tetano
Editor, Senior Moderator
Am J Obstet Gynecol
. 2021 Dec 16;S0002-9378(21)02687-9.
doi: 10.1016/j.ajog.2021.12.023. Online ahead of print.
Oxygen saturation in pregnant individuals with COVID-19: Time for re-appraisal?
Joe Eid[SUP] 1 [/SUP], David Stahl[SUP] 2 [/SUP], Maged M Costantine[SUP] 3 [/SUP], Kara M Rood[SUP] 3 [/SUP]
Affiliations
Abstract
Managing pregnant individuals with acute respiratory disease secondary to Coronavirus disease 2019 has been a challenge. Most professional societies including the Society for Maternal Fetal Medicine recommend keeping oxygen saturation greater than or equal to 95% in pregnant individuals. Reaching this target has been increasingly difficult in some patients, especially with the latest wave of the virus attributed to the delta variant. In the absence of strong data, and in the setting of reassuring fetal status, we propose maintaining maternal oxygen saturation between 92-96% for admitted patients with acute respiratory failure requiring supplemental oxygen. This may prevent unnecessary invasive interventions that might not be of maternal or fetal benefit, specifically at very preterm gestational ages.
Keywords: COVID-19; Pregnancy; oxygen saturation.
. 2021 Dec 16;S0002-9378(21)02687-9.
doi: 10.1016/j.ajog.2021.12.023. Online ahead of print.
Oxygen saturation in pregnant individuals with COVID-19: Time for re-appraisal?
Joe Eid[SUP] 1 [/SUP], David Stahl[SUP] 2 [/SUP], Maged M Costantine[SUP] 3 [/SUP], Kara M Rood[SUP] 3 [/SUP]
Affiliations
- PMID: 34922921
- DOI: 10.1016/j.ajog.2021.12.023
Abstract
Managing pregnant individuals with acute respiratory disease secondary to Coronavirus disease 2019 has been a challenge. Most professional societies including the Society for Maternal Fetal Medicine recommend keeping oxygen saturation greater than or equal to 95% in pregnant individuals. Reaching this target has been increasingly difficult in some patients, especially with the latest wave of the virus attributed to the delta variant. In the absence of strong data, and in the setting of reassuring fetal status, we propose maintaining maternal oxygen saturation between 92-96% for admitted patients with acute respiratory failure requiring supplemental oxygen. This may prevent unnecessary invasive interventions that might not be of maternal or fetal benefit, specifically at very preterm gestational ages.
Keywords: COVID-19; Pregnancy; oxygen saturation.