A pregnant woman, admitted on June 1 to the Ibn Sina University Hospital Center (CHU) in Rabat, died after her admission. The management of the CHU wanted to provide the following details:
The woman died after being admitted to hospital following complications from a severe preeclampsia attack, management says, noting that the parturient (LB), 36, and pregnant with a 33-week pregnancy of amenorrhea, was admitted to hospital on June 1 at 8:00 p.m. for severe preeclampsia, and has a history, including two cesarean deliveries due to eclampsia as well.
“The history of her illness dates back to the day of her hospitalization for severe preeclampsia, unrecognized as it was an unsuccessful pregnancy,” adds the same source.
On initial examination, her blood pressure was elevated to 17/11 mmhg with massive proteinuria in the urine and headache, while on obstetrical and ultrasound examination it was established that it is a pregnancy. evolving from 33 weeks of amenorrhea and two days.
Faced with this clinical picture, the press release continued, the patient followed by the resuscitation medical team was thus put on antihypertensive treatment and received a dose of corticosteroids to promote fetal lung maturation.
According to the same source, “the necessary assessment for his case was quickly carried out and the decision to perform a cesarean was taken.
During her journey to the operating room, the patient suddenly presented two attacks – tonic-clonic eclampsia (crisis resembling an epileptic fit occurring in a context of pregnancy-induced hypertension), followed by a fall despite the efforts made by the patient. medical team to prevent, or even minimize, this trauma.
The scan performed ruled out any possible brain parenchymal lesion, explains management, adding that the cesarean section was performed and the patient monitored in the recovery room for two hours. She was subsequently admitted to the intensive care unit to take charge of her preeclampsia condition and to watch for any complications that are still possible in the case of her pathology.
Thus, the medical team diagnosed her with severe deterioration of her respiratory and neurological functions, acute hepatic and renal failure, hemostatic disturbances and manifest alteration of blood gases.
According to the CHU, “given these expected disorders for her case, her unstable state of health, and given that the patient presented a tachycardia at 149 beats per minute and severe hypotension, it was decided to intubation and artificial respiration”.
“Unfortunately, deplores the management of the CHU, and despite all the efforts made by the medical team and the various intensive care carried out, the parturient died from cardiovascular arrest”.