Snake bite in third trimester of pregnancy with systemic envenomation and delivery of a live baby in a low resource setting: A case report

Abstract

Background

Snake bite in the third trimester of pregnancy with late presentation, systemic envenomation; disseminated intravascular coagulopathy and delivery of a live neonate is uncommon in a low resource setting.

Case

We present a 22 year old unbooked Gravida 3 Para 1 ^+ 1 1alive lentiviral positive woman at 32 weeks gestation with snake bite, leg swelling, vaginal bleeding and labour pains. At presentation, there were anemia, tachycardia, hypotension; a gravid uterus with a single fetus in longitudinal lie, cephalic presentation, regular fetal heart rate and cervical dilatation of 3 cm. Preterm labour with antepartum hemorrhage due to venomous snake bite was diagnosed. Multidisciplinary management instituted led to the survival of both mother and baby.

Conclusion

In resource constrained setting, disseminated intravascular coagulopathy arising from systemic envenomation due to snake bite in pregnancy could be challenging. Obstetric outcome depends on the degree of envenomation, gestational age at presentation, timing, duration and quality of treatment.

Highlights

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  Snakebite in pregnancy with systemic envenomation in a low resource setting.

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  Live baby delivered possibly because placenta abruption that occurred was not severe.

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  Multidisciplinary management was helpful for the survival of both the mother and baby.