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Six Critically Ill COVID-19 Pregnant Patients at a Detroit Hospital: A Case Series
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  • Nicolina Smith,
  • Leah Hong,
  • Madhurima Keerthy,
  • Monica Lee-Griffith ,
  • Robyn Garcia,
  • Majid Shaman,
  • Gregory Goyert
Nicolina Smith
Henry Ford Health System
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Leah Hong
Henry Ford Health System
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Madhurima Keerthy
Henry Ford Hospital
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Monica Lee-Griffith
Henry Ford Health System
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Robyn Garcia
Henry Ford Health System
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Majid Shaman
Henry Ford Health System
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Gregory Goyert
Henry Ford Health System
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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.