Abstract

There is an extensive body of evidence showing that SARS-CoV-2 infection in pregnancy puts women and their babies at increased risk of adverse outcomes, the most severe of which include maternal admission to intensive care units (ICU), maternal death, stillbirth, and neonatal death. However, although pregnant women with SARS-CoV-2 infection face an increased risk of ICU admission, there are important knowledge gaps, such as when provider-initiated delivery should be considered in very sick pregnant women. Available guidance for the clinical management of pregnant women with SARS-CoV-2 from both the UK and the USA, for example, advises an individualised approach to deciding whether an emergency caesarean birth or induction of labour should be done in the case of clinical deterioration leading to concerns for the mother or baby.

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Cite as

Calvert, C. & Stock, S. 2023, 'Severe COVID-19 pneumonitis and timing of birth in women', The Lancet Respiratory Medicine. https://doi.org/10.1016/S2213-2600(22)00531-8

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Last updated: 30 July 2025
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