Satnarine Travis, Xavier de Almeida Alana, Gebbia Jennifer, Kleiner Gary, Gans Melissa
Pediatrics, University of Miami Miller School of Medicine, Jackson Memorial Hospital, Miami, USA.
Allergy and Immunology, University of Miami Miller School of Medicine, Jackson Memorial Hospital, Miami, USA.
Cureus. 2024 Feb 26;16(2):e54939. doi: 10.7759/cureus.54939. eCollection 2024 Feb.
This case report underscores the effective implementation of a delivery plan for a pregnant patient, focusing on a successful case study where a cesarean section, preceded by the pre-treatment of intravenous plasma-derived C1 inhibitor, resulted in the delivery of a healthy baby. The proposed delivery plan offers a systematic approach to managing hereditary angioedema during pregnancy. It recommends opting for delivery at an academic center equipped with high-risk obstetric care, obstetric anesthesia, and a level 4 Neonatal Intensive Care Unit. The plan also emphasizes the importance of early admission at the onset of labor and delineates specific protocols for both vaginal and cesarean deliveries.
本病例报告强调了针对孕妇实施分娩计划的有效方法,重点介绍了一个成功的案例研究,即在静脉注射血浆源性C1抑制剂进行预处理后进行剖宫产,最终产下一名健康婴儿。所提出的分娩计划为孕期遗传性血管性水肿的管理提供了一种系统方法。它建议选择在配备高危产科护理、产科麻醉和四级新生儿重症监护病房的学术中心进行分娩。该计划还强调了分娩开始时尽早入院的重要性,并阐述了阴道分娩和剖宫产的具体方案。