Resuscitation
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A 41-year old primigravida underwent caesarean section because of foetal distress following prostin induction of labour. Intraoperative coagulopathy, haemorrhage and hypotension necessitated a hysterectomy. Subsequently, she developed respiratory and renal failure, requiring mechanical ventilation and haemodialysis. ⋯ An immunological basis for these effects is postulated. There is no specific therapy and treatment is supportive. The mortality of the condition remains high.