Üçüncü Trimester Gebede COVÝD-19’ a Baðlý ARDS Geliþimi ve Baþarýlý Multidisipliner Olgu Yönetimi

Gebe hastalarda COVID-19 hastalýðý, gebeliðin getirmiþ olduðu fizyolojik deðiþiklikler nedeni ile daha ciddi seyredebilmektedir. Çoðu COVÝD-19’lu gebe hastamýz, hastane yatýþýna gerek duyulmadan ayaktan takip edilmekle birlikte, özellikle 3. trimesterde artan immünsupresyon, hastanýn aþýsýz olmasý gibi risk faktörleri varlýðýnda, olgumuzda olduðu gibi COVÝD-19 enfeksiyonu hýzlý progresyon gösterip solunum yetmezliðine neden olabilir. Gebeliðinin 3. trimesterinde olan hastamýzýn yatýþýnýn 3. gününde COVÝD-19 pnömonisine baðlý yoðun bakým ihtiyacý göstermesi üzerine multidisipliner bir yaklaþým ile önce acil doðum operasyonu gerçekleþtirildi ve hasta postop yoðun bakým ünitesinde mekanik ventilasyonda takip edildi. Hastamýzý, gebeliðinin 3. trimesterinde ciddi seyreden COVÝD-19 hastalýðýna bir örnek teþkil etmesi nedeni ile sunmak istedik.

Development of ARDS due to COVID-19 in a Pregnant Woman in the Third Trimester and Successful Multidisciplinary Case Management

The course of COVID-19 disease may be more severe in pregnant patients due to the physiologic changes induced by pregnancy. Although most pregnant patients with COVID-19 are followed up as outpatients, requiring no hospitalization, COVID-19 infection, especially in the presence of risk factors such as increased immunosuppression in the third trimester and lack of vaccination, can progress rapidly and lead to respiratory failure, as in our case. Our patient was in the third trimester of her pregnancy, and required intensive care due to COVID-19 pneumonia on the third day of hospitalization, and an emergency delivery was performed initially with a multidisciplinary approach. The patient was then followed up in the respiratory intensive care unit under mechanical ventilation. Our patient is a remarkable example of severe COVID-19 disease in the third trimester of pregnancy.

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