P153 - INTENSIVE ENTERAL NUTRITION IN A PREGNANT WOMAN WITH PERSISTENT VEGETATIVE STATE: FIRST CASE REPORT FROM INDONESIA

P153

INTENSIVE ENTERAL NUTRITION IN A PREGNANT WOMAN WITH PERSISTENT

VEGETATIVE STATE: FIRST CASE REPORT FROM INDONESIA

T. N. Nursaid^1,*, A. C. Resmi²

¹Tangerang District Hospital, Tangerang, ²Department of Nutrition, Universitas Indonesia, Jakarta, Indonesia

Rationale: Nutritional management for pregnant women in a persistent vegetative state (PVS) is rarely reported, although it plays a vital role in supporting intrauterine fetal growth. No such case has been documented in Indonesia, highlighting a gap in local clinical practice and literature.

Methods: This case report was based on retrospective data collection from medical records and nutritional monitoring during hospitalization.

Results: A 34-year-old woman, gravida 4 para 3 with an 18-week gestational age, was referred in a vegetative condition due to traumatic brain injury and underwent a decompression hemicranectomy. She was treated in intensive care, and her pregnancy was supported with intensive enteral nutrition therapy providing 2,045 kcal/day (43 kcal/kgBW), 108 g/day protein (2.3 g/kgBW), and daily micronutrient supplementation. Fetal monitoring was carried out for 13 weeks via ultrasound and cardiotocography (CTG), showing an increase in fetal body weight from 244 grams to 1,115 grams (an average increase of 67 grams/week). At 31 weeks of gestation, termination of pregnancy was performed due to progressive ventriculomegaly and a decrease in baseline CTG. The baby girl was born weighing 1,115 grams, 38 cm long, APGAR 5/6, and was treated in the Neonatal Intensive Care Unit (NICU).

Conclusion: This case demonstrates that intensive enteral nutrition can support fetal growth in a pregnant woman with PVS. The steady fetal weight gain highlights the critical role of adequate nutritional support in sustaining development under high-risk maternal conditions. This report also underscores the importance of multidisciplinary care in managing rare and complex pregnancies.

References: Finch H. Nutrition and hydration for the vegetative state and minimally conscious state patient. Neuropsychol Rehabil. 2005;15:537-547.

Disclosure of Interest: None declared