Placental abruption and premature birth following a Bothrops atrox envenomation in the Brazilian Amazon.

Bothrops atrox envenomation in pregnant women can result in significant adverse maternal and neonatal outcomes. This case reports of a 12-year-old pregnant adolescent who experienced B. atrox envenomation who developed placental abruption and premature birth. The patient presented systemic complications, including coagulation disorders and severe anemia, requiring treatment with antivenom and transfusion support after delivery. The newborn, premature and with low birth weight, needed intensive care support. This report highlights the high vulnerability of riverine populations to snakebite envenomation, especially pregnant adolescents, and emphasizes the need for prevention programs and improvements in health infrastructure to minimize the associated complications. It also underscores the importance of adequate inpatient follow-up, as short hospital stays may be insufficient to ensure full maternal recovery.