Literature DB >> 29123724

Healthy baby delivered vaginally from a brain-dead mother.

Yoshihiro Kinoshita1, Hidenobu Kamohara1, Atsushi Kotera1, Katsuyuki Sagishima1, Takahiro Tashiro1, Daisuke Niimori1.   

Abstract

Case: A pregnant (20 gestational weeks) 32-year-old woman was found in cardiac arrest. Spontaneous circulation returned after 15 min. She became brain dead on the 13th hospital day. The patient was in stable circulatory condition under nasal desmopressin and 20-30 mg/day of hydrocortisone. On the 92nd hospital day at gestational week 33 + 3 days, natural labor began and a healthy 2,130-g girl (Apgar 6/8) was delivered vaginally with minimum assistance. Outcome: The baby was discharged 40 days after birth and followed up regularly.
Conclusion: Brain death remains a hopeless condition for patients, but a brain-dead woman may still be able to naturally deliver a healthy baby.

Entities:  

Keywords:  Brain death; delivery; ethical issue; pregnancy; somatic support

Year:  2014        PMID: 29123724      PMCID: PMC5667260          DOI: 10.1002/ams2.95

Source DB:  PubMed          Journal:  Acute Med Surg        ISSN: 2052-8817


  3 in total

Review 1.  Irreversible maternal brain injury during pregnancy: a case report and review of the literature.

Authors:  D M Feldman; A F Borgida; J F Rodis; W A Campbell
Journal:  Obstet Gynecol Surv       Date:  2000-11       Impact factor: 2.347

2.  Evolution of criteria for determination of brain death in Japan.

Authors:  K Takeuchi; H Takeshita; K Takakura; Y Shimazono; H Handa; F Gotoh; S Manaka; T Shiogai
Journal:  Acta Neurochir (Wien)       Date:  1987       Impact factor: 2.216

Review 3.  One life ends, another begins: Management of a brain-dead pregnant mother-A systematic review-.

Authors:  Majid Esmaeilzadeh; Christine Dictus; Elham Kayvanpour; Farbod Sedaghat-Hamedani; Michael Eichbaum; Stefan Hofer; Guido Engelmann; Hamidreza Fonouni; Mohammad Golriz; Jan Schmidt; Andreas Unterberg; Arianeb Mehrabi; Rezvan Ahmadi
Journal:  BMC Med       Date:  2010-11-18       Impact factor: 8.775

  3 in total

北京卡尤迪生物科技股份有限公司 © 2022-2023.