Open AccessCaesarean section in a case of systemic lupus erythematosus
Author(s) -
Varsha Vyas,
Deepika Shukla,
Sandeep B. Patil,
Shubha N Mohite
Publication year - 2014
Publication title -
indian journal of anaesthesia/indian journal of anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.645
H-Index - 30
eISSN - 0976-2817
pISSN - 0019-5049
DOI - 10.4103/0019-5049.130827
Subject(s) - medicine , caesarean section , exacerbation , anti nuclear antibody , pregnancy , systemic disease , systemic lupus erythematosus , incidence (geometry) , lupus erythematosus , general anaesthesia , disease , obstetrics , connective tissue disease , autoimmune disease , surgery , immunology , antibody , autoantibody , genetics , physics , optics , biology
Systemic lupus erythematosus (SLE) is an autoimmune disease most frequently found in women of child bearing age and may co-exist with pregnancy. Disease exacerbation, increased foetal loss, neonatal lupus and an increased incidence of pre-eclampsia are the major challenges. Its multisystem involvement and therapeutic interventions like anticoagulants, steroids and immunosuppressive agents pose a high risk for both surgery and anaesthesia. We describe successful management of an antinuclear antibody (ANA) positive parturient with bad obstetric history who underwent elective caesarean section under spinal anaesthesia.