Xiaomao Li
Bolivarian Rep. of Venezuela
Review Article
Obstetrical Management of Fulminant Viral Hepatitis in Late Pregnancy
Author(s): Zhongjie Shi, Xiaomao Li, Yuebo Yang, Lin Ma and Ann SchreiberZhongjie Shi, Xiaomao Li, Yuebo Yang, Lin Ma and Ann Schreiber
Objective: To set up a routine perinatal treatment guideline for fulminant viral hepatitis in late pregnancy (FVHLP). Method: A summary of literature of successful treatment at various clinical stages. Due to the limited number of prospective studies, retrospective, observational studies and case reports were analyzed and pathophysiological mechanisms were summarized as well. Results: A comprehensive obstetrical treatment guideline was proposed as follows: (a) Awareness of FVHLP should be reinforced among medical staff; (b) Patients diagnosed with FVHLP should be transported to regional expert centers before labor onset; (c) Supportive medication should be administered to prepare the patients for incoming delivery. A central venous line should be maintained to provide rapid intravenous access and moni.. View More»
