Advertisement

Case Studies

Chapter
  • 1.1k Downloads

Abstract

Ms A was a 28 year old woman in her second pregnancy (she had one previous termination of pregnancy) who booked-in at 19 weeks’ gestation. She was known to have sickle cell disease (specifically sickle cell anaemia [HbSS]), and her last crisis had occurred 3 years before this pregnancy.

Keywords

Caesarean Section Renal Artery Stenosis Thrombotic Thrombocytopenic Purpura Haemolytic Uraemic Syndrome Hyperemesis Gravidarum 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Nelson-Piercy C. Haematological problems. In: Handbook of Obstetric Medicine, 3rd edn. Informa Healthcare, London; 2006: 277–81.Google Scholar
  2. 2.
    Letsky E. Anaemia. In: James KD, Steer PJ, Weiner CP and Gonik B (eds) High Risk Pregnancy Management Options, 2nd edn. WB Saunders, London; 1999: 729–65.Google Scholar
  3. 3.
    Liggins GC. The treatment of missed abortion by high dosage syntocinon intravenous infusion. J Obst Gynaecol Br Empire 1962; 69: 277–81.Google Scholar
  4. 4.
    Eggers TR and Fliegner JR. Water Intoxication and Syntocinon Infusion. Aust NZ J Obstet Gynaecol 1979; 19: 59–60.Google Scholar
  5. 5.
    Mackenzie IZ. Labour induction including pregnancy, termination for fetal anomaly. In: James KD, Steer PJ, Weiner CP and Gonik B (eds) High Risk Pregnancy Management Options, 2nd edn. WB Saunders, London; 1999: 1091.Google Scholar
  6. 6.
    Stratton JF et al. Hyponatraemia and non electrolytic solutions in labouring patients. Eur J Obstet Gynaecol Reprod Biol 1995; 59: 149–51.CrossRefGoogle Scholar
  7. 7.
    Chappell LC et al. Effect of antioxidants on the occurrence of pre-eclampsia in women at increased risk: a randomised trial. Lancet 1999; 354: 810–6.PubMedGoogle Scholar
  8. 8.
    Hankins GD et al. Myocardial infarction during pregnancy: a review. Obstet Gynecol 1985; 65: 139–46.PubMedGoogle Scholar
  9. 9.
    Roth A and Elkayam U. Acute myocardial infarction associated with pregnancy. Ann Intern Med 1996; 125: 751–62.PubMedGoogle Scholar
  10. 10.
    Quan A. Fetopathy associated with exposure to angiotensin converting enzyme inhibitors and angiotensin receptor antagonists. Early Hum Dev 2006; 82: 23–8.PubMedCrossRefGoogle Scholar
  11. 11.
    Diav-Citrin O et al. The safety of proton pump inhibitors in pregnancy: a multicentre prospective controlled study. Aliment Pharmacol Ther 2005; 21: 269–75.PubMedCrossRefGoogle Scholar
  12. 12.
    Nishiguchi T and Kobayashi T. Antiphospholipid syndrome: characteristics and obstetrical management. Current Drug Targets 2005; 6: 593–605.PubMedCrossRefGoogle Scholar
  13. 13.
    Baxi LV and Rho RB. Pregnancy after Cardiac Transplantation. Am J Obstet Gynecol 1993; 169: 33–34.PubMedGoogle Scholar
  14. 14.
    Morini A et al. Pregnancy after heart transplant: update and case report. Human Reprod 1998; 13: 749–57.CrossRefGoogle Scholar
  15. 15.
    Branch KR et al. Risks of subsequent pregnancies on mother and newborn in female heart transplant recipients. J Heart Lung Transplant 1998; 17: 698–702.PubMedGoogle Scholar
  16. 16.
    Chames MC and Livingston JC. Late post partum eclampsia: A preventable disease? Am J Obstet Gynecol 2002; 186: 1174–7.PubMedCrossRefGoogle Scholar
  17. 17.
    Dziewas R and Stogbauer F. Late onset post partum eclampsia: a rare and difficult diagnosis. J Neurol 2002; 249: 1287–91.PubMedCrossRefGoogle Scholar
  18. 18.
    Isler CM and Barrilleaux PS. Repeat post partum magnesium sulfate administration for convulsion prophylaxis: is there a patient profile predictive of need for additional therapy? J Maternal Fetal Neonatal Med 2002; 11: 75–9.Google Scholar
  19. 19.
    Ogunyemi DA, Michelini GA (2006). Hyperemesis gravidarum. http://www.emedicine.com/med/topic 1075.htm (accessed 12/07/2006).Google Scholar
  20. 20.
    Goodwin TM et al. Transient hyperthyroidism and hyperemesis gravidarum: clinical aspects. Am J Obstet Gynecol 1992; 167: 648–52.PubMedGoogle Scholar
  21. 21.
    Bagis T et al. Endoscopy in hyperemesis gravidarum and Helicobacter pylori infection. Int J Gynaecol Obstet 2002; 79: 105–9.PubMedCrossRefGoogle Scholar
  22. 22.
    Nelson-Piercy C et al. Randomized, placebo-controlled trial of corticosteroids for hyperemesis gravidarum. Br J Obset Gynaecol 2001; 108: 1–7.CrossRefGoogle Scholar
  23. 23.
    Moran P and Taylor R. Management of hyperemesis gravidarum: the importance of weight loss as a criterion for steroid therapy. QJM 2002; 95: 153–8.PubMedCrossRefGoogle Scholar
  24. 24.
    Pathan M and Kittner SJ. Pregnancy and Stroke. Curr Neurol Neurosci Rep 2003; 3: 27–31.PubMedGoogle Scholar
  25. 25.
    Hildebrandt R et al. Hypokalaemia in pregnantwomen treated with beta 2-mimetic drug fenoterol. J Perinat Med 1997; 25: 173–9.PubMedCrossRefGoogle Scholar
  26. 26.
    Damallie KK et al. Hypokalaemic periodic paralysis in pregnancy after 1-hour glucose screen. Obstet Gynecol 2000; 95: 1037.PubMedCrossRefGoogle Scholar
  27. 27.
    Appel CC et al. Caffeine-induced hypokalemic paralysis in pregnancy. Obstet Gynecol 2001; 97: 805–7.PubMedCrossRefGoogle Scholar
  28. 28.
    Matsunami K et al. Hypokalemia in a pregnant woman with heavy cola consumption. Int J Obstet Gynaecol 1994; 44: 283–4.CrossRefGoogle Scholar
  29. 29.
    Ukaonu C et al. Hypokalaemia myopathy in pregnancy caused by clay ingestion. Obstet Gynecol 2003; 102: 1169–71.PubMedCrossRefGoogle Scholar
  30. 30.
    Hardardottir H et al. Renal tubular acidosis in pregnancy: case report and literature review. J Mat-Fet Med 1997; 6: 16–20.CrossRefGoogle Scholar
  31. 31.
    Duff P. Hepatitis in pregnancy. Semin Perinatol 1998; 22: 277–83.PubMedCrossRefGoogle Scholar
  32. 32.
    Knox TA and Olan LB. Current concepts: Liver disease in pregnancy. N Engl J Med 1996; 335: 569–76.PubMedCrossRefGoogle Scholar
  33. 33.
    Moosa M and Mazzaferri EL. Outcome of differentiated thyroid cancer diagnosed in pregnant women. J Clin Endocrinol Metab 1997; 82: 2862–6.PubMedCrossRefGoogle Scholar
  34. 34.
    Chloe W and McDougall IR. Thyroid cancer in pregnant women: Diagnostic and therapeutic management. Thyroid 1994; 4: 4333–435.Google Scholar
  35. 35.
    O’Doherty MJ et al. Treating thyrotoxicosis in pregnant or potentially pregnant women: The risk to the fetus is very low. Br Med J 1999; 318: 5–6.Google Scholar
  36. 36.
    Guidelines for Management Thyroid Cancer in Adults British Thyroid Association and Royal College Physicians (2002). http://www.british-thyroid-association.org.uk (accessed November 2004)Google Scholar
  37. 37.
    Eichinger S. D-dimer testing in pregnancy. Semin Vasc Med 2005; 5: 375–8.PubMedCrossRefGoogle Scholar
  38. 38.
    Scarsbrook AF et al. Diagnosis of suspected venous thromboembolic disease in pregnancy. Clin Radiol 2006; 61: 1–12.PubMedCrossRefGoogle Scholar
  39. 39.
    Ray JG and WS Chan. Deep Vein Thrombosis During Pregnancy and the Puerperium: A Meta-Analysis of the Period of Risk and the Leg of Presentation. Obstet Gynecol 1999; 54: 265–71.Google Scholar
  40. 40.
    RCOG green top guideline. Clinical Green Top Guidelines. Thromboembolic Disease in Pregnancy and the Puerperium: Acute Management (28) — Apr 2001 http://www.rcog.org.uk/index.asp? page ID= 533.Google Scholar
  41. 41.
    Ayoub C et al. The pregnant cardiac woman (Obstetric and gynaecological anaesthesia). Curr Opin Anaesthesiol 2002; 15: 285–91.PubMedCrossRefGoogle Scholar
  42. 42.
    Nelson-Piercy C. Heart disease. In: Handbook of Obstetric Medicine, 3rd edn. Informa Healthcare, London; 2006: 23–43.Google Scholar
  43. 43.
    Lupton M et al. Cardiac disease in pregnancy. Curr Opin Obstet Gynaecol 2002; 14: 137–43.CrossRefGoogle Scholar
  44. 44.
    Henry M et al. BTS guidelines for the management of spontaneous pneumothorax. Thorax 2003; 58(suppl. II): ii39–ii52.PubMedGoogle Scholar
  45. 45.
    Baumann MH et al. Management of spontaneous pneumothorax: An American College of Chest Physicians Delphi Consensus Statement. Chest 2001; 119: 590–602.PubMedCrossRefGoogle Scholar
  46. 46.
    Baumann MH. Treatment of spontaneous pneumothorax. Curr Opin Pulm Med 2000; 6: 275–80.PubMedCrossRefGoogle Scholar
  47. 47.
    Diethelm L. Diagnostic imaging of the lung during pregnancy. Clin Obstet Gynecol 1996; 39: 36–55.PubMedCrossRefGoogle Scholar
  48. 48.
    Yim APC. Thoracoscopy in the management of pneumothorax. Curr Opin Pulm Med 2001; 7: 210–14.PubMedCrossRefGoogle Scholar
  49. 49.
    Richards A et al. The genetics and pathogenesis of haemolytic uraemic syndrome and thrombotic thrombocytopaenic purpura. Curr Opin Nephrol Hypertens 2002; 11: 431–5.PubMedCrossRefGoogle Scholar
  50. 50.
    Yarranton H and Machin S. An update on the pathogenesis and management of acquired thrombotic thrombocytopaenic purpura. Curr Opin Neurol 2003; 16: 367–73.PubMedCrossRefGoogle Scholar
  51. 51.
    Bastani B et al. Cyclosporine-associated post-partum haemolytic uraemic syndrome in a renal transplant patient: lack of response to plasmapheresis but remission after intravenous immunoglobulin G. Nephrology 2001; 6: 133–7.CrossRefGoogle Scholar
  52. 52.
    Roberts G et al. Acute renal failure complicating HELLP syndrome, SLE and anti-phospholipid syndrome: Successful outcome using plasma exchange therapy. Lupus 2003; 12: 251–7.PubMedCrossRefGoogle Scholar
  53. 53.
    Kumar P and Clark M (eds). Haematological disease. In: Kumar and Clark Clinical Medicine, 5th edn. WB Saunders, Edinburgh; 2002: 405–72.Google Scholar
  54. 54.
    Carr JA et al. Surgical indications in idiopathic splenomegaly. Arch Surgery 2002; 137: 64–8.CrossRefGoogle Scholar
  55. 55.
    George JN and Vesely SK. Immune thrombocytopenic purpura — Let the treatment fit the patient. New Engl J Med 2003; 349: 903–5.PubMedCrossRefGoogle Scholar
  56. 56.
    Kam PCA et al. Thrombocytopenia in the parturient. Anaesthesia 2004; 59: 255–64.PubMedCrossRefGoogle Scholar
  57. 57.
    Rietberg CC and Lindhout D. Adult patients with spina bifida cystica: genetic counselling, pregnancy and delivery. Eur J Obstet Gynecol Reprod Biol 1993; 52: 63–70.PubMedCrossRefGoogle Scholar
  58. 58.
    Arata M et al. Pregnancy outcome and complications in women with spina bifida. J Reprod Med 2000; 45: 743–8.PubMedGoogle Scholar
  59. 59.
    To WW and Wong MW. Kyphoscoliosis complicating pregnancy. Int J Gynaecol Obstet 1996; 55: 123–8.PubMedCrossRefGoogle Scholar
  60. 60.
    Restrick LJ et al. Nasal ventilation in pregnancy: treatment of nocturnal hypoventilation in a patient with kyphoscoliosis. Eur Resp J 1997; 10: 2657–8.CrossRefGoogle Scholar
  61. 61.
    Jenkins RE et al. Pemphigoid Gestationis. Br J Dermatol 1995; 49: 595–8.Google Scholar
  62. 62.
    Freiman A and Pabby A (2006). Pemphigoid Gestationis. http://www.emedicine.com/derm/topic178.htm (accessed October 2006)Google Scholar
  63. 63.
    Kennedy CTC and Kyle P. Skin disease. In: James KD, Steer PJ, Weiner CP and Gonik B (eds) High Risk Pregnancy Management Options, 2nd edn. WB Saunders, London; 1999: 921–2.Google Scholar
  64. 64.
    Nelson-Piercy C. Skin disease. In: Handbook of Obstetric Medicine, 3rd edn. Informa Healthcare, London; 2006: 263–71.Google Scholar
  65. 65.
    Kerr GS et al. Takayasu’s Arteritis. Ann Int Med 1994; 120: 919–29.PubMedGoogle Scholar
  66. 66.
    Johnston SL et al. Takayasu arteritis: a review. J Clin Path 2002; 55: 481–86.PubMedGoogle Scholar
  67. 67.
    Sun Y et al. Ultrasonographic study and long term follow-up of patients with Takayasu’s Arteritis. Stroke 1996; 27: 2178–82.PubMedGoogle Scholar
  68. 68.
    Mwipate BP et al. Takayasu arteritis: clinical features and management: report of 272 cases. ANZ J Surgery 2005; 75: 110–17.CrossRefGoogle Scholar
  69. 69.
    Jenkins TM et al. Am J Obstet Gynecol 1989; 161: 657–62.Google Scholar
  70. 70.
    Lim WS et al. Treatment of community-acquired lower respiratory tract infections during pregnancy. Am J Respir Med 2003; 2: 221–33.PubMedGoogle Scholar
  71. 71.
    Munn MB et al. Pneumonia as a complication of pregnancy. J Matern Fetal Med 1999; 8: 151–4.PubMedCrossRefGoogle Scholar
  72. 72.
    Kasper DL et al. (eds) Harrison’s Principles of Internal Medicine, 16th edn. McGraw-Hill, New York; 2005.Google Scholar
  73. 73.
    British Thoracic Society Pneumonia Guideline Committee. Guideline for the management of community acquired pneumonia in adults. Thorax 2001; 56(suppl IV): 1–64.Google Scholar
  74. 74.
    Lind J and Wallenburg HC. Pregnancy and the Ehlers-Danlos syndrome. Acta Obstet Gynecol Scand 2002; 81: 293–300.PubMedCrossRefGoogle Scholar
  75. 75.
    Campbell N and Rosaeg OP. Anaesthetic management of a parturient with Ehlers Danlos syndrome type IV. Can J Anaesth 2002; 49: 493–6.PubMedCrossRefGoogle Scholar
  76. 76.
    Pepin M et al. Clinical and genetic features of Ehlers-Danlos Syndrome Type IV, the Vascular type. New Engl J Med 2000; 342: 673–80.PubMedCrossRefGoogle Scholar
  77. 77.
    Rudd NL and Holbrook KA. Pregnancy complications in Type IV Ehlers-Danlos syndrome. Lancet 1983; 321: 249–50.CrossRefGoogle Scholar
  78. 78.
    Lee SH et al. Effects of pregnancy on first onset and symptoms of paroxysmal supraventricular tachycardia. Am J Cardiol 1995; 76: 675–8.PubMedCrossRefGoogle Scholar
  79. 79.
    Nelson-Piercy C. Heart disease in pregnancy. Acta Anaesth Belg 2002; 53: 321–6.PubMedGoogle Scholar
  80. 80.
    Hunter S and Robson SC. Adaptation of the maternal heart in pregnancy. Br Heart J 1992; 68: 540–3.PubMedGoogle Scholar
  81. 81.
    Blomstrom-Lundqvist C et al. ACC/AHA/ESC guidelines for the management of patients with supraventricular arrhythmias — executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients With Supraventricular Arrhythmias). Circulation 2003; 108: 1871–909.PubMedCrossRefGoogle Scholar
  82. 82.
    Shotan A et al. Incidence of Arrhythmias in normal pregnancy and relationship to palpitations, dizziness and syncope. Am J Obstet Gynecol 1997; 79: 1061–4.Google Scholar
  83. 83.
    Jaglar J and Page R. Antiarrhythmic drugs in pregnancy. Curr Opin Cardiol 2001; 16: 40–5.CrossRefGoogle Scholar
  84. 84.
    Finlay AY and Edmunds V. DC cardioversion in pregnancy. Br J Clin Pract 1979; 33: 88–94.PubMedGoogle Scholar

Copyright information

© Springer-Verlag London Limited 2007

Personalised recommendations