THE VENOMOUS DELIVERY: A CASE REPORT OF SNAKE BITE IN PREGNANCY WITHPRECIPITATE LABOUR AND DISSEMINATED INTRAVASCULAR COAGULATION MANAGEDIN A LOW RESOURCE SETTING.

Abstract

Background: Snakebite in pregnancy, though rare, poses significant risks toboth mother and fetus, especially in low-resource settings where delayed presentation and limited access to antivenom are common.
Case presentation: A 33-year-old para 2+0 gravida 4 at gestation 38 weeks, was admitted after sustaining a snake bite on the left leg. She received first aid and responded well but 6 hours later went into spontaneous and precipitate labour delivering a live female infant. She however developed massive postpartum hemorrhage due to disseminated intravascular coagulation. Massive transfusion protocol, tranexamic acid, uterotonics and ionotropic support in the acute care unit instituted. After 24 hours of admission in the unit, she was stable and discharged home.
Conclusion: This case highlights the diagnostic and therapeutic challenges
posed by snakebite envenomation in pregnancy and emphasizes the
importance of prompt, coordinated care.