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