@article{ref1,
title="Rattlesnake envenomation in the third trimester of pregnancy",
journal="Obstetrics and gynecology",
year="2018",
author="Ghosh, Niloy and Henderson, Jonathan A. and Kim, Hyunyoung G. and Ancar, Farren M.",
volume="132",
number="3",
pages="682-686",
abstract="BACKGROUND: Snakebites in pregnancy can be life-threatening to both the mother and fetus as a result of inflammatory and toxic properties of the venom. Prompt medical treatment is critical to prevent adverse consequences. CASE: A 26-year-old woman at 37 6/7 weeks of gestation was bitten by a rattlesnake on the right middle finger, resulting in severe pain radiating up to the upper arm and swelling involving the entire hand. A total of 18 vials of crotalidae polyvalent immune fab was administered over 11 hours. Three days after the incident, the patient delivered a healthy neonate vaginally and without complications. Both mother and newborn were well at 1-month follow-up. <br><br>CONCLUSION: Our case supports managing snakebites in pregnancy similar to managing cases in nonpregnant individuals, including using crotalidae polyvalent immune fab antivenom.<p /> <p>Language: en</p>",
language="en",
issn="0029-7844",
doi="10.1097/AOG.0000000000002783",
url="http://dx.doi.org/10.1097/AOG.0000000000002783"
}