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Approach to dyspnoea in pregnancy in the COVID-19 era
A Banerjee1, L A Arrandale2, S Sankaran3
1FHEA, FRCP Women's Services, Guys and St Thomas' Hospitals NHS Foundation Trust.
Importance:
Dyspnoea and hypoxia in pregnant women during the COVID-19 pandemic may be due to causes other than SARS Co-V-2 infection which should not be ignored. Shared decision-making regarding early delivery is paramount.
Objective:
To highlight and discuss the differential diagnoses of dyspnoea and hypoxia in pregnant women and to discuss the risks versus benefit of delivery for maternal compromise.
Design, Setting And Participants:
Case series of two pregnant women who presented with dyspnoea and hypoxia during the COVID-19 pandemic.
Results:
Two pregnant women presented with dyspnoea and hypoxia. The first case had COVID-19 infection in the 3rd trimester. The second case had an exacerbation of asthma without concurrent COVID-19. Only the first case required intubation and delivery. Both recovered and were discharged home. Conclusion and relevance: Our two cases highlight the importance of making the correct diagnosis and timely decision-making to consider if delivery for maternal compromise is warranted. Whilst COVID-19 is a current healthcare concern other differential diagnoses must still be considered when pregnant women present with dyspnoea and hypoxia.
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