A rare case of pregnancy complicated by snake bite

Mittal, Rita; Dhiman, Bishan; Sood, Nishi; Sood, Shilpa

doi:10.18203/2320-1770.ijrcog20151635

Cited by 5 publications

(5 citation statements)

References 2 publications

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“…Singh and Mohanty 8 reported a patient with vasculotoxic SE at 29 wk of gestation who received 15 vials of polyvalent AV and later successfully delivered a healthy baby at 36 wk of gestation. However, the fetal outcome was grave in a patient with SE at 26 wk of gestation who presented to the hospital with an abruptio placentae, as reported by Mittal et al 9 from north India. The authors attributed the untoward outcome to the delay in AV administration that resulted in bleeding manifestations, including abruptio placentae and, later, disseminated intravascular coagulation.…”

Section: Discussionmentioning

confidence: 58%

“…4 -6 Various mechanisms have been proposed for the occurrence of fetal death or abortions following SE, such as direct venom toxicity on the fetus leading to fetal anoxia, premature uterine contraction, hemorrhagic manifestations to the placenta or uterus, maternal shock, cytokinin release, and anaphylactic reaction from the AV. 9,10 Seneviratne et al, 5 in their study from Sri Lanka, documented that the major factors associated with the risk of adverse fetal outcomes are systemic envenomation and a gestational period of 18 wk or less. Our case was in the third trimester of pregnancy and nearly full term.…”

Section: Discussionmentioning

confidence: 99%

“…The authors attributed the untoward outcome to the delay in AV administration that resulted in bleeding manifestations, including abruptio placentae and, later, disseminated intravascular coagulation. 9 Notably, our patient received 10 vials of polyvalent AV within 2 h of SE before presenting to our center. Adewole et al 10 reported a patient with SE at 32 wk of gestation from Nigeria who presented with bleeding manifestations, including per-vaginal bleeding, and underwent spontaneous normal vaginal delivery during the course of emergency treatment by the multidisciplinary team, wherein both the mother and fetus had a favorable outcome.…”

Section: Discussionmentioning

confidence: 99%

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A Case of Cobra Bite in a Term Pregnant Woman: The Obstetric and Wound Management Challenges

Panda,

Singh,

Radhakrishnan

et al. 2023

Wilderness & Environmental Medicine

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Snake envenomation is a rare incident during pregnancy and potentially challenging to manage. Snakebites in pregnancy may lead to several complications such as teratogenicity, miscarriage, antepartum hemorrhage, and even intrauterine fetal death. Here, we report a case of a pregnant woman who presented to our emergency department with signs of systemic envenomation following an Indian cobra bite on her foot, highlighting the key obstetric and wound management challenges. She complained of severe pain at the site of the bite and progressive swelling, abdominal pain, and multiple episodes of vomiting, which started 45 min after the bite. She received 10 vials of polyvalent antivenom from a primary hospital and was then referred to our center. The patient underwent emergency cesarean section and later fasciotomy with free-flap reconstruction at the bitten site due to local tissue necrosis. The case was successfully managed by a multidisciplinary team consisting of an emergency physician, obstetrician, and plastic surgeon, saving 2 lives and the limb of the patient.

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Section: Discussionmentioning

confidence: 58%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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A Case of Cobra Bite in a Term Pregnant Woman: The Obstetric and Wound Management Challenges

Panda,

Singh,

Radhakrishnan

et al. 2023

Wilderness & Environmental Medicine

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“…But the most reason remain placental abruption [9] [10]. This occurs when the toxin reaches the deciduo-placental cleavage zone, and starts a dissociation [11]. Foetal loss resulted also from delayed presentation such as reported in the first case.…”

Section: Discussionmentioning

confidence: 99%

Placental Abruption Following Snakebites Envenomation: A Case Report and Literature Review

Logbo-Akey¹,

M’bortche²,

Kambote³

et al. 2023

OJOG

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Background: Snakebite envenomation in pregnancy is uncommon. It can lead to a poor outcome in both the mother and the fetus. We describe our approach to envenomation in pregnancy based on the currently available evidence. Case: We reported two case of snakebite in the third trimester of pregnancy having caused placental abruption with expelling a fresh still born baby and a live baby. In both cases, consumption coagulopathy occurred. managed by polyvalent anti-snake and blood transfusion. Their investigations became normal and they were discharged of hospitalization. Conclusion: Snakebite envenomation in pregnant is a maternal and fetal emergency. Treatment must be quick and well adapted.

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“…If the toxin in the snake venom is a coagulating agent, when it reaches the deciduo-placental cleavage zone, it may start a dissociation that ends up in placental abruption [15].…”

Section: Discussionmentioning

confidence: 99%

Snake envenomation during pregnancy

Martinez¹,

Osborne²

2019

Clin J Obstet Gynaecol

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Background: We report our experience with management and treatment of pregnant women who were admitted at our institution for snake envenomation. Methods: We reviewed the charts and recorded the management, treatment, and outcome of 51 pregnant women admitted to our high-risk obstetric service with a diagnosis of snakebite. Results: One patient experienced spontaneous abortion, 2 had intrauterine fetal death due to placental abruption, 2 delivered malformed babies, 1 had premature birth of twins with low birthweight. There were no maternal deaths. Conclusion: Snake-venom poisoning in pregnancy is a complex medical emergency that involves complications at the site of the bite and may also involve dysfunction of multiple organ systems in both mother and fetus.

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A rare case of pregnancy complicated by snake bite

Cited by 5 publications

References 2 publications

A Case of Cobra Bite in a Term Pregnant Woman: The Obstetric and Wound Management Challenges

A Case of Cobra Bite in a Term Pregnant Woman: The Obstetric and Wound Management Challenges

Placental Abruption Following Snakebites Envenomation: A Case Report and Literature Review

Snake envenomation during pregnancy

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