Mega-dose carbamazepine complicating third trimester of pregnancy

SAYGAN-KARAMURSEL B., Guven S., ONDEROGLU L., DEREN O., DURUKAN T.

JOURNAL OF PERINATAL MEDICINE, vol.33, no.1, pp.72-75, 2005 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 33 Issue: 1
  • Publication Date: 2005
  • Doi Number: 10.1515/jpm.2005.013
  • Journal Name: JOURNAL OF PERINATAL MEDICINE
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.72-75
  • Karadeniz Technical University Affiliated: No

Abstract

A case of coma due to carbamazepine ingestion with the intention of committing suicide at 33 weeks' gestation is presented. Management included activated charcoal administration and exchange plasmapheresis. A fetal non-stress test was non-reassuring but the Apgar score, cord blood gases and early neonatal outcome were normal. Differential diagnosis of coma in pregnancy should include investigation for drug intoxication.