title: [Emergency cesarean section in a comatose parturient after head trauma].
abstract: Coma in pregnancy and labor is a rare and complicated situation. One of the causes is severe head trauma, which requires neurosurgical consultation and possibly urgent transfer to a neurosurgical unit. This should follow stabilization, confirmation of fetal viability, and cesarean section when indicated. A 38-year-old primigravida at term and in labor, with severe head injury from a vehicular accident is reported. Emergency cesarean section was performed for severe fetal distress during resuscitation. Fetal distress in a comatose parturient with severe head injury may require a short delay in referral to a tertiary trauma center to allow for an emergency cesarean section.
authors.affiliation: Ultrasound Division, Meir Hospital, Kfar Saba.
authors.forename: R
authors.initials: R
authors.lastname: Aviram
authors.forename: A
authors.initials: A
authors.lastname: Shtraizent
authors.forename: Y
authors.initials: Y
authors.lastname: Beyth
authors.forename: M
authors.initials: M
authors.lastname: Fejgin
mesh_terms: D000328:Adult; D002585:Cesarean Section; D003128:Coma; D006259:Craniocerebral Trauma; D004630:Emergencies; D005260:Female; D005316:Fetal Distress; D006801:Humans; D011247:Pregnancy; D012151:Resuscitation