How to Manage Allergic Reactions to Contrast Agent in Pregnant Patients

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.

Adequate preparation and a team approach will provide optimal care for a pregnant patient who has an allergic reaction to a contrast agent.