Third trimester pregnancy and cesarean delivery of a patient with COVID-19: a case report

Abstract Background: Limited data is available about the clinical features, management and neonatal outcomes of pregnant women COVID-19 positive. Case: At 37 WGA, a 34-year-old woman G3C1A1 of Puerto Rican origin presented to her follow-up perinatologist visit with flu-like symptoms and COVID-19 contact exposure history. After confirmation of COVID-19 infection and findings on chest radiography, she was successfully treated with ceftriaxone, azithromycin, hydroxychloroquine sulfate, and supportive measures. She had an uncomplicated cesarean delivery with no evidence of vertical transmission. The infant’s physical examination was unremarkable, without any clinical indication of infection.Conclusion: We describe the favorable clinical outcome of a delivery in a woman with COVID-19 in Puerto Rico. It highlights the importance of the rapid clinical management and the hospital coordinated response for the care of a COVID-19 positive pregnant patient at a point where there are no evidence-based or established guidelines. Universal screening for COVID-19 in pregnant women who are admitted for delivery should be considered as part of the hospitals COVID-19’s protocols to improve the staff and patient’s protection.