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Burns in Pregnancy

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

Obstetrics & Gynecology:
Case Reports
Abstract

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.

In Brief

Pregnancy-induced physiologic changes modify certain key factors in the acute management of a severely burned patient.

Author Information

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: ldpachec@utmb.edu.

© 2005 The American College of Obstetricians and Gynecologists