Ovarian Hyperstimulation Syndrome (OHSS)

Ovarian Hyperstimulation Syndrome (OHSS)- It is a complication of some forms of fertility medication. Most cases are mild, but small proportions are severe.Causative Medications:- Associated with the injection of a hormone called human chorionic gonadotropin (hCG) which is used for inducing final oocyte maturation and/or triggering oocyte release.- The risk is further increased...

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Peripartum Cardiomyopathy (PPCM)

Anesthetic Management of Peripartum Cardiomyopathy (PPCM) ➧ It is a form of heart failure affecting females in their last months of pregnancy or early puerperium. ➧ The role of the anesthesiologist is important in the peri-operative and ICU. Diagnostic Criteria for PPCM: ➧ Development of heart failure within the last month of pregnancy or 6 months postpartum. ➧...

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Management of Pre-eclampsia

Management of Pre-eclampsia ➧ The main therapy for pre-eclampsia is to deliver the baby as soon as he/she is most prudent, to enhance maternal and fetal well-being.1-Magnesium Sulphate (MgSO₂): ➧ Magnesium sulfate has anti-seizure effects as well as being a vasodilator.  ➧ It decreases the pulsatility index in uterine, umbilical, and fetal arteries in women with...

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Complications of Pre-eclampsia

Complications of Pre-eclampsia ➧ The course of pre-eclampsia can be complicated by mild to severe coagulopathy even in the presence of a normal platelet count. ➧ Severe maternal complications include antepartum hemorrhage due to placental abruption, eclampsia, cerebrovascular accidents, organ failure, and disseminated intravascular coagulation (DIC).  ➧...

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Pathophysiological changes in Pre-eclampsia

Pathophysiological changes in Pre-eclampsia 1-Cardiovascular changes: ➧ Hypertension in pre-eclampsia is due to marked vasoconstriction because both cardiac output and arterial compliance are reduced. ➧ There is a reversal of the normal circadian rhythm, with the highest blood pressure now at night, and a loss of the normal pregnancy-associated refractoriness to...

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Classification and Pathogenesis of Pre-eclampsia

Classification and Pathogenesis of  Pre-eclampsia Classification of Pre-eclampsia:1. Mild Pre-eclampsia: Is defined as systolic blood pressure (SBP) of at least 140 mmHg and/or diastolic blood pressure (DBP) of at least 90 mmHg on at least two occasions at least 6 hours apart after the 20th week of gestation in women known to be normotensive before pregnancy...

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