{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T06:06:58Z","timestamp":1785564418665,"version":"3.56.0"},"reference-count":11,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T00:00:00Z","timestamp":1701388800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Wilderness &amp; Environmental Medicine"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:p> Snake envenomation is a rare incident during pregnancy and potentially challenging to manage. Snakebites in pregnancy may lead to several complications such as teratogenicity, miscarriage, antepartum hemorrhage, and even intrauterine fetal death. Here, we report a case of a pregnant woman who presented to our emergency department with signs of systemic envenomation following an Indian cobra bite on her foot, highlighting the key obstetric and wound management challenges. She complained of severe pain at the site of the bite and progressive swelling, abdominal pain, and multiple episodes of vomiting, which started 45 min after the bite. She received 10 vials of polyvalent antivenom from a primary hospital and was then referred to our center. The patient underwent emergency cesarean section and later fasciotomy with free-flap reconstruction at the bitten site due to local tissue necrosis. The case was successfully managed by a multidisciplinary team consisting of an emergency physician, obstetrician, and plastic surgeon, saving 2 lives and the limb of the patient. <\/jats:p>","DOI":"10.1016\/j.wem.2023.09.007","type":"journal-article","created":{"date-parts":[[2023,11,1]],"date-time":"2023-11-01T23:37:14Z","timestamp":1698881834000},"page":"571-575","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["A Case of Cobra Bite in a Term Pregnant Woman: The Obstetric and Wound Management Challenges"],"prefix":"10.1177","volume":"34","author":[{"given":"Ritesh","family":"Panda","sequence":"first","affiliation":[{"name":"Department of Trauma and Emergency (Plastic Surgery), All India Institute of Medical Sciences, Bhubaneswar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sweta","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rakesh Vadakkethil","family":"Radhakrishnan","sequence":"additional","affiliation":[{"name":"College of Nursing, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chitta Ranjan","family":"Mohanty","sequence":"additional","affiliation":[{"name":"Department of Trauma and Emergency, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ijas Muhammed","family":"Shaji","sequence":"additional","affiliation":[{"name":"Department of Trauma and Emergency, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aditya Vikram","family":"Prusty","sequence":"additional","affiliation":[{"name":"Department of Trauma and Emergency, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akanksha","family":"Rajput","sequence":"additional","affiliation":[{"name":"Department of Burn and Plastic Surgery, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,12,1]]},"reference":[{"key":"bibr1-j.wem.2023.09.007","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0000603"},{"key":"bibr2-j.wem.2023.09.007","unstructured":"World Health Organization. Guidelines for the management of snakebites. 2nd ed. https:\/\/www.who.int\/docs\/default-source\/searo\/india\/health-topic-pdf\/who-guidance-on-management-of-snakebites.pdf?sfvrsn=5528d0cf_2. 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