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KMID : 0191120010160050669
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Journal of Korean Medical Science
2001 Volume.16 No. 5 p.669 ~ p.672
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Maternal persistent vegetative state with successful fetal outcome
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Ki-Bum Sim
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Abstract
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A woman suffered from massive blunt injuries in a motor vehicle accident at a presumed 4
weeks’gestation, but she successfully carried the fetus for an additional 29 weeks.
Premature labor began at 33 weeks’ gestation and a live 1,890 g male was delivered. His
development was normal for the 12-months postnatal follow-up period. The patient remained
in a persistent vegetative state. Only 12 cases of severely brain-injured pregnant patients
who delivered babies have been re-ported in English literature. Such patients need special
maternal and fetal monitoring. As shown in our patient, successful fetal outcome could be
obtained in a mother who suffered from hypovolemic shock and diffuse axonal injury, was
treated with numerous medications from 4 weeks’ gestation, and survived premature labor
at 33 weeks’ gestation in a persistent vegetative state. This report represents the longest
interval from maternal vegetative state to obstetric delivery. From our case, it would seem
that no clear limit exists that restricts the physician´s ability to support a severely injured
pregnant patient.
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KEYWORD
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