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Burns in Pregnancy

From the ¹Department of Obstetrics & Gynecology, University of Texas Medical Branch, Galveston, Texas; and ²Department of Obstetrics and Gynecology, Texas Tech University Health Sciences Center, Amarillo, Texas.

BACKGROUND: Treatment of a major burn injury during pregnancy must incorporate modifications in management resulting from gestational physiologic changes.

CASE: A 25-year-old woman, at 34 weeks of gestation, sustained a major burn injury at home. She required ventilatory support, invasive hemodynamic monitoring, and massive fluid resuscitation. Labor was augmented and a spontaneous vaginal delivery of a healthy neonate was achieved. Later, wound autografting was performed.

CONCLUSION: Pregnancy-induced physiologic changes affect key factors in the management of the burned patient, including airway management and hemodynamic support. Multidisciplinary management is essential to achieve the best possible outcome.