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Case report
Prone positioning for severe ARDS in a postpartum COVID-19 patient following caesarean section
  1. John T Roddy1,
  2. William S Collier2 and
  3. Jonathan S Kurman1
  1. 1Pulmonary and Critical Care Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
  2. 2Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
  1. Correspondence to Dr John T Roddy; johnthomasroddy{at}gmail.com

Abstract

A 31-year-old pregnant woman presented with symptomatic COVID-19, which was complicated by progressive hypoxaemia requiring intensive care and emergent delivery by caesarean section. Afterward, she was successfully supported with mechanical ventilation and prone positioning and ultimately recovered. We review literature regarding complications of COVID-19 affecting pregnancy and evidence-based treatment strategies.

  • adult intensive care
  • mechanical ventilation
  • pregnancy
  • pneumonia (respiratory medicine)

This article is made freely available for use in accordance with BMJ’s website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained.

https://bmj.com/coronavirus/usage

https://doi.org/10.1136/bcr-2020-240385

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    Footnotes

    • Twitter @JohnRoddyMD

    • Contributors Conception and design: JTR, WSC and JSK conceived and designed case report. Administrative support: none. Provision of study materials or patients: none. Collection and assembly of data: JTR and WSC collected data/chart review. Data analysis and interpretation: JTR and JSK analyzed data and interpreted. Manuscript writing: JTR, WSC and JSK. All contributed to drafting. Final approval of manuscript: JTR, WSC and JSK provided final approval

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.