[Emergency cesarean section in a comatose parturient after head trauma].
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.
Aviram
R
R
Ultrasound Division, Meir Hospital, Kfar Saba.
Shtraizent
A
A
Beyth
Y
Y
Fejgin
M
M
D000328:Adult; D002585:Cesarean Section; D003128:Coma; D006259:Craniocerebral Trauma; D004630:Emergencies; D005260:Female; D005316:Fetal Distress; D006801:Humans; D011247:Pregnancy; D012151:Resuscitation