Six Critically Ill COVID-19 Pregnant Patients at a Detroit Hospital: A Case Series

Abstract

Objective: To highlight treatment modalities, management, and outcomes of 6 critically ill Coronavirus 2019 (COVID-19) pregnant patients. Design: We present a case series of 6 pregnant patients with severe COVID-19 infection requiring admission into the intensive care unit. Setting: Urban educational facility in Detroit, Michigan. Population: Pregnant women between the ages of 18-37 years old who tested positive for COVID-19 and required intensive care interventions. Methods: This is a retrospective, single-center case series of pregnant women who were infected with COVID-19 and subsequently required critical care. Main Outcome Measures: Maternal and fetal outcomes were measured. Results: All women required intensive care unit intervention, with 5 requiring mechanical ventilation. The average length of intubation was 5.6 days and average length of stay was 10.8 days. There was 1 full-term delivery via cesarean section and 2 preterm deliveries. All neonates tested negative for COVID-19. All patients discharged home on room air. Conclusion: This case series adds to the expanding literature describing the complex care surrounding pregnant patients with severe COVID-19 pneumonia requiring intensive care management. As the pandemic continues we hope our experience and treatment modalities can contribute to future care of patients.