Treatment of a Pregnant Patient in a Persistent Vegetative State.
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.
Published In/Presented At
Romagano, M. P., Scorza, W. E., Lammers, S. E., Dorr, C., & Smulian, J. C. (2016). Treatment of a Pregnant Patient in a Persistent Vegetative State. Obstetrics And Gynecology, 129(1), 107-110.
Obstetrics and Gynecology
Medical Education, Department of Obstetrics and Gynecology, Department of Obstetrics and Gynecology Faculty, Department of Obstetrics and Gynecology Residents, Patient Care Services / Nursing, Department of Education