Title

Treatment of a Pregnant Patient in a Persistent Vegetative State.

Publication/Presentation Date

1-1-2017

Abstract

BACKGROUND: Brain injury leading to a persistent vegetative state during pregnancy involves difficult medical and ethical decisions.

CASE: A 21-year-old multigravid woman entered a persistent vegetative state at 20 1/7 weeks of gestation after cardiac arrest with postanoxic brain injury from a suspected drug overdose. The clinical disciplines responsible for her case formed a collaborative care plan involving ventilator, nutrition, and medication support of the mother and regular fetal monitoring and ultrasound testing. A planned delivery by cesarean at term resulted in a good neonatal outcome.

CONCLUSION: There is no standardized management plan for obstetric care in a persistent vegetative state. This case illustrates a successful multidisciplinary approach that may be useful as a template in similar situations.

Volume

129

Issue

1

First Page

107

Last Page

110

ISSN

1873-233X

Disciplines

Obstetrics and Gynecology

PubMedID

27926646

Department(s)

Department of Obstetrics and Gynecology, Department of Obstetrics and Gynecology Faculty, Department of Obstetrics and Gynecology Residents, Patient Care Services / Nursing, Division of Education, Medical Education

Document Type

Article