Vaginal delivery in the 30+4 weeks of pregnancy and organ donation after brain death in early pregnancy.
BMJ Case Rep
; 12(9)2019 Sep 30.
Article
en En
| MEDLINE
| ID: mdl-31570361
ABSTRACT
A 28-year-old woman suffered a traffic accident resulting in severe head injuries with deleterious prognosis. Diagnostics further revealed a hitherto unknown pregnancy, at suspected week 9. Based on the patient's wish to donate organs, brain death protocol confirmed irreversible loss of brain function. Yet, vital pregnancy rendered organ transplantation impossible. Multiple ethical and legal issues arose, from invalidation of established legal care after brain death to the delivery of a healthy child after trauma and long-term critical care. After medicolegal and ethical counselling, pregnancy was sustained, and the goal of organ donation postponed. Critical care focused on foetal homeostasis. At 30+4 weeks, a viable girl was born via assisted vaginal delivery. Postpartal organ donation resulted in heart, kidney and pancreas transplantation. The case emphasises the medical, legal and ethical challenges to combine two apparently diametrical goals the successful full-term pregnancy and the fulfilment of a patient's wish to donate organs.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Defensa del Paciente
/
Atención Prenatal
/
Obtención de Tejidos y Órganos
/
Muerte Encefálica
/
Donadores Vivos
/
Viabilidad Fetal
/
Cuidados para Prolongación de la Vida
/
Madres
Tipo de estudio:
Guideline
/
Prognostic_studies
Aspecto:
Ethics
Límite:
Adult
/
Female
/
Humans
/
Pregnancy
Idioma:
En
Revista:
BMJ Case Rep
Año:
2019
Tipo del documento:
Article
País de afiliación:
Alemania