Lung Ultrasound Can Influence the Clinical Treatment of Pregnant Women With COVID-19

J Ultrasound Med. 2021 Jan;40(1):191-203. doi: 10.1002/jum.15367. Epub 2020 Jun 1.


Lung ultrasound (LUS) is an effective tool to detect and monitor patients infected with 2019 coronavirus disease (COVID-19). The use of LUS on pregnant women is an emerging trend, considering its effectiveness during the outbreak. Eight pregnant women with a diagnosis of COVID-19 confirmed by nasal/throat real-time reverse transcription polymerase chain reaction testing who underwent point-of-care LUS examinations after routine obstetric ultrasound are described. A routinely performed LUS examination revealed serious lung involvement in 7 cases: 2 were initially asymptomatic; 3 have chest computed tomography; 1 had initial negative real-time reverse transcription polymerase chain reaction results; and 1 had initial negative computed tomographic findings. Treatment for COVID-19 was either commenced or changed in 87.5% of the patients (n = 7 of 8) on LUS findings. Among patients with abnormal LUS findings, treatment was commenced in 5 patients (71.5%) and changed in 2 patients (28.5%). One normal and 7 abnormal LUS cases indicate the impact of routine LUS on the clinical outcome and treatment of pregnant women.

Keywords: COVID-19; lung ultrasound; pneumonia; pregnancy; severe acute respiratory syndrome novel coronavirus 2.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • COVID-19 / diagnostic imaging*
  • COVID-19 / therapy*
  • Female
  • Humans
  • Lung / diagnostic imaging*
  • Pregnancy
  • Pregnancy Complications, Infectious / therapy*
  • Severity of Illness Index
  • Ultrasonography / methods*
  • Young Adult