A Rare Case of Severe Burns in a Pregnant Woman

Although burns are an extremely rare injury during pregnancy, they place a significant additional burden on the body, which is physiologically adapted to pregnancy and therefore limited in its ability to respond effectively to stress. Due to the low incidence of burns during pregnancy, the existing literature is scarce. Case reports are mostly from third-world countries, and there are no official guidelines or recommendations. This case report describes a 30-week pregnant woman who sustained superficial dermal burns covering up to 45% of the total body surface area (TBSA) and received appropriate fluid resuscitation therapy and wound management according to international guidelines. A neonate was delivered by emergency cesarean section after completion of antenatal corticosteroid therapy but died after 10 days due to hypoxic damage to the brain, kidneys, and digestive system. The patient was discharged after 51 days with no long-term sequelae. This case is unique in its outcome and should be used as an important reminder to take into account the physiological adaptations of the body to pregnancy when optimizing the management of burn injuries and to emphasize the importance of adequate fluid resuscitation, careful pregnancy monitoring, and timely decision-making about possible preterm labor with emergency cesarean sections.