Mega-dose carbamazepine complicating third trimester of pregnancy
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Burcu Saygan-Karamursel
, Suleyman Guven , Lutfi Onderoglu , Ozgur Deren and Tekin Durukan
Abstract
A case of coma due to carbamazepine ingestion with the intention of committing suicide at 33 weeks' gestation is presented. Management included activated charcoal administration and exchange plasmapheresis. A fetal non-stress test was non-reassuring but the Apgar score, cord blood gases and early neonatal outcome were normal. Differential diagnosis of coma in pregnancy should include investigation for drug intoxication.
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Articles in the same Issue
- Global approach to perinatal medicine: functional genomics and proteomics
- Fetal and maternal Doppler velocimetry and cytokines in high-risk pregnancy
- IL-8 concentrations in maternal serum, amniotic fluid and cord blood in relation to different pathogens within the amniotic cavity
- Placental pathology and pregnancy outcomes in donor and non-donor oocyte in vitro fertilization pregnancies
- Blink-startle reflex habituation in 30–34-week low-risk fetuses
- Analysis of fetal breathing movements at 30–38 weeks of gestation
- Influence of perinatal factors on hematological variables in umbilical cord blood
- The potential of four-dimensional (4D) ultrasonography in the assessment of fetal awareness
- Early prognostic significance of umbilical cord troponin I in critically ill newborns. Prospective study with a control group
- Is the use of early nasal CPAP associated with lower rates of chronic lung disease and retinopathy of prematurity? Nine years of experience with the Vermont Oxford Neonatal Network
- Fetal growth restriction associated with measles virus infection during pregnancy
- Prenatal diagnosis of hemifacial microsomia by magnetic resonance imaging
- Mega-dose carbamazepine complicating third trimester of pregnancy
- Meconium peritonitis secondary to torsion of fallopian tube cyst and transient central diabetes insipidus in a preterm infant
- Congenital syphilis: β2-microglobulin in cerebrospinal fluid and diagnosis of neurosyphilis in an affected newborn
- Normalization of a severely abnormal ductus venosus Doppler flow velocity waveform in the presence of normal arterial flow parameters