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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

doi: 10.1097/01.AOG.0000164062.93264.08
Case Reports

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:

© 2005 The American College of Obstetricians and Gynecologists