Hospital Course Case 1 Case 2 Case 3 Case 4 Case 5 Case 6
Respiratory support High flow nasal cannula Mechanical ventilation Mechanical ventilation Mechanical ventilation Mechanical ventilation Mechanical ventilation
Days intubated 0 14 7 8 3 2
Maximum ventilatory settings N/A PEEP 18 cm H2O, FiO2 100% PEEP 12 cm H20, FiO2 100% PEEP 10 cm H20, FiO2 70% PEEP 10 cm H20, FiO2 50% PEEP 8 cm H2O, FiO2 40%
Days hospitalized 9 17 11 13 8 7
Delivery No No No Yes, induction was performed at 36 weeks, 3 days gestational age for category 2 FHT. Delivery resulted in a vacuum assisted vaginal delivery. Yes, urgent cesarean section for severe range blood pressures refractory to interventions in setting of preeclampsia with severe features. Patient intubated prior to delivery, then transferred to intensive care unit. Yes, urgent cesarean section for persistent category II FHT following intubation. Patient was intubated prior to delivery, and 2 prolonged decelerations were noted on FHT. Patient was found to be shivering with absent variability noted on FHT.
Outcome Discharged on room air. Patient left against medical advice on hospital day 17 and was on 3 L nasal cannula at that time. Discharged on room air. Patient diagnosed with preeclampsia without severe features. Patient discharged postpartum day 3 on room air. Discharged postpartum day 8 on room air. Patient discharged with labetalol 800 mg TID and nifedipine XL 60 mg. Discharged on postoperative day 4 on room air