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Ergometrine administration for post-partum haemorrhage in an undiagnosed pre-eclamptic
Ist Teil von
Anaesthesia and intensive care, 2008, Vol.36 (1), p.113-115
Ort / Verlag
Edgecliff: Anaesthesia and Intensive Care
Erscheinungsjahr
2008
Quelle
MEDLINE
Beschreibungen/Notizen
We report a case of a parturient who was well antenatally but presented with oliguria following delivery. The possibility of post-partum pre-eclampsia was obscured by simultaneous post-partum haemorrhage. Ergometrine was given and she suffered an eclamptic seizure shortly after. We discuss the diagnostic difficulties presented by simultaneous presentation of post-partum pre-eclampsia and haemorrhage and the likelihood that ergometrine precipitated eclampsia in a patient at risk. While ergometrine is an effective drug for the management of uterine atony, its potential role in precipitating eclampsia must be considered.