• Int J Obstet Anesth · Jan 2012

    Case Reports

    Anesthetic management of vaginal delivery in a parturient with hemochromatosis induced end-organ failure.

    • A L Hoefnagel and R Wissler.
    • Department of Anesthesiology, University of Rochester Medical Center, Rochester, NY 14642, USA. amiehoefnagel@gmail.com
    • Int J Obstet Anesth. 2012 Jan 1;21(1):83-5.

    AbstractThe vast majority of females affected by hemochromatosis are asymptomatic during childbearing years. We were able to provide effective obstetric anesthesia care to a 35-year-old woman with severe hemochromatosis. She had systolic heart failure with a left ventricular ejection fraction of 15%, severe pulmonary hypertension, mitral insufficiency, a history of ventricular tachycardia, cirrhosis, obstructive sleep apnea, gestational diabetes, and severe scoliosis. A multidisciplinary approach was used to stabilize her heart failure and prepare her for childbirth. An arterial line and epidural analgesic were placed before induction of labor. Vaginal delivery was accomplished with passive decent of the fetus and forceps assistance. We discuss hemochromatosis and its implications for the parturient.Copyright © 2011 Elsevier Ltd. All rights reserved.

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