ArticleBMJ case reports2019
Vaginal delivery in the 30+4 weeks of pregnancy and organ donation after brain death in early pregnancy.
Article in BMJ case reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
6 citing papers in PubMed.
- A structured analysis of the concept of brain death.Theoretical medicine and bioethics · 2026Article
- Maternal Corporeal Support in Terminal Stage Brain Astrocytoma: A Case Report and Literature Review.Healthcare (Basel, Switzerland) · 2026Article
- The Halakhic Heartbeat at the Edge of Life: Navigating Maternal Brain Death and Fetal Life.Rambam Maimonides medical journal · 2026Review
- Healthy Baby Delivery After 100 Days of Somatic Support in a Brain-Dead Pregnant Woman.Case reports in obstetrics and gynecology · 2025Article
- Beyond the surface: unveiling the complexity of brain death and misdiagnoses in clinical practice.Annals of medicine and surgery (2012) · 2024Article
- Treating the dead; how far ought medicine go to obtain transplantable organs?Frontiers in transplantation · 2023Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
A 28-year-old woman suffered a traffic accident resulting in severe head injuries with deleterious prognosis. Diagnostics further revealed a hitherto unknown pregnancy, at suspected week 9. Based on the patient's wish to donate organs, brain death protocol confirmed irreversible loss of brain function. Yet, vital pregnancy rendered organ transplantation impossible. Multiple ethical and legal issues arose, from invalidation of established legal care after brain death to the delivery of a healthy child after trauma and long-term critical care. After medicolegal and ethical counselling, pregnancy was sustained, and the goal of organ donation postponed. Critical care focused on foetal homeostasis. At 30+4 weeks, a viable girl was born via assisted vaginal delivery. Postpartal organ donation resulted in heart, kidney and pancreas transplantation. The case emphasises the medical, legal and ethical challenges to combine two apparently diametrical goals: the successful full-term pregnancy and the fulfilment of a patient's wish to donate organs.
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Registered trials
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