Citation

Tran T, Wax JR, Steinfeld JD, Ingardia CJ. Obstet. Gynecol. 1998; 92(4 Pt 2): 678-680.

Copyright

(Copyright © 1998, Lippincott Williams & Wilkins)

DOI

10.1016/s0029-7844(98)00214-2

PMID

9764661

Abstract

BACKGROUND: Although iron is the second most common overdose agent in pregnancy, the obstetric literature does not reflect current management of this emergency.
CASE: A 27-year-old woman, para 0-3-4-3, at 27 weeks' gestation ingested 24 mg/kg of elemental iron in a suicide attempt. Therapy with crystalloid hydration, gastric lavage, and intravenous deferoxamine chelation treated the overdose without maternal or fetal complications.
CONCLUSION: Pregnancy should not alter therapy for acute iron overdose. Deferoxamine administered in the third trimester is not associated with perinatal complications and is potentially life saving.

Language: en

Keywords

Acute Disease; Adult; Drug Overdose; Female; Humans; Iron; Pregnancy; Pregnancy Complications; Suicide, Attempted