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.
Pregnancy-induced physiologic changes modify certain key factors in the acute management of a severely burned patient.
From the 1Department of Obstetrics & Gynecology, University of Texas Medical Branch, Galveston, Texas; and 2Department of Obstetrics and Gynecology, Texas Tech University Health Sciences Center, Amarillo, Texas.
Corresponding author: Luis D. Pacheco, MD, Department of Obstetrics & Gynecology, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555-0587; e-mail: email@example.com.