A RARE CASE REPORT ON EISENMENGER’S SYNDROME WITH PREGNANCY : A GLIMPSE OF LIFE IN OCEAN OF DEATH

Author:

L. Patel Tejal1,M. Shah Tushar2,Bhatia Niti3,Kotadia Hemaxi4,Shah Mohit5

Affiliation:

1. Professor & HOU,CIVILHospital Ahmedabad, Department Of OBGY, BJMC.

2. Associate professor, CIVILHospital Ahmedabad, Department Of OBGY, BJMC.

3. Assistant professor, CIVILHospital Ahmedabad, Department Of OBGY, BJMC.

4. 3 year resident doctor, CIVILHospital Ahmedabad, Department Of OBGY, BJMC

5. Senior resident doctor, CIVILHospital Ahmedabad, Department Of OBGY, BJMC

Abstract

Pregnancy complicated with Eisenmenger syndrome is associated with high risk to the fetus as well as the mother. There is approximately 50% risk of sudden maternal death, frequently occuring a few days postpartum and the overall fetal wastage is reported to be up to 75%. Patients with Eisenmenger syndrome are advised to refrain from pregnancy or to terminate pregnancy by the end of rst trimester itself. Management of these patients requires a co- ordinated multi-specialist care when such pregnancies reach a stage where safe termination is not advisable. However, in spite of all the risks, a few patients deliver successfully with a good maternal and neonatal outcome. We present 2 cases reported till third trimester and delivered a healthy baby and were subsequently discharged on the 10th postpartum day without any serious complications.

Publisher

World Wide Journals

Reference6 articles.

1. Williams obstetrics ;Mc Graw Hill ; 25th edition ;chapter 49

2. Aria’s practical guide to high risk pregnancy & delivery ; 5th edition ; chapter 16

3. Ian donald’s practical obstetric problems; 8th edition ; chapter 13

4. Neilson G, Galea EG , Beunl A. Eisenmenger’s syndrome and pregnancy. Med J Aust 1971 ; II : 431-434

5. Rathod S, Samal SK. Successful pregnancy outcome in a case of eisenmenger syndrome: a rare case report. J Clin Diagn Res. 2014;8(10):OD08-OD9. doi:10.7860/JCDR/2014/9120.5050

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