{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T07:18:47Z","timestamp":1765610327656,"version":"3.41.2"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2022,10,24]],"date-time":"2022-10-24T00:00:00Z","timestamp":1666569600000},"content-version":"vor","delay-in-days":23,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,10,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:p>We reported a case of snakebite in an 18-year-old woman, Gravida 2 Para 1+0 in the third trimester of pregnancy who presented with pain and swelling over the left hand and forearm and vaginal spotting. The laboratory investigations revealed coagulopathy attributed to green pit viper envenomation. On the fourth day of admission, the patient developed sudden abdominal pain and massive per vaginal bleeding with haemorrhagic shock, most likely abruptio placentae. In Nepal, no anti-snake venom has been developed for green pit-viper. So, she was managed conservatively, including blood transfusion, and delivered a single live female baby without any foetal complications. The patient was discharged along with the baby after 8\u00a0days of hospitalization. This case demonstrated that vigilant observation and appropriate resuscitation with fluids and blood products could save mother and baby in pit viper envenomation cases in settings where specific anti-snake venom is unavailable.<\/jats:p>","DOI":"10.1093\/omcr\/omac105","type":"journal-article","created":{"date-parts":[[2022,10,24]],"date-time":"2022-10-24T09:07:25Z","timestamp":1666602445000},"source":"Crossref","is-referenced-by-count":2,"title":["Management of snake bite during third trimester of pregnancy with coagulopathy and delivery of a live baby in resource-limited setting in Nepal: a case report"],"prefix":"10.1093","volume":"2022","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4142-2843","authenticated-orcid":false,"given":"Ashwini","family":"Gupta","sequence":"first","affiliation":[{"name":"B. P. Koirala Institute of Health Sciences , Dharan, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sudeep","family":"Bhandari","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, B. P. Koirala Institute of Health Sciences , Dharan, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0279-4636","authenticated-orcid":false,"given":"Ayush","family":"Anand","sequence":"additional","affiliation":[{"name":"B. P. Koirala Institute of Health Sciences , Dharan, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8392-8028","authenticated-orcid":false,"given":"Sanjib Kumar","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, B. P. Koirala Institute of Health Sciences , Dharan, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5588-4902","authenticated-orcid":false,"given":"Arun","family":"Gautam","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, B. P. Koirala Institute of Health Sciences , Dharan, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K C","family":"Priyanka","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, B. P. Koirala Institute of Health Sciences , Dharan, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neeraj","family":"Acharya","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, B. P. Koirala Institute of Health Sciences , Dharan, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sweta","family":"Singh","sequence":"additional","affiliation":[{"name":"B. P. Koirala Institute of Health Sciences , Dharan, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,10,22]]},"reference":[{"key":"2022102409071378500_ref1","doi-asserted-by":"crossref","first-page":"e398","DOI":"10.1016\/S2214-109X(22)00028-6","article-title":"Snakebite epidemiology in humans and domestic animals across the Terai region in Nepal: a multicluster random survey","volume":"10","author":"Alcoba","year":"2022","journal-title":"Lancet Glob Health"},{"key":"2022102409071378500_ref2","first-page":"1","article-title":"Venomous snakes of Nepal","author":"Sharma","year":"2013","journal-title":"BP Koirala Inst Health Sci"},{"key":"2022102409071378500_ref3","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1016\/j.crwh.2017.10.001","article-title":"Snake bite in third trimester of pregnancy with systemic envenomation and delivery of a live baby in a low resource setting: a case report","volume":"16","author":"Adewole","year":"2017","journal-title":"Case Rep Womens Health"},{"key":"2022102409071378500_ref4","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1016\/j.wem.2009.12.025","article-title":"Snakebite during pregnancy: a literature review","volume":"21","author":"Langley","year":"2010","journal-title":"Wild EnvironMed"},{"key":"2022102409071378500_ref5","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1016\/S0035-9203(02)90096-9","article-title":"Envenoming due to snake bite during pregnancy","volume":"96","author":"Seneviratne","year":"2002","journal-title":"Trans R Soc Trop Med Hyg"},{"key":"2022102409071378500_ref6","doi-asserted-by":"crossref","first-page":"718","DOI":"10.2471\/BLT.17.195453","article-title":"Effective, polyvalent, affordable antivenom needed to treat snakebite in Nepal","volume":"95","author":"Shrestha","year":"2017","journal-title":"Bull World Health Organ"},{"key":"2022102409071378500_ref7","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2019\/2689171","article-title":"Acute severe anaphylaxis in Nepali patients with neurotoxic snakebite envenoming treated with the VINS polyvalent antivenom","volume":"2019","author":"Sharma","year":"2019","journal-title":"J Trop Med"},{"key":"2022102409071378500_ref8","doi-asserted-by":"crossref","first-page":"150","DOI":"10.29328\/journal.cjog.1001039","article-title":"Snake envenomation during pregnancy","volume":"2","author":"Denisse","year":"2019","journal-title":"Clin J Obstet Gynecol"},{"key":"2022102409071378500_ref9","doi-asserted-by":"crossref","first-page":"1205","DOI":"10.1097\/ALN.0b013e3181f22b5a","article-title":"Pathophysiology and treatment of coagulopathy in massive hemorrhage and hemodilution","volume":"113","author":"Bolliger","year":"2010","journal-title":"Anesthesiology"}],"container-title":["Oxford Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/omcr\/article-pdf\/2022\/10\/omac105\/46607118\/omac105.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/omcr\/article-pdf\/2022\/10\/omac105\/46607118\/omac105.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,24]],"date-time":"2022-10-24T09:07:32Z","timestamp":1666602452000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/omcr\/article\/doi\/10.1093\/omcr\/omac105\/6769871"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,1]]},"references-count":9,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2022,10,1]]}},"URL":"https:\/\/doi.org\/10.1093\/omcr\/omac105","relation":{},"ISSN":["2053-8855"],"issn-type":[{"type":"electronic","value":"2053-8855"}],"subject":[],"published-other":{"date-parts":[[2022,10]]},"published":{"date-parts":[[2022,10,1]]},"article-number":"omac105"}}