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Vasculotoxic snakebite envenomation: Management challenges in pregnancy
Sweta Singh1, Rashmi R Mohanty2
1Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Bhubaneswar, India.
Snakebite envenomation during pregnancy is uncommon. Prompt treatment with antivenom and a multidisciplinary approach ensures positive outcomes for both mother and baby.
Area of Science:
- Toxicology
- Obstetrics & Gynecology
- Emergency Medicine
Background:
- Snakebite envenomation in pregnancy presents unique management challenges.
- Vasculotoxic snakebites pose risks to both maternal and fetal health.
Purpose of the Study:
- To report two cases of snakebite envenomation in pregnancy.
- To discuss the management strategies and challenges for successful maternal and perinatal outcomes.
Main Methods:
- Case report of two pregnant women with snakebite envenomation.
- Treatment involved a multidisciplinary team, including antivenom, antibiotics, and fasciotomy in one case.
Main Results:
- Both mothers recovered fully with no attributable fetal or neonatal morbidity.
- One patient delivered via C-section at 33 weeks due to eclampsia; the other delivered vaginally at 36 weeks.
Conclusions:
- Antivenom, when indicated, is crucial for managing snakebite envenomation in pregnancy.
- A multidisciplinary team approach is vital for achieving successful maternal and perinatal outcomes.
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