Delivery of a Healthy Baby from a Brain-Dead Woman After 117 Days of Somatic Support: A Case Report
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F65269705%3A_____%2F21%3A00074374" target="_blank" >RIV/65269705:_____/21:00074374 - isvavai.cz</a>
Alternative codes found
RIV/00216224:14110/21:00121620
Result on the web
<a href="https://www.amjcaserep.com/abstract/index/idArt/930926" target="_blank" >https://www.amjcaserep.com/abstract/index/idArt/930926</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.12659/AJCR.930926" target="_blank" >10.12659/AJCR.930926</a>
Alternative languages
Result language
angličtina
Original language name
Delivery of a Healthy Baby from a Brain-Dead Woman After 117 Days of Somatic Support: A Case Report
Original language description
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.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30200 - Clinical medicine
Result continuities
Project
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Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Others
Publication year
2021
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
American Journal of Case Reports
ISSN
1941-5923
e-ISSN
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Volume of the periodical
22
Issue of the periodical within the volume
MAY
Country of publishing house
US - UNITED STATES
Number of pages
7
Pages from-to
"e930926"
UT code for WoS article
000655650400001
EID of the result in the Scopus database
2-s2.0-85105886696