women during the last trimester of pregnancy are susceptible to severe COVID-19, and there are many challenges towards its treatment. Monoclonal antibody treatment (MAT) is approved for COVID-19 patients to reduce disease severity. However, there are few reports on the MAT in perinatal women. Herein, we report a 39-year-old pregnant female (36 weeks and 6 days of gestation) with improvement in COVID-19 pneumonia after treatment with casiribimab/imdevimab, resulting in successful vaginal delivery (a 2.868 kg male newborn), along with a literature review. Early diagnosis and treatment of pregnant women with COVID-19 are important. Infectious diseases doctors and/or obstetricians should be aware of the MAT option administered to perinatal COVID-19 women to reduce disease severity.

Keywords: COVID-19; Lactation; Monoclonal antibody treatment; Pregnancy; Vaginal delivery.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Antibodies, Monoclonal / therapeutic use
  • Antibodies, Monoclonal, Humanized
  • COVID-19 Drug Treatment*
  • Delivery, Obstetric / methods
  • Female
  • Humans
  • Infant, Newborn
  • Male
  • Pandemics
  • Pregnancy
  • Pregnancy Complications, Infectious* / diagnosis
  • Pregnancy Outcome
  • SARS-CoV-2

Substances

  • Antibodies, Monoclonal
  • Antibodies, Monoclonal, Humanized
  • imdevimab