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CASE REPORT
Year : 2014  |  Volume : 58  |  Issue : 2  |  Page : 193-195

Caesarean section in a case of systemic lupus erythematosus


Department of Anaesthesia, Padmashree Dr. D. Y Patil Hospital and Research Centre, Navi Mumbai Maharashtra, India

Correspondence Address:
Deepika Shukla
703, Building 26, NRI Complex, Sector - 54/56, Nerul, Navi Mumbai - 400 706, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5049.130827

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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.


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