The prolongation of somatic support in a pregnant woman with brain-death: a case report.

Reproductive Health
João P SouzaJoão L Pinto e Silva

Abstract

Medical literature has increasingly reported cases of maternal brain death during pregnancy. This is a rare situation which demands the decision and, depending on the gestational age, the implementation of a set of measures to prolong the homeostasis of the human body after brain death for the purpose of maintaining the foetus alive until its viability. A 40 year old woman suffered an intracranial haemorrhage during the 25th week of pregnancy. Despite neurosurgical drainage of a gross intraparenchymatous haematoma, the patient developed brain death. Upon confirmation of this diagnosis, she received full ventilatory and nutritional support, vasoactive drugs, maintenance of normothermia, hormone replacement and other supportive measures required to prolong gestation and improve the survival prognosis of her foetus. All decisions regarding the patient's treatment were taken in consensus with her family. She also received corticosteroids to accelerate foetal lung maturity. During the twenty-five days of somatic support, the woman's condition remained stable; however, during the last seven days the foetus developed oligohydramnios and brain-sparring, which led the medical team to take the decision to perform a Caesarean section at t...Continue Reading

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Citations

May 5, 2010·The Journal of Medicine and Philosophy·Franklin G MillerDan W Brock
Mar 26, 2008·Neurologia Medico-chirurgica·Jun MaruyaTakashi Minakawa
Jul 3, 2018·The Journal of Perinatal & Neonatal Nursing·Rebecca L Cypher
May 28, 2019·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Anto Čartolovni, Dubravko Habek
Feb 25, 2011·PloS One·Monique AnchelinMaría L Cayuela
May 21, 2020·The Linacre Quarterly·Jennifer J Barr
Aug 23, 2019·The Journal of Critical Care Medicine·Iwona Pikto-PietkiewiczMarlena Wójtowicz
Feb 10, 2011·American Journal of Law & Medicine·Seema K Shah, Franklin G Miller
Feb 19, 2021·American Journal of Obstetrics and Gynecology·Maria Gaia DodaroFederica Bellussi

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Methods Mentioned

BETA
hormone replacement

Software Mentioned

MedLine

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