Covid-19 Infected Obstetric Patient in Intensive Care:A Case Report

Abstract

COVID-19 is a disease that affects the lungs and can cause death. Conditions such as obesity, asthma, diabetes and pregnancy may cause the picture to worsen. Vaccination against this disease has a great place in controlling the disease. Although there is little data on the administration of the vaccine to pregnant women, vaccination of pregnant women is supported by some authors. In this case report, it was aimed to discuss a 36-year-old pregnant woman who was not vaccinated for COVID-19. The obese pregnant case was followed in the intensive care unit with respiratory support for 6 days and died with impaired liver function tests and due to respiratory failure.

Keywords

• pregnancy
• COVID-19
• vaccine

Yoğun Bakımda Covid-19 Enfekte Obstetrik Hasta Olgu Sunumu

Öz

COVID-19 akciğerleri tutan ve ölüme neden olabilen bir hastalıktır. Obezite, astım, diyabet, gebelik gibi durumlar tablonun daha kötü seyretmesine neden olabilmektedir. Bu hastalığa karşı aşılanma hastalığın kontrol altına alınmasında büyük yer tutmaktadır. Aşının hamilelere uygulanması hakkında az veri bulunmasına rağmen gebelerin aşılanması bazı otörlerce desteklenmektedir. Bu olgu sunumunda 36 yaşındaki COVID-19 için aşısız gebe hasta tartışılmak istenmiştir. Obez gebe olan olgu yoğun bakımda 6 gün solunum desteğiyle takip edildikten sonra karaciğer fonksiyon testlerinin bozulması ve solunum yetmezliği nedeniyle kaybedilmiştir.

Anahtar Kelimeler

• gebelik
• COVID-19
• aşı

References

1. Referans1 Huang, C., Wang, Y., Li, X., Ren, L., Zhao, J., Hu, Y., ... & Cao, B. (2020). Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The lancet, 395(10223), 497-506.
2. Referans2 Motlagh, A. J., Saeieh, S. E., & Parhigar, O. (2020). An asthmatic pregnant woman with COVID-19: A case report study. Respiratory Medicine Case Reports, 31, 101296.
3. Referans3Petrakis, D., Margină, D., Tsarouhas, K., Tekos, F., Stan, M., Nikitovic, D., ... & Tsatsakis, A. (2020). Obesity a risk factor for increased COVID 19 prevalence, severity and lethality. Molecular medicine reports, 22(1), 9-19.
4. Referans4Tenforde, M. W., Self, W. H., Adams, K., Gaglani, M., Ginde, A. A., McNeal, T., ... & Patel, M. M. (2021). Association Between mRNA Vaccination and COVID-19 Hospitalization and Disease Severity. Jama.
5. Referans5Collier, A. R. Y., McMahan, K., Yu, J., Tostanoski, L. H., Aguayo, R., Ansel, J., ... & Barouch, D. H. (2021). Immunogenicity of COVID-19 mRNA vaccines in pregnant and lactating women. Jama, 2370-2380.
6. Referans6Sibai B, Dekker G, Kupferminc M. Pre-eclampsia. Lancet 2005; 365: 785-799
7. Referans7Yavuzkir, Ş., Can, B., & Akyol, A. (2016). Ortalama Trombosit Hacmi Preeklemsi ile İlişkili midir?. Firat Tip Dergisi, 21(1).
8. Referans8Choi, H. S., Han, S. Mendoza, M., Garcia‐Ruiz, I., Maiz, N., Rodo, C., Garcia‐Manau, P., Serrano, B., ... & Suy, A. (2020). Pre‐eclampsia‐like syndrome induced by severe COVID‐19: a prospective observational study. BJOG: An International Journal of Obstetrics & Gynaecology, 127(11), 1374-1380.

9. Referans9 Mendoza, M., Garcia‐Ruiz, I., Maiz, N., Rodo, C., Garcia‐Manau, P., Serrano, B., ... & Suy, A. (2020). Pre‐eclampsia‐like syndrome induced by severe COVID‐19: a prospective observational study. BJOG: An International Journal of Obstetrics & Gynaecology, 127(11), 1374-1380.
10. Referans10Theiler, R. N., Wick, M., Weaver, A., Mehta, R., Virk, A., & Swift, M. (2021). Pregnancy and birth outcomes after SARS-CoV-2 vaccination in pregnancy. medRxiv.