In a rare case, a pregnant woman with brain death has a birth in an ER and her family authorizes organ donation | Sergipe

Pregnant woman Kauane Ludmilla Dionísio Santos, aged 20, who was diagnosed with brain death in April, after being shot in the head in Bairro Lamarão, in Aracaju, gave birth on the night of Wednesday (8), in Aracaju. According to the Sergipe Health Department, this was the first case reported in the state. The feat is considered rare. In Brazil, there are five reports in the scientific literature. Her organs were also donated.

The woman was admitted to the Sergipe Emergency Hospital (Huse), on April 17, with a skull injury. In less than a week, brain death occurred. Doctors made efforts for 21 days, through hemodynamic maintenance with devices and medication, as well as pressure and temperature control, to maintain the patient’s vital signs, thus ensuring that the 22-week-old fetus remained alive in the mother’s belly. mother until birth was possible.

Huse’s intensive care doctor, João Manoel, accompanied the pregnant woman’s arrival at the unit until she left, carrying out tests and monitoring the situation. “As soon as the patient arrived, we were in a dilemma as to how best to proceed. But based on science, we are able to provide the best treatment possible,” she said.

The birth was scheduled to take place this Thursday (9), but the patient showed changes in the ultrasound exams and the Huse medical team decided to bring forward the procedure. The birth took place at the Nossa Senhora de Lourdes Maternity Hospital, a state reference for high-risk births.

The girl was born prematurely, 26 weeks, by cesarean section, weighing 580 grams and was taken to the Neonatal Intensive Care Unit. Despite the prematurity, there was no dysfunction and she is stable.

“Every birth is an emotion, a renewal of life. The child was supported by the entire maternity team and we hope he remains healthy”, said the maternity pediatrician and neonatologist, Flávia Batista.

The family authorized the donation of the patient’s organs and kidneys, liver and corneas were collected. In addition to Aracaju, the bodies were also destined for the states of Pernambuco and Ceará.

“We made the organs available to the National Transplant Center and the liver was accepted for Pernambuco. So, the Brazilian Air Force provided an aircraft to take this liver to Recife. As for the kidneys, after preparing the logistics, it will be possible to send the left kidney to Ceará and the right kidney also to Pernambuco. The corneas will be transplanted right here in Aracaju”, informed the coordinator of the Sergipe Organ Transplant Center, Benito Fernandez.

The case continues to be investigated by the Department of Homicide and Personal Protection (DHPP). The Civil Police requests that information and complaints be passed on to the police via the Hotline (181). Confidentiality is guaranteed.

Kauane Ludmilla’s body is being laid to rest at Osaf, in the capital. There is still no information about the burial place and time, according to the family.