What Sepsis Researchers Can Learn from COVID-19

Michiel Schinkel, Harjeet Singh Virk, Prabath W.B. Nanayakkara, Tom van der Poll, W. Joost Wiersinga

American Journal of Respiratory and Critical Care Medicine · 2020 · 10 citations · 2 references

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Abstract

In summary, we report the maternal and fetal outcomes of 32 pregnant women in a multicenter cohort study of geographically diverse critically ill patients with COVID-19.In contrast to nonpregnant women of childbearing age, all pregnant women survived, and there were no fetal deaths.Treatments and outcomes, including receipt of invasive mechanical ventilation, the incidence of acute organ injury, and ICU and hospital length of stay, were generally similar between pregnant and nonpregnant women.Pregnant women had high rates of preterm delivery and cesarean section-primarily for the indication of critical illness.Our finding that 13 pregnant women survived to hospital discharge without delivery raises an interesting question of whether or not delivery is required for nonobstetric indications among critically ill pregnant women (10).Additional data are needed in critically ill pregnant women with COVID-19 to help inform clinical practice.

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