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The patient developed hypertension and biological disorders suggesting pre-eclampsia and HELLP (haemolysis, elevated liver enzyme levels and low platelet levels) syndrome. Pre-eclampsia was subsequently ruled out by a low ratio of serum soluble fms-like tyrosine kinase-1 to placental growth factor. Given the severity of ARDS, delivery by caesarean section was contemplated. Because the ratio was normal and the patient\u2019s respiratory condition stabilised, delivery was postponed. She recovered after 10 days of mechanical ventilation. She spontaneously delivered a healthy boy at 33.4 WG. Clinical and laboratory manifestations of COVID-19 infection can mimic HELLP syndrome. Fetal extraction should not be systematic in the absence of fetal distress or intractable maternal disease. Successful evolution was the result of a multidisciplinary teamwork.<\/jats:p>","DOI":"10.1136\/bcr-2020-237511","type":"journal-article","created":{"date-parts":[[2020,8,12]],"date-time":"2020-08-12T02:45:33Z","timestamp":1597200333000},"page":"e237511","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":18,"title":["Successful continuation of pregnancy in a patient with COVID-19-related ARDS"],"prefix":"10.1136","volume":"13","author":[{"given":"Laura","family":"Federici","sequence":"first","affiliation":[{"name":"Service de m\u00e9decine intensive reanimation, H\u00f4pital Louis-Mourier, Colombes, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olivier","family":"Picone","sequence":"additional","affiliation":[{"name":"Service de gyn\u00e9cologie-obst\u00e9trique, H\u00f4pital Louis-Mourier, Colombes, \u00cele-de-France, France"},{"name":"IAME-U11337, INSERM, Paris, \u00cele-de-France, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Didier","family":"Dreyfuss","sequence":"additional","affiliation":[{"name":"Service de m\u00e9decine intensive reanimation, H\u00f4pital Louis-Mourier, Colombes, France"},{"name":"Unit UMR S-1155 Common and Rare Kidney Disease, INSERM, Paris, \u00cele-de-France, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeanne","family":"Sibiude","sequence":"additional","affiliation":[{"name":"Service de gyn\u00e9cologie-obst\u00e9trique, H\u00f4pital Louis-Mourier, Colombes, \u00cele-de-France, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,8,11]]},"reference":[{"key":"2025082803481617000_13.8.e237511.1","unstructured":"Jenco M . 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