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British Journal of Anaesthesia, 2000, Vol. 85, No. 3 479-481
© 2000 The Board of Management and Trustees of the British Journal of Anaesthesia

Anaesthetic management of a pregnant patient in a persistent vegetative state

B. T. Ayorinde1, I. Scudamore2 and D. J. Buggy1,*

1University Department of Anaesthesia and 2Department of Obstetrics and Gynaecology, University Hospitals of Leicester, Leicester General Hospital, Gwendolen Road, Leicester LE5 4PW, UK

Pregnancy in a patient in a persistent vegetative state presents challenging therapeutic questions about the level of supportive management required, the assessment of fetal well-being, the timing and mode of delivery and the anaesthetic management of labour and delivery. We report the case of a 29-yr-old woman who had a favourable fetal outcome despite suffering hypoxic brain damage after a suicide attempt by a drug overdose. She was managed until the onset of labour on an intensive care unit and had a spontaneous vaginal delivery assisted by epidural anaesthesia.

Br J Anaesth 2000: 85; 479–81

* Corresponding author


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