A Case of Postpartum Maternal Death with COVID-19 in the West of Iran

Introduction: There are a limited number of studies about COVID-19 during delivery and postpartum. Case Presentation: A 38 -years- old G3p2 woman at 35 weeks and 4 days of gestation was referred with the chief complaints of dyspnea, cough, headache, and fever. Pharyngeal swab polymerase chain reaction (PCR) was negative for COVID-19; however, in chest Computed Tomography (CT) angiography, ground glass was observed in the basal lobe of the left lung. The infant was born via cesarean section with a gestational age of 36 weeks and an Apgar score of 8/9. No infant document was found about COVID-19 and other infections in several days after delivery. The patient died eight days after the onset of symptoms due to cardiovascular collapse. Discussion: we reported the first postpartum maternal death with COVID-19 and a healthy baby with no evidence of COVID-19 and a gestational age of 36 weeks. Conclusion: Physicians should be aware that pregnant women with symptoms of respiratory infection and pulse negative PCR test should be followed for infection with COVID-19. This infection may lead to maternal death.