Snakebite in pregnancy: a preliminary study



Título del documento: Snakebite in pregnancy: a preliminary study
Revue: The journal of venomous animals and toxins
Base de datos: PERIÓDICA
Número de sistema: 000298592
ISSN: 0104-7930
Autores: 1

Instituciones: 1Universidade Federal do Para, Hospital Joao de Barros Barreto, Belem, Para. Brasil
Año:
Volumen: 3
Número: 2
Paginación: 280-286
País: Brasil
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Analítico, descriptivo
Resumen en inglés Worldwide occurrence of envenomation by snakebite in pregnancy is rare according to the medical literature. The objective of the present study was to evaluate the frequency of snakebite envenomation cases as well as their obstetrical consequences. Thus, we conducted this study based on the medical records of 157 patients, aged from 13 to 54 years old who had been attended at the "João de Barros Barreto" University Hospital from January 1989 to May 1994. These patients presented epidemiological and clinical diagnosis of snakebite envenomation. Of the 157 patients, 8 (5%) were pregnant, 6 of them (75%) were in the first trimester of pregnancy and 2 (25%) in the 2nd trimester. Most of the victims were usually over 18 years old (7 cases, 87.5%). Concerning the severity of the envenomation cases, 5 of them were considered mild accidents. Obstetrical consequences occurred in 3 (37.5%) patients, 2 patients (25%) with moderate manifestations, while 1(12.5%) presented severe manifestations. Patients developed vaginal bleeding in 3 cases (100%), and uterine contraction, threatened abortion, decreased fetal movements, absence of fetal heartbeat and fetal death in one case (33.35%). Snakebite is not common among pregnant women, since in most cases, these women are homebound. However, the obstetrical consequences are severe and related to severity of the envenomation
Disciplinas: Medicina
Palabras clave: Ginecología y obstetricia,
Toxicología,
Mordeduras de serpiente,
Embarazo,
Envenenamiento,
Aborto,
Obstetrical consequences
Keyword: Medicine,
Gynecology and obstetrics,
Toxicology,
Snake bites,
Pregnancy,
Envenomation,
Abortion
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