J Korean Soc Clin Toxicol.  2009 Jun;7(1):44-46.

Emergency Cesarean Section Rescue of a Fetus from Maternal Severe Drug Intoxication

Affiliations
  • 1Department of Emergency Medicine, Soonchunhyang University Cheonan Hospital, Korea. yohimbine@hanmail.net

Abstract

Herein, we report a case of emergency cesarean section after severe maternal drug intoxication in late pregnancy. At a 38-week-gestation, a 32-year-old woman with a 10-year history of bipolar disorder took olanzapine (200 mg), diazepam (20 mg), and zolpidem (200 mg) as part of a suicidal attempt. Given her unconscious state and the evident concern regarding the toxic effects of the drugs on the fetus, a cesarean section was performed immediately. The patient gave birth to a male baby with Apgar scores of 5 at 1 and 8 at 5 minutes. The baby showed dyspnea and decreased activity directly after birth. After supportive care, the condition of both mother and baby improved and both were discharged.

Keyword

Olanzapine; Poisoning; Cesarean section; Pregnancy

MeSH Terms

Adult
Benzodiazepines
Bipolar Disorder
Cesarean Section
Diazepam
Dyspnea
Emergencies
Female
Fetus
Humans
Male
Mothers
Parturition
Pregnancy
Pyridines
Unconsciousness
Benzodiazepines
Diazepam
Pyridines
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