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Ng SY, Ithnin F, Sia ATH, Ng CCM. Ergometrine Administration for Postpartum Haemorrhage in an Undiagnosed Pre-Eclamptic. Anaesth Intensive Care 2008; 36:113-5. [DOI: 10.1177/0310057x0803600121] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
We report a case of a parturient who was well antenatally but presented with oliguria following delivery. The possibility of postpartum preeclampsia was obscured by simultaneous postpartum haemorrhage. Ergometrine was given and she suffered an eclamptic seizure shortly after. We discuss the diagnostic difficulties presented by simultaneous presentation of postpartum preeclampsia 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.
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Affiliation(s)
- S. Y. Ng
- Department of Women's Anaesthesia, KK Women's and Children's Hospital, Singapore
| | - F. Ithnin
- Department of Women's Anaesthesia, KK Women's and Children's Hospital, Singapore
| | - A. T. H. Sia
- Department of Women's Anaesthesia, KK Women's and Children's Hospital, Singapore
| | - C. C. M. Ng
- Department of Women's Anaesthesia, KK Women's and Children's Hospital, Singapore
- Department of General Obstetrics and Gynaecology
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