Background: COVID-19 pneumonia increases the risk for pregnant women and the fetuses
that often require intensive therapy. In addition to obvious therapeutic
targets, ICU staff has to control the psycho-emotional conditions of COVID-19
patients, e.g. intensive care unit syndrome and post-intensive care syndrome. Case
presentation: Patient M., Uzbek, 24 years old, gravida 1 (27 weeks) was
admitted to the Maternity Department of Zangiota hospital on 19.07.2021 with
the diagnosis of extremely severe COVID-19 pneumonia and respiratory failure
with psychomotor agitation. On day 4 her general condition deteriorated due to
the progression of pneumonia and involvement of abdominal organs associated
with 27-week pregnancy. On that day the fetus had no signs of life, and the
caesarean delivery was performed; the child was stillborn. For the next two
weeks the patient had been in medical coma due to the progression of
respiratory and multi-organ failure. The patient had two separate cardiac
arrests. Cardio-pulmonary resuscitation was successful. By day 20, the dynamics
of her cardiac activity has been completely restored. The brain function
restored to15 on the Glasgow Coma Scale. Conclusion: Special measures of
prevention and treatment of multi-organ failure, intensive care unit syndrome
and post-intensive care syndrome should be taken in an ICU for pregnant women
with COVID-19 pneumonia.
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