title: Burns in pregnancy.
abstract: BACKGROUND
  Treatment of a major burn injury during pregnancy must incorporate modifications in management resulting from gestational physiologic changes.
  
  
  METHODS
  A 25-year-old woman, at 34 weeks of gestation, sustained a major burn injury at home. She required ventilatory support, invasive hemodynamic monitoring, and massive fluid resuscitation. Labor was augmented and a spontaneous vaginal delivery of a healthy neonate was achieved. Later, wound autografting was performed.
  
  
  CONCLUSIONS
  Pregnancy-induced physiologic changes affect key factors in the management of the burned patient, including airway management and hemodynamic support. Multidisciplinary management is essential to achieve the best possible outcome.
authors.affiliation: Department of Obstetrics & Gynecology, University of Texas Medical Branch, Galveston, Texas 77555-0587, USA. ldpachec@utmb.edu
authors.forename: Luis D
authors.initials: LD
authors.lastname: Pacheco
authors.forename: Alfredo F
authors.initials: AF
authors.lastname: Gei
authors.forename: James W
authors.initials: JW
authors.lastname: VanHook
authors.forename: George R
authors.initials: GR
authors.lastname: Saade
authors.forename: Gary D V
authors.initials: GD
authors.lastname: Hankins
mesh_terms: D000328:Adult; D002056:Burns / Q000150:complications / Q000503:physiopathology / Q000628:therapy*; D005260:Female; D005440:Fluid Therapy / Q000379:methods*; D006439:Hemodynamics / Q000502:physiology*; D006801:Humans; D008991:Monitoring, Physiologic; D011247:Pregnancy; D011248:Pregnancy Complications / Q000503:physiopathology / Q000628:therapy*; D011256:Pregnancy Outcome; D012121:Respiration, Artificial / Q000379:methods*