A 34 year old primigravida of Asian ethnicity at a gestation of 36+4 and BMI 24 has presented to obstetric triage. She describes a persistent cough for the last 4 days which is getting worse and has been advised by her GP to attend for further investigation. She is otherwise fit and well, and has had a low-risk pregnancy with no concerning features.
On examination, she is found to have SpO2 of 88% on room air, and a respiratory rate of 30. 40% oxygen delivered through a Venturi device improves this to 94%, although she is said to be progressively ‘tiring’. Foetal scanning and CTG show no concerning features. She is afebrile, but has lymphocytes of 1.2 and CRP of 240.
A SARS-CoV-2 PCR test is positive.
ICU have been contacted to discuss the most appropriate next steps for this patient’s care.
Written by Dr Stuart Edwardson & Dr Arlene Wise
First published 21 October 2021