Factors Affecting Survival of Pregnant Women with COVID-19 and Our First Extracorporeal Membrane Oxygenation Results
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Original Research
P: 0-0

Factors Affecting Survival of Pregnant Women with COVID-19 and Our First Extracorporeal Membrane Oxygenation Results

J Turk Soc Intens Care 0;0(0):0-0
1. University of Health Sciences Turkey, Sancaktepe Şehit Prof. Dr. İlhan Varank Training and Research Hospital, Clinic of Anesthesiology and Reanimation, İstanbul, Turkey
No information available.
No information available
Received Date: 18.10.2022
Accepted Date: 15.05.2023
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ABSTRACT

Objective:

The purposes of our study were to determine the relationship between COVID pneumonia and mortality and immunization status of patients and to present our first ECMO (extracorporeal membrane oxygenation) experiences by retrospectively evaluating pregnant women.

Materials and Methods:

The research was conducted by screening the files of 37 pregnant/postpartum COVID-19 cases monitored and treated in the intensive care unit between March 1, 2020 and December 1, 2021. The patients’ ages, systemic comorbidities, vaccination details, and clinical and laboratory features were recorded and analyzed. The patients were divided into two groups as survivors (Group 1; n=17) and exitus ones (Group 2; n=20); and the results were compared statistically.

Results:

Of 37 patients, 17 (45.9%) survived (Group 1) and 20 (54.1%) died (Group 2) with a median of 31 gestational weeks and 9 days LOS in the ICU. ICU admission time (which day of PCR+) and cesarean time (which day of PCR+) were 8 days. Nine (24%) patients received ECMO and MV, with 6 (66.6%) exitus and 3 (33.3%) survivors who were discharged from the hospital without sequelae. Of 37 pregnant/postpartum patients, 36 were unvaccinated.

Conclusion:

Vaccination should be given priority in pregnant women, and ECMO may be effective in the recovery of oxygenation in pregnant COVID-19 patients.

Keywords: COVID-19, ECMO, pregnancy, vaccines, ICU

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