title: Delivery and management of a preterm infant in the burn unit: a multidisciplinary approach.
abstract: Burns during pregnancy can have profound effects on both the mother and her fetus. While the mother can suffer cardiovascular collapse, infection, hemorrhage and inhalation injury with respiratory failure, the fetus is affected through the placenta by all of these changes as well as by the transfer of drugs administered to the mother. We report a case of severely burned female patient at 29 weeks gestation, who, due to deteriorating maternal condition, was delivered and managed at 32 weeks gestation by a multidisciplinary team. To the best of our knowledge this is the first reported case of a preterm infant delivered in a burn unit.
authors.affiliation: Department of Pediatrics, Staten Island University Hospital, 475 Seaview Avenue, Staten Island, NY 10305, United States. Electronic address: omarrodriguez.md@gmail.com.
authors.forename: Omar
authors.initials: O
authors.lastname: Rodriguez
authors.affiliation: Department of Pediatrics, Staten Island University Hospital, 475 Seaview Avenue, Staten Island, NY 10305, United States. Electronic address: rcooma@nshs.edu.
authors.forename: Ruby
authors.initials: R
authors.lastname: Cooma
authors.affiliation: Department of Surgery, Staten Island University Hospital, 475 Seaview Avenue, Staten Island, NY 10305, United States. Electronic address: mcooper5@nshs.edu.
authors.forename: Michael
authors.initials: M
authors.lastname: Cooper
authors.affiliation: Department of Pediatrics, Staten Island University Hospital, 475 Seaview Avenue, Staten Island, NY 10305, United States. Electronic address: proth@nshs.edu.
authors.forename: Philip
authors.initials: P
authors.lastname: Roth
mesh_terms: D000328:Adult; D000701:Analgesics, Opioid / Q000009:adverse effects* / Q000627:therapeutic use; D002056:Burns / Q000628:therapy*; D036861:Delivery, Obstetric / Q000379:methods*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D008297:Male; D009020:Morphine / Q000009:adverse effects* / Q000627:therapeutic use; D009357:Neonatal Abstinence Syndrome / Q000188:drug therapy* / Q000209:etiology; D059408:Pain Management / Q000379:methods; D010348:Patient Care Team; D011225:Pre-Eclampsia / Q000628:therapy*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy*; D011263:Pregnancy Trimester, Third; D015208:Smoke Inhalation Injury / Q000628:therapy*
chemical_list: D000701:Analgesics, Opioid; D009020:Morphine
keywords: Burn unit; Multidisciplinary team; Prematurity; Withdrawal