A case series of severe symptomatic peripartum hyponatraemia

Author:

Carlson-Hedges Louise1,Pillai Arani1ORCID

Affiliation:

1. Department of Obstetric Anaesthesia, Nottingham University Hospitals NHS Trust, Nottingham, UK

Abstract

This single centre case series describes the presentation and management of six cases of peripartum hyponatraemia in women who were otherwise deemed low-risk at delivery. It highlights presenting symptoms such as fatigue, confusion and seizures as well as the effects on the neonate. It also focuses on areas of interest such as fluid intake, hormonal effects of ADH and oxytocin and the association with birthing pools for future research.

Publisher

SAGE Publications

Subject

Obstetrics and Gynecology

Reference27 articles.

1. Convulsions in a healthy parturient due to intrapartum water intoxication

2. Maternal and neonatal hyponatremia during labor: a case series

3. The Regulation and Quality Improvement Authority. Guideline for the prevention, diagnosis and management of hyponatraemia in labour and the immediate postpartum period, https://www.rqia.org.uk/what-we-do/rqia-s-funding-programme/guidelines/2016-17/ (2017, accessed 1 February 2022).

4. UKOSS. Peripartum hyponatraemia in pregnancy, https://www.npeu.ox.ac.uk/ukoss/completed-surveillance/hypo (2021, accessed 1 February 2022).

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