Obstetrics & Gynecology:
Case Reports

Burns in Pregnancy

Pacheco, Luis D. MD1; Gei, Alfredo F. MD1; VanHook, James W. MD2; Saade, George R. MD1; Hankins, Gary D. V. MD1

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BACKGROUND: Treatment of a major burn injury during pregnancy must incorporate modifications in management resulting from gestational physiologic changes.

CASE: A 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.

CONCLUSION: Pregnancy-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.

© 2005 The American College of Obstetricians and Gynecologists


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