Doctors at Paras Bliss Hospital, Panchkula successfully treated a complicated High-Risk Pregnancy and helped a 28 yr woman deliver a 1.1 kg baby boy. The high-risk pregnancy was associated with high blood pressure, pregnancy induced hypertension and eclampsia. Ms. Reena Sharma was undergoing seizures and blood pressure fluctuations in her 33 weeks of pregnancy.
Ms. Reena was brought to the hospital at 33 weeks 5 days of her pregnancy. She had already experienced two episodes of seizures and was in a semi conscious state. Her symptoms included involuntary body movements, fluctuating high blood pressures, irritability, up rolling of eyes and generalized swelling all over the body. Reena was admitted under the supervision of Dr. Shilva, Sr Consultant Obstetrics & Gynecology at Paras Bliss Hospital Panchkula. Dr. Shilva examined Reena and recorded a high blood pressure of 180/118 mm/Hg. Reena was immediately admitted in the Intensive care Unit. Dr. Shilva and the intensivists resuscitated her, ensured airway flow, started an IV line and immediately after resuscitation she was given a loading dose of Magnesium sulfate 12 mg intramuscularly. In post operative period she was given mgso4 4 hourly for 24 hours after delivery and put the patient under monitoring for the pulse, BP, and respiratory rate.
According to Dr. Shilva, “Due to the pregnancy induced hypertension, Reena was going through Eclampsia. It can be defined as sudden onset of seizures in a woman with high blood pressure. Preeclampsia affects about 5% of pregnant females and Eclampsia complicates about 1.4% of deliveries. Hypertensive disorders of pregnancy are one of the most common causes of death in pregnancy. Typically pregnant woman develops hypertension and proteinuria before the onset of seizures and if the same is not controlled in time, the same can lead to severe convulsions, multiorgan failure, pulmonary edema, even death. In Reena’s case her BP and proteins were not monitored, hence leading to a High-Risk Pregnancy. Our impulse was to stabilize Reena and then focus on the baby.”
Dr. Shilva shares that post assessment and stabilizing Reena, due to a non- eassuring fetal heart beat of the baby, it was suggested that an emergency cesarean- section (c-section) be performed. Delay in the same would put both the mother and baby at risk. Reena was wheeled in for an emergency procedure and a 1.1 kg baby boy was born to her. However since the baby was born premature, it needed respiratory assistance and was admitted in the level III specialized NICU at Paras Bliss Panchkula.
Post operatively also Reena suffered from seizures, however, she was monitored on post operative period she was given Mgso4 4 hourly for 24 hours after delivery and provided respiratory assurance and plasma transfusion and high protein diet. All efforts were made to control her blood pressure and stabilise her vitals. After 5 days post pregnancy Reena normalized. Today after 3 months of delivery and hospitalization she is fine and healthy.
Dr. Shilva shares, “More than 1 million pregnant women suffer from Eclampsia every year in India making it one of the major reasons for maternal mortality. Pre-eclampsia usually begins after 20 weeks of pregnancy in a woman whose blood pressure had been normal. It can lead to serious, even fatal, complications for both mother and baby. There may be no symptoms. High blood pressure and protein in the urine are key features. There may also be swelling in the legs and water retention, but this can be hard to distinguish from normal pregnancy. Pre-eclampsia can often be managed with oral or IV medication until the baby is sufficiently mature to be delivered. This often requires weighing the risks of early delivery versus the risks of continued pre-eclampsia symptoms. Hence if any women during pregnancy feel any abnormality, it is imperative to consult a specialist at the earliest.”