Perimortem caesarean delivery

Abstract

A 29 year old primigravida presented at 39 weeks of gestation to the Accident and Emer gency (A&E) Department of North Colombo Teaching Hospital, Sri Lanka, with shortness of breath. She was a diagnosed patient with pre-eclampsia who had defaulted follow up since 31 weeks. On admission, she was found to have a blood pressure of 230/120 mmHg and diffuse fine crepitations over both lung fields. The working diagnosis was flash pulmonary oedema due to preeclampsia, and she was treated with oxygen via face mask, intravenous (IV) furosemide, IV labetalol and 2 g of IV magnesium sulphate.