The Management of a Thirteen Weeks Pregnant Woman Rendered Brain-Dead Following a Ruptured Aneurysm

Author:

Pikto-Pietkiewicz Iwona1,Okniński Antoni1,Wójtowicz Rafał1,Wójtowicz Marlena1

Affiliation:

1. Central Clinical Hospital of the MSWiA. Clinical Department of Intensive Care and Anaesthesiology . Warsaw , Poland

Abstract

Abstract Introduction The current lack of clear guidelines on how to manage cases of brain-dead pregnant patients makes this topic controversial and extremely difficult to deal with for both medical and ethical reasons. This report deals with such a situation. Case presentation A twenty-seven years old woman, thirteen weeks pregnant, with a ruptured brain aneurysm was admitted to an Intensive Care Unit. She presented with loss of all brain functions, but somatic support was sustained to enable the delivery of her baby. Conclusion The case report gives a detailed account of the management of the mother before the successful delivery of her baby. It indicates the need for ongoing contributions to the debate on this delicate subject area to establish guidelines on how to manage brain-dead pregnant patients.

Publisher

Walter de Gruyter GmbH

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1. Pregnant Patients and Neurocritical Care;Principles and Practice of Neurocritical Care;2024

2. Normal Vaginal Delivery in a Persistent Vegetative State: Suggestive Management, a Case Report and Literature Review;Journal of Obstetrics, Gynecology and Cancer Research;2022-07-07

3. Ethische, psychosoziale und rechtliche Aspekte der Behandlung hirntoter Schwangerer;AINS - Anästhesiologie · Intensivmedizin · Notfallmedizin · Schmerztherapie;2021-07

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