Postpartum preeclampsia following syntometrine injection in uterine atony

Md Mukhtar, Nur Zila and Abd Ghani, Muhamad Rasydan and Xiang Yan, Pok and Ab Rahman, Azrul Shahnazir (2022) Postpartum preeclampsia following syntometrine injection in uterine atony. Malaysian Journal of Anaesthesiology, 1 (2 (Supplement)). pp. 115-116. ISSN 2772-9524 E-ISSN 2949-7787

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Abstract

We report a case of a parturient with Diabetes Mellitus complicating pregnancy underwent CS for 2 previous scars. Subarachnoic block and ITM were given. IM Ergometrine was added to Pitocin infusion post-delivery due to the presence of uterine atony. Total operative time was 60 minutes with estimated blood loss of 700mls. She was given bilateral TAP block postoperatively. 25 minutes post-syntometrine, blood pressure increased ranging between 170 to 200/110 to 130 mmHg and she complaint of headache. She was started on Labetolol infusion up to maximum of 80mg/h after not responding to boluses of IV Labetolol and oral Nifedipine. Labetolol infusion was off 9 hours post-Syntrometrine administration and BP was controlled with oral labetolol afterwards. Diagnosis of preeclampsia was established postoperatively based on urine protein-to-creatinine ratio of 97.9 mg/mmol. In terms of pain control, as compared to 2 previous operations done under ITM, current pregnancy has better pain controlled.

Item Type:	Article (Meeting Abstract)
Subjects:	R Medicine > RD Surgery > RD81 Anesthesiology
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Anaesthesiology & Intensive Care Kulliyyah of Medicine
Depositing User:	Dr Muhamad Rasydan Abdul Ghani
Date Deposited:	17 Jul 2023 10:29
Last Modified:	17 Jul 2023 10:29
URI:	http://irep.iium.edu.my/id/eprint/105545

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