COVID-19 and preeclampsia with severe features at 34-weeks gestation.
Document Type
Article
Publication Date
6-25-2020
Institution/Department
Emergency Medicine, Nursing, Maine Medical Center
Journal Title
The American journal of emergency medicine
MeSH Headings
Pregnancy, Female, Humans, Pre-Eclampsia, COVID-19, severe acute respiratory syndrome coronavirus 2, Gestational Age
Abstract
The evolving coronavirus disease 2019 (COVID-19) pandemic, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has led to a rapid expansion of knowledge on the disease's clinical manifestations, laboratory and radiographic abnormalities, and patient trajectories. One area of particular focus is the effect that this illness may have on pregnancy and maternal-fetal disease. As of April 24, 2020, we identified 55 English language reports in the scientific literature summarizing data for 339 women and 258 fetuses and neonates. The majority of these data have focused on maternal-fetal transmission and neonatal outcomes. One systematic review and meta-analysis including the spectrum of coronaviruses [Severe Acute Respiratory Syndrome (SARS), Middle East Respiratory Syndrome (MERS), and COVID-19] in pregnancy noted increased rates of adverse outcomes associated with this group of infections. Here, we report the case of a COVID-19 positive woman presenting to our emergency department (ED) at 34 weeks gestation with preeclampsia. This case highlights the unique diagnostic and therapeutic challenges associated with treating patients with these concomitant diseases.
ISSN
1532-8171
Recommended Citation
Hansen, John N; Hine, Jason; and Strout, Tania D, "COVID-19 and preeclampsia with severe features at 34-weeks gestation." (2020). Southern Maine Health Care. 5.
https://knowledgeconnection.mainehealth.org/smhc/5