Evidence map›Paper›PMID 34646346›Full record

ArticleObstetric medicine2021

Severe and critical COVID-19 in pregnancy: A case series from Montreal.

Marie-Julie Trahan, Isabelle Malhamé, Cristina Mitric, Camille Simard, Jed Lipes, Haim A Abenhaim

Open access · hybridAbstract read
In one paragraph

Article in Obstetric medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.1field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Pregnancy-adapted YEARS Algorithm: A Retrospective Analysis.The western journal of emergency medicine · 2024
    Article
  3. Obstetrical and Newborn Outcomes Among Patients With SARS-CoV-2 During Pregnancy.Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Marie-Julie TrahanDepartment of Obstetrics and Gynecology, McGill University, Montreal, Canada.ORCID https://orcid.org/0000-0002-8881-9138
Isabelle MalhaméDepartment of Medicine, McGill University, Montreal, Canada.ORCID https://orcid.org/0000-0002-9140-8735
Cristina MitricDepartment of Obstetrics and Gynecology, McGill University, Montreal, Canada.
Camille SimardDepartment of Medicine, McGill University, Montreal, Canada.ORCID https://orcid.org/0000-0002-3164-2706
Jed LipesDepartment of Medicine, McGill University, Montreal, Canada.
Haim A AbenhaimDepartment of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Jewish General Hospital, Montreal, Canada.
McGill University · CAJewish General Hospital · CAMcGill University Health Centre · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOptimal obstetric management for women with coronavirus disease (COVID-19) is not known. We describe the management of six pregnant women requiring in-hospital care for severe COVID-19.

methodsA retrospective chart review was conducted to identify pregnant women who tested positive for Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV-2) between 15 March and 30 June 2020. A subset of women meeting criteria for severe COVID-19 was included.

resultsFour women required non-invasive supplemental oxygen therapy and two required mechanical ventilation. Four women were discharged from hospital undelivered and two required preterm delivery. One woman had a pulmonary embolism, and two required re-admission for worsening symptoms.

conclusionManagement of pregnant women with severe COVID-19 is complex and should involve multidisciplinary expertise. Avoiding early delivery may be a safe option. We recommend an individualized approach to care, including careful consideration of the expected risks and benefits of expectant obstetric management versus delivery.

Indexed as

coronavirusCOVID-19critical caredeliveryintensive care unitmechanical ventilationpregnancysupplemental oxygen symptomsthromboprophylaxis

Identifiers

PMID34646346
PMCPMC8504303
OpenAlexW3134956166

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.