title: Envenoming after carpet viper (Echis ocellatus) bite during pregnancy: timely use of effective antivenom improves maternal and foetal outcomes.
abstract: The report describes successful management of 10 women in 2nd and 3rd pregnancy trimesters with EchiTab IgG antivenom after carpet viper (Echis ocellatus) envenoming. All women survived but foetal loss in a victim with delayed presentation and a case of mild hypersensitivity reaction were recorded. Excellent outcomes can be achieved in rural and semi-nomadic populations without specialized care and immediate access and provision of effective antivenoms is paramount in curtailing snakebite maternal morbidity, mortality and foetal loss.
authors.affiliation: Department of Medicine, Bayero University Kano, Aminu Kano Teaching Hospital, Kano, Nigeria. abdulrazaq_habib@yahoo.co.uk
authors.forename: A G
authors.initials: AG
authors.lastname: Habib
authors.forename: S B
authors.initials: SB
authors.lastname: Abubakar
authors.forename: I S
authors.initials: IS
authors.lastname: Abubakar
authors.forename: S
authors.initials: S
authors.lastname: Larnyang
authors.forename: N
authors.initials: N
authors.lastname: Durfa
authors.forename: A
authors.initials: A
authors.lastname: Nasidi
authors.forename: P O
authors.initials: PO
authors.lastname: Yusuf
authors.forename: J
authors.initials: J
authors.lastname: Garnvwa
authors.forename: R D G
authors.initials: RD
authors.lastname: Theakston
authors.forename: L
authors.initials: L
authors.lastname: Salako
authors.forename: D A
authors.initials: DA
authors.lastname: Warrell
mesh_terms: D000293:Adolescent; D000328:Adult; D000818:Animals; D000997:Antivenins / Q000008:administration & dosage*; D016022:Case-Control Studies; D005260:Female; D005313:Fetal Death / Q000517:prevention & control*; D006297:Health Services Accessibility / Q000592:standards*; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D011250:Pregnancy Complications, Hematologic / Q000188:drug therapy* / Q000401:mortality; D012423:Rural Health; D012909:Snake Bites / Q000188:drug therapy* / Q000401:mortality; D013997:Time Factors; D014757:Viper Venoms / Q000037:antagonists & inhibitors / Q000506:poisoning*
chemical_list: D000997:Antivenins; D014757:Viper Venoms