• Obstetrics and gynecology · Nov 2005

    Case Reports

    Burns in pregnancy.

    • Luis D Pacheco, Alfredo F Gei, James W VanHook, George R Saade, and Gary D V Hankins.
    • Department of Obstetrics & Gynecology, University of Texas Medical Branch, Galveston, Texas 77555-0587, USA. ldpachec@utmb.edu
    • Obstet Gynecol. 2005 Nov 1;106(5 Pt 2):1210-2.

    BackgroundTreatment of a major burn injury during pregnancy must incorporate modifications in management resulting from gestational physiologic changes.CaseA 25-year-old woman, at 34 weeks of gestation, sustained a major burn injury at home. She required ventilatory support, invasive hemodynamic monitoring, and massive fluid resuscitation. Labor was augmented and a spontaneous vaginal delivery of a healthy neonate was achieved. Later, wound autografting was performed.ConclusionPregnancy-induced physiologic changes affect key factors in the management of the burned patient, including airway management and hemodynamic support. Multidisciplinary management is essential to achieve the best possible outcome.

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