ReviewBMC pregnancy and childbirth2018
Characteristics and pregnancy outcomes of patients with severe pneumonia complicating pregnancy: a retrospective study of 12 cases and a literature review.
Review in BMC pregnancy and childbirth, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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Who cites it
27 citing papers in PubMed, 68 citations in OpenAlex.
- Maternal and neonatal outcomes following SARS-CoV-2 infection in an unvaccinated pregnant cohort: A trimester-specific analysis.PloS one · 2026Article
- Association betweenFrontiers in cellular and infection microbiology · 2025Article
- Antimicrobial stewardship and targeted therapies in the changing landscape of maternal sepsis.Journal of intensive medicine · 2024Review
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- Pneumonia Deterioration Occurring After C-section in a Preeclamptic Patient: A Case Report.Cureus · 2023Article
- Evaluation of the association between fear of COVID-19 and pregnancy distress.African health sciences · 2023Article
- Pathophysiology and mechanisms of hearing impairment related to neonatal infection diseases.Frontiers in microbiology · 2023Review
- Clinical-epidemiological characteristics and maternal-foetal outcomes in pregnant women hospitalised with COVID-19 in Venezuela: a retrospective study.BMC pregnancy and childbirth · 2022Article
- Sex and gender differences in community-acquired pneumonia.Internal and emergency medicine · 2022Review
- Anesthesia management in a post Covid-19 obstetric patient-What we need to know.Journal of anaesthesiology, clinical pharmacology · 2022Review
- The Impact of Maternal Human Immunodeficiency Virus Infection on the Burden of Respiratory Syncytial Virus Among Pregnant Women and Their Infants, Western Kenya.The Journal of infectious diseases · 2022Article
- SARS-CoV2 Infection During Pregnancy Causes Persistent Immune Abnormalities in Women Without Affecting the Newborns.Frontiers in immunology · 2022Article
- Clinical, obstetrical and anaesthesia outcomes in pregnant women during the first COVID-19 surge in France: A prospective multicentre observational cohort study.Anaesthesia, critical care & pain medicine · 2021Observational
- Euglycaemic ketoacidosis in pregnant women with COVID-19: two case reports.BMC pregnancy and childbirth · 2021Article
- Effects of the COVID pandemic on pregnancy outcomes.Best practice & research. Clinical obstetrics & gynaecology · 2021Review
- Management considerations for a critically ill 26-gestational week patient with COVID-19: A case report.Clinical case reports · 2021Article
- COVID-19 Pregnant Patient Management with a Case of COVID-19 Patient with An Uncomplicated Delivery.Turkish thoracic journal · 2020Article
- Clinical analysis of pregnant women with 2019 novel coronavirus pneumonia.Journal of medical virology · 2020Article
- Coronavirus in pregnancy. What we know so far?Maedica · 2020Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPneumonia during pregnancy has been proven to be associated with increased maternal and fetal morbidity and mortality. The management of severe pneumonia in gravid patients is even more challenging. Thus, we summarized the characteristics and pregnancy outcomes of these patients and explored the probable risk factors and predictive factors for pneumonia during pregnancy and the appropriate timing of delivery in severe pneumonia patients.
methodsA retrospective cohort study was conducted with 12 patients who were diagnosed with severe pneumonia complicating pregnancy at Peking Union Medical College Hospital between January 2010 and June 2017. The clinical features, treatment strategies, and pregnancy outcomes were collected from medical records and telephone calls.
resultsAll 12 patients were in their late second or third trimester. The patients had a higher prevalence of anemia (50%) and preeclampsia (25%) than ordinary pregnant women. Delayed diagnoses were not uncommon. Two mothers died in our series, resulting in a mortality rate of 17%. Two intrauterine deaths were observed. Elective delivery was not performed in any of the four patients in their second trimester. Six of the seven patients who presented after 28 weeks of gestation and had live fetuses underwent emergency deliveries. Preterm births (6/7) and cesarean sections (5/7) were the two leading adverse outcomes in newborns.
conclusionsAnemia, advanced gestational age, and preeclampsia might be associated with the severity of pneumonia. Chest radiographs should be taken as soon as pneumonia is highly suspected to facilitate an early diagnosis. High incidences of adverse fetal outcomes were observed; thus, termination of the pregnancy is recommended for patients in their third trimester when respiratory function deteriorates progressively. However, it might be reasonable to continue pregnancy for those in their first or second trimester.
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