Case #2
A 25 y/o Hispanic G7P3023 was transferred from OSH at 25 weeks with
COVID-19 (intubated the day prior to transfer). The patient’s PMH was
significant for obesity. The following day, the patient underwent
bronchoscopy and was soon proned for 16h due to worsening respiratory
status (increase in PEEP from 12 to 14 and in FiO2 from
50% to 70%, yielding a P/F ratio of 175). Following the proning
session, the respiratory status improved (FiO2 decreased
to 40%, resulting in a P/F ratio of 340) (Figure S 1). Two days later,
Remdesivir was initiated. The patient remained intubated for a total of
7 days. After discharge, the patient’s prenatal course was
uncomplicated. She underwent induction of labor at 39 weeks of gestation
and had an uneventful vaginal birth after cesarean.