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Anaesthetic management of a pregnant patient in a persistent vegetative state

B T Ayorinde1, I Scudamore, D J Buggy

  • 1University Department of Anaesthesia, University Hospitals of Leicester, UK.

Pregnancy in a patient in a persistent vegetative state presents challenging therapeutic questions about the level of supportive management required, the assessment of fetal well-being, the timing and mode of delivery and the anaesthetic management of labour and delivery. We report the case of a 29-yr-old woman who had a favourable fetal outcome despite suffering hypoxic brain damage after a suicide attempt by a drug overdose. She was managed until the onset of labour on an intensive care unit and had a spontaneous vaginal delivery assisted by epidural anaesthesia.

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