Coronavirus disease 2019 (COVID-19)-infected pregnant women are at higher risk of intensive care unit (ICU) admission and mechanical ventilation.

Because reports describing the clinical course and management of critically ill COVID-19 pregnant women remain scarce, it is important to better grasp the trajectory and management of these women to improve decision making and allocation of resources.

We therefore describe the trajectory, the ICU treatment adapted to pregnancy, and maternal outcomes among critically ill COVID-19 pregnant women admitted to the ICU of a larger tertiary referral center in the Netherlands.

We identified all pregnant women who were consecutively admitted to the ICU of our hospital with COVID-19 between February 27, 2020 and October 31, 2021.

To date (reference: December 07, 2021), our ICU admitted 32% of all critically ill pregnant women with COVID-19 in the Netherlands.

The study was approved by our local institutional review board (number: MEC-2020-0381) and the need for written informed consent was waived.

All patients were treated according to our local protocol (eMethods).

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