title: How to Manage Allergic Reactions to Contrast Agent in Pregnant Patients.
abstract: OBJECTIVE
  This article reviews optimal treatment of allergic reactions to iodinated contrast material in pregnant patients. Initial evaluation and treatment of a pregnant patient is similar to that for a nonpregnant patient. However, additional steps, including assessment for uterine cramping, using left uterine displacement to improve venous return, and maintaining blood pressure to ensure placental perfusion, may be required.
  
  
  CONCLUSIONS
  Adequate preparation and a team approach will provide optimal care for a pregnant patient who has an allergic reaction to a contrast agent.
authors.affiliation: 1 Department of Radiology, Feinberg School of Medicine, Northwestern University, 676 St. Clair St, Ste 800, Chicago, IL 60611.
authors.forename: Amrita
authors.initials: A
authors.lastname: Sikka
authors.affiliation: 1 Department of Radiology, Feinberg School of Medicine, Northwestern University, 676 St. Clair St, Ste 800, Chicago, IL 60611.
authors.forename: Jaspreet K
authors.initials: JK
authors.lastname: Bisla
authors.affiliation: 2 Department of Obstetrics and Gynecology, Feinberg School of Medicine, Northwestern University, Chicago, IL.
authors.forename: Priya V
authors.initials: PV
authors.lastname: Rajan
authors.affiliation: 3 Department of Anesthesiology, Feinberg School of Medicine, Northwestern University, Chicago, IL.
authors.forename: Laurie A
authors.initials: LA
authors.lastname: Chalifoux
authors.affiliation: 1 Department of Radiology, Feinberg School of Medicine, Northwestern University, 676 St. Clair St, Ste 800, Chicago, IL 60611.
authors.forename: Lori A
authors.initials: LA
authors.lastname: Goodhartz
authors.affiliation: 1 Department of Radiology, Feinberg School of Medicine, Northwestern University, 676 St. Clair St, Ste 800, Chicago, IL 60611.
authors.forename: Frank H
authors.initials: FH
authors.lastname: Miller
authors.affiliation: 1 Department of Radiology, Feinberg School of Medicine, Northwestern University, 676 St. Clair St, Ste 800, Chicago, IL 60611.
authors.forename: Vahid
authors.initials: V
authors.lastname: Yaghmai
authors.affiliation: 1 Department of Radiology, Feinberg School of Medicine, Northwestern University, 676 St. Clair St, Ste 800, Chicago, IL 60611.
authors.forename: Jeanne M
authors.initials: JM
authors.lastname: Horowitz
mesh_terms: D003287:Contrast Media / Q000009:adverse effects*; D004342:Drug Hypersensitivity / Q000175:diagnosis / Q000628:therapy*; D005260:Female; D006801:Humans; D017613:Iodine Compounds / Q000009:adverse effects*; D011247:Pregnancy; D012307:Risk Factors; D014057:Tomography, X-Ray Computed
chemical_list: D003287:Contrast Media; D017613:Iodine Compounds
keywords: allergic reaction; computed tomography; iodinated contrast; pregnancy