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Maternal ventilation and sedation for H1N1 influenza resulting in fetal bladder rupture and urinary ascites
Author(s) -
Chaudhari Tejasvi,
Robertson Meiri,
Ellwood David,
Simpson Erroll,
Kecskes Zsuzsoka,
Kent Alison L
Publication year - 2013
Publication title -
journal of paediatrics and child health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.631
H-Index - 76
eISSN - 1440-1754
pISSN - 1034-4810
DOI - 10.1111/j.1440-1754.2012.02502.x
Subject(s) - medicine , urinary system , obstructive uropathy , ascites , urinary bladder , respiratory distress , creatinine , fetus , urology , anesthesia , pregnancy , surgery , biology , genetics
Urinary ascites in a newborn infant is unusual and most commonly results from bladder perforation following umbilical arterial catheterisation or obstructive uropathy. The following report describes a case of fetal bladder rupture with urinary ascites in a mother ventilated and sedated with narcotics and benzodiazepines for H1N1 influenza. This was associated with a unique biochemical profile of hyponatraemia and elevated serum urea and creatinine characteristic of urinary autodialysis in the neonate.