Ergometrine Administration for Postpartum Haemorrhage in an Undiagnosed Pre-Eclamptic | Zendy

Stolf Ng | Zendy; Farida Ithnin | Zendy; Alex Tiong Heng Sia | Zendy; C C M Ng | Zendy

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Ergometrine Administration for Postpartum Haemorrhage in an Undiagnosed Pre-Eclamptic

Author(s) -

Stolf Ng,

Farida Ithnin,

Alex Tiong Heng Sia,

C C M Ng

Publication year - 2008

Publication title -

anaesthesia and intensive care

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.494

H-Index - 62

eISSN - 1448-0271

pISSN - 0310-057X

DOI - 10.1177/0310057x0803600121

Subject(s) - ergometrine , medicine , eclampsia , uterine atony , post partum , obstetrics , postpartum haemorrhage , anesthesia , ergonovine , pregnancy , surgery , hysterectomy , cardiology , biology , myocardial infarction , genetics , angina

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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