A symptomatic near-term pregnant woman recovered from SARS-C
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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.

Doctors share their experience to manage pregnant women with COVID-19 in the third trimester and subsequent delivery at term.

A 43-year-old woman presented with a sore throat, cough, and rhinorrhea was diagnosed as a laboratory-confirmed SARS-CoV-2 infection at the 35 gestational weeks (GW). During the hospitalization, the disease progressed with a need for oxygen supplements and prednisolone therapy.

She was discharged uneventfully at 37 GW. Finally, she delivered a female baby with an Apgar score of 8 to 9 points at 38 GW by cesarean section due to the deformity of the pelvic cavity resulted from previous surgery for a pelvic bone tumor. Both mother and her offspring (without SARS-CoV-2 infection) were discharged uneventfully.

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

Taiwanese Journal of Obstetrics and Gynecology
Source: https://doi.org/10.1016/j.tjog.2021.07.046