title: An initial Glasgow score of 4 and Apgar scores of 9 and 9: a case report of a pregnant comatose woman.
abstract: A 28-year-old woman admitted to the emergency department with a Glascow Coma Scale score of 4 after a closed head injury resulting from a motor vehicle crash was found to have a positive serum beta-human chorionic gonadotropin level of 27 mIU/mL. After stabilization and treatment for her closed head injury, she remained in a comatose state for more than 240 days. At 36 to 37 weeks' gestation, she had contractions and elevations in her blood pressure. A healthy female infant was born by an operative vaginal delivery with Apgar scores of 9 and 9.
authors.affiliation: Department of Obstetrics and Gynecology, University of Cincinnati, College of Medicine, OH, USA.
authors.forename: Michael D
authors.initials: MD
authors.lastname: Hnat
authors.forename: Baha M
authors.initials: BM
authors.lastname: Sibai
authors.forename: Ormila
authors.initials: O
authors.lastname: Kovilam
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D001034:Apgar Score; D018997:Chorionic Gonadotropin, beta Subunit, Human / Q000097:blood; D003128:Coma / Q000209:etiology / Q000628:therapy; D005260:Female; D005865:Gestational Age; D015600:Glasgow Coma Scale; D016489:Head Injuries, Closed / Q000150:complications / Q000628:therapy; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D011248:Pregnancy Complications; D011256:Pregnancy Outcome
chemical_list: D018997:Chorionic Gonadotropin, beta Subunit, Human