Pneumonia and pregnancy outcomes: a nationwide population-based study

Chen, Yi Hua; Keller, Joseph J.; Wang, I-Te; Lin, Ching Chun; Lin, Herng Ching

doi:10.1016/j.ajog.2012.08.023

Cited by 121 publications

(126 citation statements)

References 38 publications

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“…A study in Hong Kong in 2004 showed that SARS during pregnancy is associated with high incidences of spontaneous miscarriage, preterm delivery, and intrauterine growth restriction [9]. Another study shows that pregnant women with pneumonia have an increased risk of developing low birth weight infants, preterm births, restricted fetal growth, and 5-minute Apgar score < 7 compared to healthy pregnant women [10]. Although there have been no clinical or serological reports of SARS or MERS in neonatal infections in existing studies [9,11], evidence of vertical mother-to-child transmission in other respiratory viruses such as H1N1 and respiratory syncytial virus have been reported [12].…”

Section: Discussionmentioning

confidence: 99%

A Case Report of Neonatal 2019 Coronavirus Disease in China

Wang

Guo

Ling

et al. 2020

Clinical Infectious Diseases

469

533

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In December 2019, the coronavirus disease (COVID-19) caused by the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) emerged in China and now has spread in many countries. Pregnant women are a population susceptible to COVID-19 and are more likely to have complications and even progress to severe illness. We report a case of neonatal COVID-19 in China with pharyngeal swabs testing positive by real-time reverse-transcription polymerase chain reaction assay 36 hours after birth. However, whether the case is a vertical transmission from mother to child remains to be confirmed.

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Section: Discussionmentioning

confidence: 99%

A Case Report of Neonatal 2019 Coronavirus Disease in China

Wang

Guo

Ling

et al. 2020

Clinical Infectious Diseases

469

533

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“…34 gebede HINI pandemik virüs nedenli pnömoni saptadıkları çalışmada; tüm hastaların MV desteği aldığı, 6 hastanın ise eksitus olduğunu belirtmiş ve pandemik virüsün tedavisinde antiinfluenza ilaçlarının acil olarak kullanılması gerektiğini vurgulamışlardır 10 . Riski gruplarda mevsimsel grip enfeksiyonu tedavisi için oseltamivirin hastanede hazır olması gerektiği, mevsimsel gribe bağlı ( A/H1N1 , A/H3N2 veya B ) virüslerine karşı morbidite ve mortaliteyi azaltacağı bildirilmiştir 11 . Bir kısım yazarlar influenzanın yoğun bakımlarda ARDS'ye kadar giden ciddi pnömonilere sebep olduğu ve bu vakalarında % 0,5 oranında fatal seyrettiğini belirtmişlerdir 12 .…”

Section: Discussionunclassified

Management of Caesarean Sectio and Intensive Care Unit Process in the Pregnant with Acute Respiratory Failure

Kuzucuoğlu¹,

Uçkun²

2015

BSBD

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ÖZETBilinen sistemik hastalığı olmayan 39 yaşında 3. gebelik 35 haftalık bayan hasta, yüksek ateş, solunum sıkıntısı, iştahsızlık şikayetleriyle kadın doğum kliniği tarafından yatırıldı ve semptomatik tedaviye başlandı. Yatışının 4.günü genel durumun kötüleşmesi üzerine acil sezaryen operasyonuna alındı. Operasyonun 5. dakikasında APGAR: 9 (5.dk) canlı kız çocuğu doğurtuldu. Entübe olarak yoğun bakım ünitesine alınan hasta monitörize edildi. Kan, idrar, trakea kültürleri alınan hastanın hemogram, biyokimya ve kan gazları günde 2 kez değerlendirildi. ARDS gelişmesi üzerine FİO2: %80, PEEP: 12cmH2O, TV: 5ml/kg olarak MV parametreleri ayarlandı. Kan kültürlerinde gram negatif enterekok ve psödomonas üremesi üzerine meropenem 3x1, teicoplanin 3x1, linezolid 4x1 ve H1N1 şüphesi ile osaltamivir (2x75mg) başlandı. CRP, ateş ve lökositi normalleşen hastaya 4. günde fiberoptik bronkoskopi (FOB) yapıldı ve bronkoalveolar lavaj (BAL) alındı. Üreme görülmedi. Yatışının 6. gününe kadar ARDS destek tedavisine devam edilen hastada 8. günde "weaning" başlandı ve 9. günde ekstübe edildi. Yatışının 12. gününde vital bulguları stabil solunum ve dolaşım parametreleri normal olarak kadın doğum kliniğine transfer edildi.Anahtar Kelimeler: gebelik pnömonisi, sezaryen, solunum yetmezliği SUMMARYThe 39-year-old female patient without a known systemic disease who was pregnant to her third delivery in the 35th gestational week was admitted in the Clinic of Gynecology and Obstetrics due to high fever, dyspnea and appetite loss to initiate symptomatic treatment. In her 4th admission day, due to deterioration of her clinical symptoms, the patient was undergone an emergency caesarean section. In the fifth minute of operation, an alive female birth with APGAR Score 9 (at fifth min ) was delivered. The intubated patient was transferred to intensive care unit (ICU) and monitorized. Blood, urine, tracheal cultures of the patients were taken and complete blood count, biochemistry and blood gases were evaluated 2 times a day. ARDS developed and FiO2: 80%, PEEP: 12cmH 2O, TV: 5ml/kg parameters was administered. Since gram negative enterococci and pseudomonas grew in the blood cultures; administration of meropenem 3x1, teicoplanin and linezolid 4x1 were initiated and combined with oseltamivir (2x75mg) for suspicious H1N1. The patient with normalized CRP, fever and leukocyte count was performed flexible bronchoscopy in the 4th admission day and bronchoalveolar lavage (BAL) was obtained. No growth was observed. The supportive care for Adult Respiratuar Distres Syndrome (ARDS) was continued until 6th admission day and converted to weaning in the 8th admission day. She was extubated in the 9th day. She was transferred to Clinic of Gynecology and Obstetrics with normal respiratory and circulatory parameters and vital parameters stabil in the 12th admission day.Key words: pregnancy pneumonia, caesarean, respiratory failure GİRİŞGebelikte ağır pnömoni sık rastlanılmayan bir durumdur. Ancak rastlanıldığında akut solunum yetmezliğine neden olarak gebe ve fetü...

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“…Pregnant women are prone to respiratory infection, due to alterations in the immune system and mechanical changes involving the chest and abdominal cavities . Pneumonia also increases the risk of adverse pregnancy outcomes, such as low birthweight and preterm birth, compared to unaffected women . However, adenoviral pneumonia in pregnant patients has not been reported before.…”

Section: Introductionmentioning

confidence: 99%

Severe pneumonia caused by adenovirus 7 in pregnant woman: Case report and review of the literature

Liao

Wang

Jin

et al. 2016

J of Obstet and Gynaecol

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We report a rare case of adenoviral pneumonia in a previously healthy pregnant woman at 26(+4) weeks' gestation. She presented with persistent high fever, cough for 5 days, and developed progressive dyspnea with hypoxemic respiratory failure and bilateral pulmonary infiltrates with pleural effusions. Aggressive supportive care and timely obstetrical management saved the mother and prevented preterm delivery and fetal anomaly.

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Pneumonia and pregnancy outcomes: a nationwide population-based study

Abstract: Women with pneumonia during pregnancy had significantly higher risk of LBW, preterm birth, SGA, low Apgar scores infants, CS, and preeclampsia/eclampsia, compared to unaffected women.

Cited by 121 publications

References 38 publications

A Case Report of Neonatal 2019 Coronavirus Disease in China

A Case Report of Neonatal 2019 Coronavirus Disease in China

Management of Caesarean Sectio and Intensive Care Unit Process in the Pregnant with Acute Respiratory Failure

Severe pneumonia caused by adenovirus 7 in pregnant woman: Case report and review of the literature

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