Pregnancy with burn injury: A case report

Pregnancy with burn injury is both unusual and life-threatening conditions. In this study, one case of pregnancy was presented with burn injury from Dr. Soetomo General Hospital. A 28 years-old pregnant woman with burn injury was referred to Dr. Soetomo General Hospital emergency room. The examination suggested 13.5% severe burn injury superficial-mid dermal (4% at patient’s face). Laboratory examination revealed anemia and hypoalbuminemia. The CXR result revealed lung inflammation. The patient was pregnant with twins in 29/30 WGA. We treat the patient with dexamethason and progesterone. At 4th day of treatment, the patient was transferred to ICU and attached to respirator. The next day, the patient was in labor, so we terminated the pregnancy by cesarean section. The first baby weighted 1300 g and the second baby weighted 1200 g. Plastic Surgery Department then resumed with debridement. The babies discharged 7 days later. The patient was treated for 23 days in Burn Unit before discharged. Pregnancy with burn injury is a life-threatening case that needs more extensive treatment. Inflammation from the injury may induce labor. Pregnant patient with inhalation trauma may have more severe breathing difficulty compared to non-pregnant women because of diaphragm shifting upwards. Resuscitation and fluid management is not different from non-pregnant patient. The pregnancy management in burn injury patient depends on the total % burn and gestational age.