Antithrombin deficiency in pregnancy. (20th May 2016)

• Record Type: Journal Article
• Authors: Durai, Shivani; Tan, Lay Kok; Lim, Serene
• Is Part Of: BMJ case reports. Volume 2016
• Publication Date: 2016-05-20
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2015-213310
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : We present a case of a 39-year-old, gravida 3 para 2, Chinese female with a history of inherited type 1 Antithrombin deficiency and multiple prior episodes of venous thromboembolism. She presented at 29+4 weeks' gestation with severe pre-eclampsia complicated by haemolysis, elevated liver enzymes and low platelet (HELLP) syndrome. She subsequently underwent an emergency caesarean section for non-reassuring fetal status, which was complicated by postpartum haemorrhage secondary to uterine atony, requiring a B-Lynch suture intraoperatively.