Postpartum preeclampsia-induced shock and death: a report of three cases

Article Abstract:

Preeclampsia is an abnormal condition of pregnancy characterized by high blood pressure in the mother. A number of reports, the first of which dates back to 1885, have indicated that women suffering from severe preeclampsia may in rare cases collapse, go into shock, and even die following delivery. This postpartum preeclampsia-induced shock and death has in recent years not been mentioned in the literature or in most textbooks. Three recent cases of postpartum preeclampsia-induced shock and death are reported. The first case involved a 34-year-old woman, suffering from preeclampsia, who underwent a cesarean section at 36 weeks' gestation. Her blood pressure remained high immediately following the cesarean but dropped precipitously a little over 14 hours later. Treatment was able to increase the blood pressure for a short period of time, but then it again began to drop and the patient died. The other two cases were similar to this case in that both women had high blood pressure during the pregnancy and then experienced precipitous drops soon after giving birth, followed by their deaths. It appeared that following delivery, mobilization of fluid and sodium from extravascular space was delayed, resulting in severe hypotension. These cases illustrate that postpartum preeclampsia-induced shock and death continues to occur and must be recognized and treated quickly in order to save the mother's life. (Consumer Summary produced by Reliance Medical Information, Inc.)

Case studies, Patient outcomes, Mortality, Complications and side effects, Pregnant women, Preeclampsia, Pregnancy, Complications of, Pregnancy complications

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Delivery of the nonvertex second twin: breech extraction versus external cephalic version

Article Abstract:

Breech delivery of a second twin may result in less harm to the fetus and a lower rate of cesarean section than attempts before birth to turn the fetus to a head first position. Researchers delivered 44 pairs of twins with the first twin in the head-first position and the second twin in the bottom first (breech) position. Twenty-one patients underwent an attempt by the doctor to turn the second twin to a head first position during labor, while breech delivery of the second twin was attempted in the remaining 23 patients. Of the 21 second twins who received attempts to turn them head first, 10 had to be delivered by cesarean section because of either fetal distress or continued breech position. Only one second twin in the other group was delivered by cesarean section.

Methods, Breech delivery, Breech birth, Multiple birth

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Planned cesarean hysterectomy: a preferred alternative to separate operations

Article Abstract:

A planned cesarean hysterectomy may be appropriate for some women and leads to shorter operations and shorter hospital stays. A planned cesarean hysterectomy occurs when the uterus is removed at the time of the cesarean delivery rather than at a later time.

Statistical Data Included, Analysis, Cesarean section, Hysterectomy

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