Mouna Gara
Department of Anesthesia and Intensive Care “B”, Center of Maternity and Neonatology, Fattouma Bourguiba University Teaching Hospital, Monastir, Tunisia; Laboratory of Histology Embryology and Cytogenetics (LR 18 ES 40), Faculty of Medicine, University of Monastir, Avicenne Street, 5019 Monastir, Tunisia
Eya Sahraoui
Department of Anesthesia and Intensive Care “B”, Center of Maternity and Neonatology, Fattouma Bourguiba University Teaching Hospital, Monastir, Tunisia
Wafa Dhouib
Department of Preventive Medicine, University Hospital of Monastir, Monastir, Tunisia
Dhekra Toumi
Department of Gynaecology-Obstetrics, Center of Maternity and Neonatology, Fattouma Bourguiba University Teaching Hospital, Monastir, Tunisia
Olfa Zoukar
Department of Gynaecology-Obstetrics, Center of Maternity and Neonatology, Fattouma Bourguiba University Teaching Hospital, Monastir, Tunisia
Meriem Mehdi
Laboratory of Histology Embryology and Cytogenetics (LR 18 ES 40), Faculty of Medicine, University of Monastir, Avicenne Street, 5019 Monastir, Tunisia
Ali Jlali
Department of Anesthesia and Intensive Care “B”, Center of Maternity and Neonatology, Fattouma Bourguiba University Teaching Hospital, Monastir, Tunisia; Laboratory of Histology Embryology and Cytogenetics (LR 18 ES 40), Faculty of Medicine, University of Monastir, Avicenne Street, 5019 Monastir, Tunisia
Raja Faleh
Department of Gynaecology-Obstetrics, Center of Maternity and Neonatology, Fattouma Bourguiba University Teaching Hospital, Monastir, Tunisia
Lotfi Grati
Department of Anesthesia and Intensive Care “B”, Center of Maternity and Neonatology, Fattouma Bourguiba University Teaching Hospital, Monastir, Tunisia
Abstract
The novel coronavirus disease 2019 (COVID-19) has exposed vulnerable populations, including pregnant women, to an unprecedented public health crisis. According to recent data, pregnancy in COVID-19 patients is associated with increased hospitalization, admission to the intensive care unit (ICU) and intubation. It has been suggested that pregnancy induced immune responses and cardiorespiratory changes can exaggerate the course of the COVID-19. The present is a case of a pregnant woman who presented with critical respiratory failure secondary to COVID-19 resulted in her admission to the ICU and mechanical ventilator support. After childbirth, maternal outcomes were marked by disseminated intravascular coagulopathy and cardiopulmonary arrest on day thirty-four of admission. As to the neonatal outcome, a preterm female baby was transferred to the neonatal intensive care unit (NICU) and intubated immediately due to progressive respiratory distress. She was diagnosed with bacterial pneumonia with no evidence of COVID-19 and recovered after twenty-one days after NICU stay. This case showed that the maternal COVID-19 may lead to acute respiratory distress syndrome, coagulation dysfunction and preterm delivery. The risk of vertical transmission by SARS-CoV-2 is probably very low.
