Emergency LSCS in a Parturient with Pre-eclampsia and HELLP Syndrome with Altered Renal Functions Managed with Regional Anaesthesia
Published: January 1, 2021 | DOI: https://doi.org/10.7860/JCDR/2021/47446.14474
Pooja Arpan Shah, Mehul Mehta, Jatin Patel
1. Assistant Professor, Department of Anaesthesiology, S.B.K.S. MI & RC, Sumandeep Vidyapeeth, Piparia, Vadodara, Gujarat, India.
2. Resident, Department of Anaesthesiology, S.B.K.S. MI & RC, Sumandeep Vidyapeeth, Piparia, Vadodara, Gujarat, India.
3. Associate Professor, Department of Anaesthesiology, S.B.K.S. MI & RC, Sumandeep Vidyapeeth, Piparia, Vadodara, Gujarat, India.
Correspondence Address :
Dr. Pooja Arpan Shah,
A/105, Shreenath Deep Society, Near Poonam Complex, Waghodia Road, Vadodara, Gujarat, India.
E-mail: poojapatwa249@gmail.com
Abstract
Haemolysis, Elevated Liver enzyme levels, and Low Platelet (HELLP) syndrome is characterised by haemolysis (abnormal peripheral blood smear, increased unconjugated bilirubin), elevated liver enzyme and decreased platelet count. It is an advanced stage of pre-eclampsia. Pre-eclampsia is defined as blood pressure >140/90 mmHg with proteinuria with or without pedal oedema. HELLP syndrome account for 24% of maternal mortality and 40% of perinatal mortality. Anaesthetic management of such parturient is also challenging. This report is about a 35-year-old female patient with HELLP syndrome and altered renal function requiring LSCS. She was managed with regional anaesthesia.
Keywords
Multigravida, Pedal oedema, Pregnancy induced hypertension