Anesthetic management of an emergency caesarian delivery in a 61 year 8 month old Primigravid patient with 33+ wks pregnancy (IVF, twin) with Diabetes Mellitus with Hypertension with Hypothyroidism and Mild aortic stenosis

Authors

  • Wahiuddin Mahmood Professor and Head of the department of anesthesiology, Square hospital Ltd, Dhaka
  • SM Ali Consultant, Department of Anesthsiology, Square hospital Ltd, Dhaka,
  • Md Quamrul Islam Consultant, Department of Anesthsiology, Square hospital Ltd, Dhaka,
  • Debasish Das Associate Consultant, Department of anesthesiology, Square hospital Ltd, Dhaka
  • Basudeb Das Specialist, Department of Anesthesiology, Square hospital Ltd, Dhaka
  • Tasmia Khan Specialist, Department of Anesthesiology, Square hospital Ltd, Dhaka

DOI:

https://doi.org/10.3329/jbsa.v33i1.67481

Keywords:

Cesarean section, Regional anesthesia, Pregnancy.

Abstract

Physiologic changes of pregnancy uniquely influence anesthesia for caesarian delivery. Aging is also anuniversal and progressive physiological phenomenon clinically characterized by degenerative changesin both the structure and the functional capacity of organs and tissues. For an anesthesiologist the casebecomes more challenging when the patient has multiple comorbidities such as Diabetes Mellitus,Hypertension, Hypothyroidism and Mild Aortic stenosis. We report an emergency caesarian delivery inthe case of a 61 year 8 month old woman who was diagnosed as 33+wks Pregnancy (IVF, TWIN) withDM (Insulin) with Hypothyroidism on medication with Hypertension on medication with Mild aorticstenosis. Emergency caesarian delivery of this patient was necessary due to oligohydramnios with laborpain and fetal distress. The delivery was successfully performed under SAB and patient recovered withoutany complication.

JBSA 2020; 33(1): 43-45

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Published

2020-01-31

How to Cite

Mahmood, W. ., Ali, S. ., Islam, M. Q., Das, D. ., Das, B. ., & Khan, T. . (2020). Anesthetic management of an emergency caesarian delivery in a 61 year 8 month old Primigravid patient with 33+ wks pregnancy (IVF, twin) with Diabetes Mellitus with Hypertension with Hypothyroidism and Mild aortic stenosis. Journal of the Bangladesh Society of Anaesthesiologists, 33(1), 43–45. https://doi.org/10.3329/jbsa.v33i1.67481

Issue

Vol. 33 No. 1 (2020)

Section

Case Reports