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Adewole AA, Ugiagbe OA, Onile TG, et al. Snake bite in third trimester of pregnancy with systemic envenomation and delivery of a live baby in a low resource setting: A case report. Case Rep Womens Health. 2017;16:14-17doi: 10.1016/j.crwh.2017.10.001.
Adewole, A. A., Ugiagbe, O. A., Onile, T. G., Joseph, G. A., Kassim, O. D., Medupin, P. F., & Adeniran, A. S. (2017). Snake bite in third trimester of pregnancy with systemic envenomation and delivery of a live baby in a low resource setting: A case report. Case reports in women's health, 1614-17. https://doi.org/10.1016/j.crwh.2017.10.001
Adewole, Adebayo A, et al. "Snake bite in third trimester of pregnancy with systemic envenomation and delivery of a live baby in a low resource setting: A case report." Case reports in women's health vol. 16 (2017): 14-17. doi: https://doi.org/10.1016/j.crwh.2017.10.001
Adewole AA, Ugiagbe OA, Onile TG, Joseph GA, Kassim OD, Medupin PF, Adeniran AS. Snake bite in third trimester of pregnancy with systemic envenomation and delivery of a live baby in a low resource setting: A case report. Case Rep Womens Health. 2017 Oct 16;16:14-17. doi: 10.1016/j.crwh.2017.10.001. eCollection 2017 Oct. PMID: 29594003; PMCID: PMC5842965.
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Case Rep Womens Health. 2017 Oct 16;16:14-17. doi: 10.1016/j.crwh.2017.10.001. eCollection 2017 Oct.

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

Case reports in women's health

Adebayo A Adewole, Osadolor A Ugiagbe, Temitope G Onile, Gabriel A Joseph, Oluwamayowa D Kassim, Patricia F Medupin, Abiodun S Adeniran

Affiliations

  1. Department of Obstetrics and Gynaecology, Federal Medical Center, Lokoja, Nigeria.
  2. Department of Internal Medicine, Federal Medical Center, Lokoja, Nigeria.
  3. Department of Haematology, Federal Medical Center, Lokoja, Nigeria.
  4. Department of Paediatrics, Federal Medical Center, Lokoja, Nigeria.
  5. Department of Obstetrics and Gynaecology, University of Ilorin, Ilorin, Nigeria.

PMID: 29594003 PMCID: PMC5842965 DOI: 10.1016/j.crwh.2017.10.001

Abstract

BACKGROUND: 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

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.

Keywords: AGA, Appropriate for Gestational Age; APGAR, Appearance Pulse Grimace Activity Respiration; ARV, Anti-retrovirals; Carpet viper; Disseminated intravascular coagulopathy; Envenomation; Fetal morbidity; HIV, Human Immunodeficiency Virus; INR, International Normalized Ratio; IU, International Units; Maternal morbidity; NHIS, National Health Insurance Scheme; PCV, Packed Cell Volume; PT, Prothrombin Time; SPO2, Oxygen Saturation Pressure; Snakebite; TSB, Total Serum Bilirubin; WBC, White Blood Count; WBCT, Whole Blood Clotting Time; aPTT, activated Partial Thromboplastin Time

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