Mrs. N, a 31-year-old pregnant woman at 40 weeks gestation, presented to our obstetric emergency unit with tachypnea (RR 30×/min; O2 saturation 93%) and fever (101.3 °F) for one week before admission. The patient had a history of flu-like symptoms and anosmia for the previous 2 weeks. A chest X-ray showed no appearance of pneumonia. Oxygen therapy was given with a nasal cannula, 4 Lpm, and O2 saturation was 96%. SARS-CoV-2 (RdRP Cq 24.40; E Gene Cq 23.89) was confirmed using RT-PCR from a naso-oropharyngeal swab.\nWe immediately conducted a cesarean section due to a premature rupture of the membrane with oligohydramnios. The cesarean section was successful, and a born baby boy was born, 3465 g, 51 cm, AS 8/9. The neonate was taken care of in the perinatal isolation unit for COVID-19, and a naso-oropharyngeal swab for SARS-CoV-2 result came back negative.\nThe patient was taken to the isolation ward for COVID-19 for postoperative observation. The patient was given Remdesivir on HD 2 until HD 6. The patient’s symptoms improved during hospitalization with a negative swab result for SARS-CoV-2 on hospital care day 6. Both patient and baby were discharged with a stable condition on HD 7.
Mrs. M, a 28-year-old pregnant woman at 36 weeks gestation, was diagnosed with confirmed COVID-19 and was referred to our hospital due to worsening clinical symptoms. The patient had been treated in a previous hospital for 2 days with symptoms of cough and fever 4 days before admission. During hospitalization, the patient’s condition worsened as she displayed tachypnea (RR 32×/min, O2 saturation 92%) and fever (102.2 °F).\nA chest X-ray showed no abnormalities in both lungs. A naso-oropharyngeal swab for SARS-CoV-2 was positive (N gene Cq 39.54). Oxygen saturation was 95% using oxygen therapy at 3 Lpm with a nasal cannula. An emergency cesarean section was directly performed due to the worsening of the maternal condition and oligohydramnios seen from ultrasound examination. The cesarean section was performed with no complications. A baby boy was born with a birthweight of 2345 g, a birth length of 45 cm, and AS 7/8. The baby was taken to perinatal isolation for COVID-19 with a negative result for SARS-CoV-2 from a naso-oropharyngeal swab.\nThe patient was taken care of in HCU after surgery on day 1 postoperative (HD 1). Remdesivir was directly given with a dose of 200 mg IV on the 1st day and continued with 1 × 100 mg IV on day 2 until 5. The patient’s postoperative condition was stable, and the RT-PCR result for SARS-CoV-2 was negative on HD 4. Both patient and baby were discharged on HD 7 after Remdesivir therapy was completed.