severe covid-19 in a postpartum woman: a three-month challenge with convalescent plasma and corticosteroid

Introduction: management of seriously ill patients infected with new corona virus (sars-cov-2) is challenging especially in pregnancy and postpartum state.case presentation: a 39- year-old primigravid critically ill woman with acute respiratory distress (ards) due to confirmed sars-cov-2 infection underwent urgent cesarean delivery (a healthy neonate) at 33 weeks and 5/7 of pregnancy. she received treatments including hydroxychloroquine, antivirals and broad-spectrum antibiotics while she was intubated for mechanical ventilation. in spite of all treatments, she developed a critical course after the mild primary clinical improvement. convalescent plasma transfusion as a rescue treatment was performed and led to an improvement in her general condition and delayed gradual recovery in respiratory function after two months.conclusion: the promising role of early treatment with convalescent plasma transfusion in seriously ill pregnant women infected with sars-cov-2, needs to be elucidated by further randomized studies.