Burns in pregnancy.
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.
Pacheco
Luis D
LD
Department of Obstetrics & Gynecology, University of Texas Medical Branch, Galveston, Texas 77555-0587, USA. ldpachec@utmb.edu
Gei
Alfredo F
AF
VanHook
James W
JW
Saade
George R
GR
Hankins
Gary D V
GD
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*