Snake bite in third trimester of pregnancy with systemic envenomation in a low resource setting: A case report.

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dc.contributor.authorAdewole, Adebayo
dc.contributor.authorUgiagbe, O.A
dc.contributor.authorOnile, Temitope
dc.contributor.authorJoseph, G.A.
dc.contributor.authorKassim, O.D.
dc.contributor.authorMedupin, D.F.
dc.contributor.authorAdeniran, Abiodun
dc.date.accessioned2019-10-22T09:59:33Z
dc.date.available2019-10-22T09:59:33Z
dc.date.issued2017-10
dc.description.abstractBackground: Snake bite in the third trimester of pregnancy with late presentation, systemic envenomation; disseminated intravascular coagulopathy and delivery of a live neonate is uncommon in a low resource setting. Case: We present a 22 year old unbooked Gravida 3 Para 1+1 1alive lentiviral positive woman at 32 weeks gestation with snake bite, leg swelling, vaginal bleeding and labour pains. At presentation, there were anemia, tachycardia, hypotension; a gravid uterus with a single fetus in longitudinal lie, cephalic presentation, regular fetal heart rate and cervical dilatation of 3 cm. Preterm labour with antepartum hemorrhage due to venomous snake bite was diagnosed. Multidisciplinary management instituted led to the survival of both mother and baby. Conclusion: In resource constrained setting, disseminated intravascular coagulopathy arising from systemic envenomation due to snake bite in pregnancy could be challenging. Obstetric outcome depends on the degree of envenomation, gestational age at presentation, timing, duration and quality of treatment.en_US
dc.description.sponsorshipNilen_US
dc.identifier.otherdoi: http://dx.doi.org/10.1016/j.crwh.2017.10.001
dc.identifier.urihttp://hdl.handle.net/123456789/3046
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.subjectSnakebiteen_US
dc.subjectEnvenomationen_US
dc.subjectCarpet viperen_US
dc.subjectDisseminated intravascular coagulopathyen_US
dc.subjectMaternal morbidityen_US
dc.subjectFetal morbidityen_US
dc.titleSnake bite in third trimester of pregnancy with systemic envenomation in a low resource setting: A case report.en_US
dc.typeArticleen_US

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