PEffects Of Prone Positioning In 5 Pregnant Patients With Low Oxygen Saturation Diagnosed With COVID-19

Authors : Mehtap Zengi, Nermin Kelebek Girgin, Gülbahar Çalışkan

Pages : 318-321

View : 61 | Download : 36

Publication Date : 2025-06-27

Article Type : Other Papers

Abstract :Acute respiratory distress syndrome (ARDS) is a condition with severe hypoxemic respiratory failure. Hypoxemia in pregnant women may lead to morbidity and mortality in the mother and baby. The prone position is one of the treatment options. However, it is hesitant to apply this position to pregnant women. In this report, we aimed to present the clinical results of pregnant patients diagnosed with COVID-19-associated ARDS (CARDS) followed up in the prone position in the intensive care unit (ICU). Five pregnant patients diagnosed with CARDS were placed in the prone position in the ICU. The patients were 33.2±6.41 years old, and their gestational weeks were between 24-28. Four cases were followed up with invasive mechanical ventilation (MV), one case with high-flow nasal oxygen and non-invasive MV. The PaO2/FiO2 (P/F) ratios of the patients were 57.9±14.8 in the pre-prone position but were significantly higher at the 8th (122.8±41.7) and 16th hours (123.0±30.8) of the prone position (p=0.026, p=0.010). There were no complications in the fetuses or mothers due to the prone position. ICU mortality was 60% (n=3). The prone position can be safely applied in pregnant women even when considering the anatomy and physiology of pregnancy. Supports for the chest and pelvis should be used while positioning so that the abdominal region is not under pressure. Fetal monitoring should not be ignored, as well as the monitoring of the PaO2, PCO2, and hemodynamic parameters during the prone position after 24 weeks of pregnancy.
Keywords : Akut respiratuar distres sendrom, gebe, prone pozisyon, COVID-19, COVID-19, COVID-19, COVID-19

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