Delivery of a Healthy Baby from a Brain-Dead Woman After 117
Days of Somatic Support: A Case Report

J 2021

Delivery of a Healthy Baby from a Brain-Dead Woman After 117 Days of Somatic Support: A Case Report

GÁL, Roman, Iveta ZIMOVÁ, Helena ANTONI, Petra MINARČÍKOVÁ, Pavel VENTRUBA et. al.

Základní údaje

Originální název

Delivery of a Healthy Baby from a Brain-Dead Woman After 117 Days of Somatic Support: A Case Report

Autoři

GÁL, Roman (203 Česká republika, domácí), Iveta ZIMOVÁ (203 Česká republika, domácí), Helena ANTONI (203 Česká republika, domácí), Petra MINARČÍKOVÁ (203 Česká republika, domácí), Pavel VENTRUBA (203 Česká republika, domácí), Lukáš HRUBAN (203 Česká republika, domácí) a Ondřej HRDÝ (203 Česká republika, garant, domácí)

Vydání

American Journal of Case Reports, Melville, INT SCIENTIFIC INFORMATION, INC, 2021, 1941-5923

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30218 General and internal medicine

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Kód RIV

RIV/00216224:14110/21:00121620

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.12659/AJCR.930926

UT WoS

000655650400001

Klíčová slova anglicky

Brain Death; Case Reports; Critical Care; Delivery; Obstetric; Life Support Care; Pregnancy

Štítky

14110233, 14110411, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 15. 6. 2021 13:25, Mgr. Tereza Miškechová

Anotace

V originále

Objective: Rare disease Background: The care and management of brain-dead pregnant women is surrounded by legal and ethical controversies. Gestational age is directly proportional to newborn survival. We report a case of a brain-dead pregnant woman at the 16th week of gestation and the successful delivery of a healthy child after 117 days of maternal somatic support. Case Report: A 27-year-old pregnant woman at 16 weeks' gestation with large intracerebral hematoma after rupture of an arteriovenous malformation was admitted to our intensive care unit. Signs of brain death developed early, and the woman was confirmed to be brain dead after day 6 of hospitalization. The decision-making process regarding course of medical treatment was complex and accompanied by uncertainties arising from the absence of a legal, ethical, and professional framework. A complex multidisciplinary approach was followed. The main aim was to maintain the brain-dead woman's homeostasis to allow for proper development of the fetus. Monitoring of fetal growth was considered the best endpoint, and satisfactory fetus development was achieved. A healthy child was delivered with a birth weight of 2140 g. Her Apgar score was 10/10/10 at 1, 5, and 10 minutes, respectively, and favorable outcomes were observed at a 1-year follow-up. Conclusions: Brain death during pregnancy is an extremely rare but increasingly common condition. Guidelines for care management are lacking, and reporting these cases may help establish medical treatment in future cases. We show that somatic support of the body of a brain-dead pregnant woman for an extended period of time can lead to successful delivery of a healthy child.

Citovat

GÁL, Roman, Iveta ZIMOVÁ, Helena ANTONI, Petra MINARČÍKOVÁ, Pavel VENTRUBA, Lukáš HRUBAN a Ondřej HRDÝ. Delivery of a Healthy Baby from a Brain-Dead Woman After 117 Days of Somatic Support: A Case Report. American Journal of Case Reports. Melville: INT SCIENTIFIC INFORMATION, INC, 2021, roč. 22, MAY 2021, s. 1-7. ISSN 1941-5923. Dostupné z: https://dx.doi.org/10.12659/AJCR.930926.

@article{1769985,
   author = {Gál, Roman and Zimová, Iveta and Antoni, Helena and Minarčíková, Petra and Ventruba, Pavel and Hruban, Lukáš and Hrdý, Ondřej},
   article_location = {Melville},
   article_number = {MAY 2021},
   doi = {http://dx.doi.org/10.12659/AJCR.930926},
   keywords = {Brain Death; Case Reports; Critical Care; Delivery; Obstetric; Life Support Care; Pregnancy},
   language = {eng},
   issn = {1941-5923},
   journal = {American Journal of Case Reports},
   title = {Delivery of a Healthy Baby from a Brain-Dead Woman After 117 Days of Somatic Support: A Case Report},
   url = {https://europepmc.org/article/med/34001845},
   volume = {22},
   year = {2021}
}

TY  - JOUR
ID  - 1769985
AU  - Gál, Roman - Zimová, Iveta - Antoni, Helena - Minarčíková, Petra - Ventruba, Pavel - Hruban, Lukáš - Hrdý, Ondřej
PY  - 2021
TI  - Delivery of a Healthy Baby from a Brain-Dead Woman After 117 Days of Somatic Support: A Case Report
JF  - American Journal of Case Reports
VL  - 22
IS  - MAY 2021
SP  - 1-7
EP  - 1-7
PB  - INT SCIENTIFIC INFORMATION, INC
SN  - 19415923
KW  - Brain Death
KW  - Case Reports
KW  - Critical Care
KW  - Delivery
KW  - Obstetric
KW  - Life Support Care
KW  - Pregnancy
UR  - https://europepmc.org/article/med/34001845
N2  - Objective: Rare disease Background: The care and management of brain-dead pregnant women is surrounded by legal and ethical controversies. Gestational age is directly proportional to newborn survival. We report a case of a brain-dead pregnant woman at the 16th week of gestation and the successful delivery of a healthy child after 117 days of maternal somatic support. Case Report: A 27-year-old pregnant woman at 16 weeks' gestation with large intracerebral hematoma after rupture of an arteriovenous malformation was admitted to our intensive care unit. Signs of brain death developed early, and the woman was confirmed to be brain dead after day 6 of hospitalization. The decision-making process regarding course of medical treatment was complex and accompanied by uncertainties arising from the absence of a legal, ethical, and professional framework. A complex multidisciplinary approach was followed. The main aim was to maintain the brain-dead woman's homeostasis to allow for proper development of the fetus. Monitoring of fetal growth was considered the best endpoint, and satisfactory fetus development was achieved. A healthy child was delivered with a birth weight of 2140 g. Her Apgar score was 10/10/10 at 1, 5, and 10 minutes, respectively, and favorable outcomes were observed at a 1-year follow-up. Conclusions: Brain death during pregnancy is an extremely rare but increasingly common condition. Guidelines for care management are lacking, and reporting these cases may help establish medical treatment in future cases. We show that somatic support of the body of a brain-dead pregnant woman for an extended period of time can lead to successful delivery of a healthy child.
ER  -

GÁL, Roman, Iveta ZIMOVÁ, Helena ANTONI, Petra MINARČÍKOVÁ, Pavel VENTRUBA, Lukáš HRUBAN a Ondřej HRDÝ. Delivery of a Healthy Baby from a Brain-Dead Woman After 117 Days of Somatic Support: A Case Report. \textit{American Journal of Case Reports}. Melville: INT SCIENTIFIC INFORMATION, INC, 2021, roč.~22, MAY 2021, s.~1-7. ISSN~1941-5923. Dostupné z: https://dx.doi.org/10.12659/AJCR.930926.

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