Irreversible Maternal Brain Injury During Pregnancy: A Case Report and Review of the Literature

Deborah M. Feldman, Adam F. Borgida, John F. Rodis, Winston A. Campbell
2000 Obstetrical and Gynecological Survey  
Maternal brain death or massive injury leading to persistent vegetative state during pregnancy is a rare event. Since 1979, 11 cases, including the current one, of irreversible maternal brain damage in pregnancy have been reported. In all but one, the pregnancies were prolonged with a goal of achieving delivery of a viable infant. Current advances in medicine and critical care enable today's physician to offer prolonged life-support to maximize the chances for survival in the neonate whose
more » ... neonate whose mother is technically brain dead. We present a case at our institution and review all previously published cases in the English literature for comparison as well as make management recommendations. Target Audience: Obstetrics & Gynecologists, Family Physicians Learning Objectives: After completion of this article, the reader will be able to outline the legal and ethical considerations of a patient with fatal maternal brain injury, list the common complications in a patient with fatal maternal brain injury, and describe the management of these complications.
doi:10.1097/00006254-200011000-00023 pmid:11075735 fatcat:w5lfptc53zfxvjloyslb2yhy4e