Vaginal delivery in the 30+4 weeks of pregnancy and organ donation after brain death in early pregnancy
| Autor: | Christian K. Markus, Ann Kristin Reinhold, Peter Kranke, Markus Kredel |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
0301 basic medicine
Adult Counseling medicine.medical_specialty Brain Death Tissue and Organ Procurement Critical Care medicine.medical_treatment media_common.quotation_subject Mothers Early pregnancy factor Patient Advocacy 030105 genetics & heredity Pancreas transplantation Organ transplantation 03 medical and health sciences 0302 clinical medicine Pregnancy medicine Living Donors Humans Organ donation Girl Intensive care medicine Fetal Viability Brain function media_common Unusual Presentation of More Common Disease/Injury biology business.industry Vaginal delivery Pregnancy Outcome Prenatal Care General Medicine medicine.disease Life Support Care Patient Rights biology.protein Female business Advance Directives 030217 neurology & neurosurgery |
| Zdroj: | BMJ Case Rep |
| Popis: | A 28-year-old woman suffered a traffic accident resulting in severe head injuries with deleterious prognosis. Diagnostics further revealed a hitherto unknown pregnancy, at suspected week 9. Based on the patient’s wish to donate organs, brain death protocol confirmed irreversible loss of brain function. Yet, vital pregnancy rendered organ transplantation impossible. Multiple ethical and legal issues arose, from invalidation of established legal care after brain death to the delivery of a healthy child after trauma and long-term critical care. After medicolegal and ethical counselling, pregnancy was sustained, and the goal of organ donation postponed. Critical care focused on foetal homeostasis. At 30+4 weeks, a viable girl was born via assisted vaginal delivery. Postpartal organ donation resulted in heart, kidney and pancreas transplantation. The case emphasises the medical, legal and ethical challenges to combine two apparently diametrical goals: the successful full-term pregnancy and the fulfilment of a patient’s wish to donate organs. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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