Abstract
QUESTION: A 24-year-old patient of mine, who was 23 weeks pregnant at the time, suffered a minor electric shock while using her hair dryer. She said she felt the current in her right hand and she was wearing shoes. She was observed in an emergency room for several hours and then discharged home. Is her pregnancy or fetus at risk now or later in the pregnancy? ANSWER: There are conflicting reports on how harmful electric shock is to a fetus. The clinical spectrum of electrical injury ranges from a transient unpleasant sensation felt by a mother and no effect on her fetus to fetal death either immediately or few days later. Several factors, such as the magnitude of the current and the duration of contact, are thought to affect outcome. In this case, it appears the current did not travel through her abdomen. Recommendations for fetal monitoring after electrocution have been published.
Full Text
The Full Text of this article is available as a PDF (101.6 KB).
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Einarson A., Bailey B., Inocencion G., Ormond K., Koren G. Accidental electric shock in pregnancy: a prospective cohort study. Am J Obstet Gynecol. 1997 Mar;176(3):678–681. doi: 10.1016/s0002-9378(97)70569-6. [DOI] [PubMed] [Google Scholar]
- Esteve H. Avortement et électrocution. Un accident du travail exceptionnel. Arch Mal Prof. 1971 Sep;32(9):559–562. [PubMed] [Google Scholar]
- Fatovich D. M. Electric shock in pregnancy. J Emerg Med. 1993 Mar-Apr;11(2):175–177. doi: 10.1016/0736-4679(93)90516-a. [DOI] [PubMed] [Google Scholar]
- Fish R. M. Electric injury, part III: cardiac monitoring indications, the pregnant patient, and lightning. J Emerg Med. 2000 Feb;18(2):181–187. doi: 10.1016/s0736-4679(99)00190-0. [DOI] [PubMed] [Google Scholar]
- Fish R. Electric shock, Part I: Physics and pathophysiology. J Emerg Med. 1993 May-Jun;11(3):309–312. doi: 10.1016/0736-4679(93)90051-8. [DOI] [PubMed] [Google Scholar]
- HROZEK D. [Intrauterine death of the fetus in a mother shocked by an electric current (case report)]. Zentralbl Gynakol. 1963 Feb 9;85:203–204. [PubMed] [Google Scholar]
- Jaffe R., Fejgin M., Ben Aderet N. Fetal death in early pregnancy due to electric current. Acta Obstet Gynecol Scand. 1986;65(3):283–283. doi: 10.3109/00016348609155186. [DOI] [PubMed] [Google Scholar]
- Leiberman J. R., Mazor M., Molcho J., Haiam E., Maor E., Insler V. Electrical accidents during pregnancy. Obstet Gynecol. 1986 Jun;67(6):861–863. doi: 10.1097/00006250-198606000-00024. [DOI] [PubMed] [Google Scholar]
- Mehl L. E. Electrical injury from Tasering and miscarriage. Acta Obstet Gynecol Scand. 1992 Feb;71(2):118–123. doi: 10.3109/00016349209007967. [DOI] [PubMed] [Google Scholar]
- Peppler R. D., Labranche F. J., Jr, Comeaux J. J. Intrauterine death of a fetus in a mother shocked by an electrical current: a case report. J La State Med Soc. 1973 Feb;124(2):37–38. [PubMed] [Google Scholar]
- REES W. D. PREGNANT WOMAN STRUCK BY LIGHTNING. Br Med J. 1965 Jan 9;1(5427):103–104. doi: 10.1136/bmj.1.5427.103. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Steer R. G. Delayed fetal death following electrical injury in the first trimester. Aust N Z J Obstet Gynaecol. 1992 Nov;32(4):377–378. doi: 10.1111/j.1479-828x.1992.tb02858.x. [DOI] [PubMed] [Google Scholar]
- Strong T. H., Jr, Gocke S. E., Levy A. V., Newel G. J. Electrical shock in pregnancy: a case report. J Emerg Med. 1987 Sep-Oct;5(5):381–383. doi: 10.1016/0736-4679(87)90142-9. [DOI] [PubMed] [Google Scholar]
- Toongsuwan S. Post mortem caesarean section following death by electrocution. Aust N Z J Obstet Gynaecol. 1972 Nov;12(4):265–266. doi: 10.1111/j.1479-828x.1972.tb00519.x. [DOI] [PubMed] [Google Scholar]
- Yoong A. F. Electrical shock sustained in pregnancy followed by placental abruption. Postgrad Med J. 1990 Jul;66(777):563–564. doi: 10.1136/pgmj.66.777.563. [DOI] [PMC free article] [PubMed] [Google Scholar]
