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Chagas' disease in an obstetrical patient
1Department of Anesthesiology and Critical Care Medicine, School of Medicine, University of New Mexico, Albuquerque, NM 87131-5216, USA.
International Journal of Obstetric Anesthesia
|April 1, 1996
Summary
This case study details a pregnant patient with chronic Chagas' disease and heart issues who required an emergency hysterectomy. It highlights the medical implications of Chagas' disease, including potential maternal-fetal Trypanosoma cruzi transmission.
Area of Science:
- Infectious Diseases
- Cardiology
- Obstetrics & Gynecology
Background:
- Chagas' disease, caused by Trypanosoma cruzi, is endemic to Central and South America.
- Population migration is increasing Chagas' disease prevalence in the USA.
- Chronic Chagas' disease often involves cardiac and gastrointestinal manifestations.
Purpose of the Study:
- To report a complex case of labor management in a parturient with chronic Chagas' disease.
- To discuss the medical implications of Chagas' disease in pregnancy.
- To highlight the risk of maternal-fetal Trypanosoma cruzi transmission.
Main Methods:
- Case report of a parturient with documented chronic Chagas' disease.
- Review of Chagas' disease pathophysiology, phases, and clinical implications.
- Discussion of management during labor and delivery.
Main Results:
- The parturient presented with cardiac manifestations of chronic Chagas' disease.
- Labor management was complicated by the need for emergent hysterectomy post-delivery.
- The case underscores the importance of considering Chagas' disease in pregnant individuals.
Conclusions:
- Chagas' disease poses significant risks during pregnancy, particularly cardiac complications.
- Emergent hysterectomy can be a necessary intervention in complicated cases.
- Awareness of maternal-fetal Trypanosoma cruzi transfer is crucial for obstetric care.