DOI: 10.36347/sjmcr.2021.v09i03.021

Pages: 274-276

A pregnant woman (Gravida 5, Abortion 1, Gestational Age: 35 weeks) was referred to our tertiary referral hospital with complaints of asthenia, dry cough and dyspnea. She had pulse rate of 77, respiratory rate of 50, with oral temperature of 38.5, O2 sat: 83% in room air. Her chest CT on admission had bilateral patchy ground-glass features, nasopharyngeal swab for SARS-CoV-2 had a positive result. She was admitted with a diagnosis of COVID-19. And antepartum fetal monitoring was reassuring. During her hospitalization, O2 saturation progressively declined, which required a transfer to the ICU and acute respiratory care and support, leading to intubation and mechanical ventilation. With concerns for fetal well-being she underwent a cesarean delivery of a viable but premature neonate. With persistent postpartum ARDS (SaO2 20%-30% on maximal ventilator support) she experienced acute hypotension and bradycardia 3 hours later and died despite cardiopulmonary resuscitative efforts.