Burns in pregnancy.

Background: Treatment of a major burn injury during pregnancy must incorporate modifications in management resulting from gestational physiologic changes.

Case: A 25-year-old woman, at 34 weeks of gestation, sustained a major burn injury at home. She required ventilatory support, invasive hemodynamic monitoring, and massive fluid resuscitation.

The use of a continuous infusion of epinephrine for anaphylactic shock during labor.

Background: Anaphylaxis is a potentially life threatening, acute, and severe systemic reaction that occurs after the reexposure to a specific antigen. This immunoglobulin E-mediated process is the result of the action of basophils and mast cell mediators, causing severe brochospasm, laringospasm, angioedema, urticaria, and cardiovascular collapse.

Case: We present a case of anaphylactic shock during labor secondary to administration of ampicillin for group B streptococcus prophylaxis.