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Re: After catastrophic event in labor and delivery. Advice needed.From: Malcolm Griffiths (malcolm@mgriff22.demon.co.uk)Sat Mar 22 05:53:01 1997
In message <v01540b00af587cc4adff@[205.160.70.204]>, Gary Kleinman <fuf@gulf.net> writes > The >pregnancy was complicated by mild edema and no other evidence of >preeclampsia. In the lobby, the patient had a grand mal seizure. She was >rapidly wheeled up to labor and delivery where she had a second seizure and >lost her pulse and respiration. A very sad case. I am not attempting to answer your question - I'd assume prognosis is poor but keep trying. Point of my reply is that why are you assuming diagnosis is amniotic fluid embolism ? Did you get any direct evidence ? It is recognised that eclampsia may occur in the absence of prior pre- eclampsia. Sure they generally do become hypertensive post-ictally - may be a few hours later. This poor woman might have had eclamtic fits and her subsequent PET got lost due to her multisystem derangements following cardiac arrest and hypoxia. I suppose that the underlying pathology is largely academic. Malcolm
--
Malcolm Griffiths MD,MRCOG,MFFP,Cert.Mgmnt
Obstetrician & Gynaecologist Luton & Dunstable Hosp., LU6 2DT, UK.
Tel: 01582-497459 (office) Fax: 01582-497424
01525-222849 (home) email: Malcolm@mgriff22.demon.co.uk
http://www.obgyn.net/board/griffith.htm
"It is dangerous to be right on a subject on which the established authorities
are wrong." (Voltaire) "But sometimes it's fun :-)" (Griffiths)
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