Innovative mid-trimester termination of pregnancy in a COVID-19 critically Ill patient

The current COVID-19 pandemic has introduced many challenges on the presentation of disease, effects disease co-morbidities patient and management these. This necessitated innovative ways managing these patients. is particularly so in pregnant women with COVID-19. We present a case woman her mid-trimester who presented severe requiring ICU admission required termination pregnancy due to worsening condition while ventilator. She high fever, cough difficulty breathing. These rapidly deteriorated ECMO. Her liver function, kidney function inflammatory markers equally very fast despite various treatments including using convalescence plasma. decided terminate help condition. baby died just when we were considering thus Mid-trimester non-viable pregnancy. initially tried use vaginal misoprostol for but failed had find way mifepristone pre-treatment termination. An used through nasogastric tube was devised successfully terminated followed by single dose minimal blood loss. patient’s improved after she recovered fully. feel status might have contributed symptoms may demised baby. recommend process sick ventilated patient.