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Scientific paper - Case study
Ethical and medical management of a pregnant woman with brain stem death resulting in delivery of a healthy child and organ donation
International Journal of Obstetric Anesthesia, 32 (2017); 82-86. https://doi.org/10.1016/j.ijoa.2017.06.007
Gopčević, Aleksandar; Rode, Bojan; Vučić, Marinko; Horvat, Ana; Širanović, Mladen; Gavranović, Željka; Košec, Vesna; Košec, Andro

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Gopčević, A., Rode, B., Vučić, M., Horvat, A., Širanović, M., Gavranović, Ž. ... Košec, A. (2017). Ethical and medical management of a pregnant woman with brain stem death resulting in delivery of a healthy child and organ donation. International Journal of Obstetric Anesthesia, 32., 82-86. doi: 10.1016/j.ijoa.2017.06.007

Gopčević, Aleksandar, et al. "Ethical and medical management of a pregnant woman with brain stem death resulting in delivery of a healthy child and organ donation." International Journal of Obstetric Anesthesia, vol. 32, 2017, pp. 82-86. https://doi.org/10.1016/j.ijoa.2017.06.007

Gopčević, Aleksandar, Bojan Rode, Marinko Vučić, Ana Horvat, Mladen Širanović, Željka Gavranović, Vesna Košec and Andro Košec. "Ethical and medical management of a pregnant woman with brain stem death resulting in delivery of a healthy child and organ donation." International Journal of Obstetric Anesthesia 32 (2017): 82-86. https://doi.org/10.1016/j.ijoa.2017.06.007

Gopčević, A., et al. (2017) 'Ethical and medical management of a pregnant woman with brain stem death resulting in delivery of a healthy child and organ donation', International Journal of Obstetric Anesthesia, 32, pp. 82-86. doi: 10.1016/j.ijoa.2017.06.007

Gopčević A, Rode B, Vučić M, Horvat A, Širanović M, Gavranović Ž, and sur.. Ethical and medical management of a pregnant woman with brain stem death resulting in delivery of a healthy child and organ donation. International Journal of Obstetric Anesthesia [Internet]. 2017 [cited 2024 May 04];32:82-86. doi: 10.1016/j.ijoa.2017.06.007

A. Gopčević, et al., "Ethical and medical management of a pregnant woman with brain stem death resulting in delivery of a healthy child and organ donation", International Journal of Obstetric Anesthesia, vol. 32, pp. 82-86, 2017. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:220:285161. [Accessed: 04 May 2024]

Metadata
Title (english)Ethical and medical management of a pregnant woman with brain stem death resulting in delivery of a healthy child and organ donation
AuthorAleksandar Gopčević
AuthorBojan Rode
MBZ: 41266
AuthorMarinko Vučić
AuthorAna Horvat
AuthorMladen Širanović
AuthorŽeljka Gavranović
AuthorVesna Košec
AuthorAndro Košec
Author's institution(Sestre milosrdnice University Hospital Center)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Abstract (english)
Maternal brain death during pregnancy remains an exceedingly complex situation that requires not only a well-considered medical management plan, but also careful decision-making in a legally and ethically delicate situation. Management of brain dead pregnant patients needs to adhere to special strategies that support the mother in a way that she can deliver a viable and healthy child. Brain death in pregnant women is very rare, with only a few published cases. We present a case of a pregnant woman with previously diagnosed multiple brain cavernomas that led to intracranial hemorrhage and brain stem death during the 21st week of pregnancy. The condition that can be proven unequivocally, using tests that do not endanger viability of the fetus, is brain stem death, diagnosed through absence of cranial reflexes. The patient was successfully treated until delivery of a healthy female child at 29 weeks of gestation. The patient received continuous hormone substitution therapy, fetal monitoring and extrinsic regulation of maternal homeostasis over 64 days. After delivery, the final diagnosis of brain death was established through multi-slice computerized tomography pan-angiography. This challenging case discusses ethical and medical circumstances arising from a diagnosis of maternal brain death, while showing that prolongation of somatic life support in a multidisciplinary setting can result in a successful pregnancy outcome.
Keywords (english)
Languageenglish
Publication typeScientific paper - Case study
Publication statusPublished
Peer reviewPeer review - international
Publication versionPublished version
Journal titleInternational Journal of Obstetric Anesthesia
Numberingvol. 32, pp. 82-86
p-ISSN0959-289X
e-ISSN1532-3374
DOIhttps://doi.org/10.1016/j.ijoa.2017.06.007
URN:NBNurn:nbn:hr:220:285161
Publication2017
Document URLhttps://www.sciencedirect.com/science/article/abs/pii/S0959289X17300225?via%3Dihub
Type of resourceText
Access conditionsInstitutional access
Terms of useLicence In copyright icon
Created on2023-09-22 10:50:17