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In this study, the authors described the clinical course of 32 critically ill pregnant women with COVID-19 in the ICU compared with a matching cohort of non-pregnant women. They found overall excellent outcomes with lower mortality compared with age- and Quick Sequential Organ Failure Assessment score–matched controls. Fetal outcomes were likewise excellent. There were higher rates of C-section and preterm birth.
These are encouraging findings for pregnant women critically ill with COVID-19.
– Morgan Soffler, MD
This abstract is available on the publisher's site.
Data from viral respiratory illnesses such as influenza, SARS-CoV-1, and MERS suggest that pregnancy may worsen both maternal and fetal outcomes (1, 2). Existing data in critically ill pregnant women with COVID-19 are mainly limited to case series or systematic reviews lacking non-pregnant controls (3-5). To better understand this potentially at-risk population, we describe the clinical course of 32 critically ill pregnant women admitted to ICUs across the United States. Further, we compare the characteristics, treatment, and outcomes of these pregnant women to women who were not pregnant at the time of ICU admission.