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.

Basic information

Original name

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

Authors

GÁL, Roman (203 Czech Republic, belonging to the institution), Iveta ZIMOVÁ (203 Czech Republic, belonging to the institution), Helena ANTONI (203 Czech Republic, belonging to the institution), Petra MINARČÍKOVÁ (203 Czech Republic, belonging to the institution), Pavel VENTRUBA (203 Czech Republic, belonging to the institution), Lukáš HRUBAN (203 Czech Republic, belonging to the institution) and Ondřej HRDÝ (203 Czech Republic, guarantor, belonging to the institution)

Edition

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

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30218 General and internal medicine

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

RIV identification code

RIV/00216224:14110/21:00121620

Organization unit

Faculty of Medicine

DOI

UT WoS

000655650400001

Keywords in English

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

Tags

Tags

International impact, Reviewed
Změněno: 15/6/2021 13:25, Mgr. Tereza Miškechová

Abstract

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.