Anaphylactic Shock in a Pregnant Woman



Anaphylaxis is a rare life-threatening event in pregnancy and delivery with rapid onset. It is characterized by sudden hypotension, upper airway obstruction, and/or bronchospasm with or without skin manifestation. It has been reported following administration of various substances, most commonly drugs, with adverse maternal and, especially, neonatal consequences. Important initial prompt management includes injection of epinephrine (adrenaline), high-flow oxygen supplementation, positioning the mother on her left side, fluid replacement, cardiopulmonary resuscitation, and continuous electronic fetal monitoring. Emergency cesarean delivery should be performed when indicated. H1 antihistamines, H2 antihistamines, other vasopressors, and glucocorticoids are not initial medications of choice, but required if hemodynamic instability persists.


Mast Cell Anaphylactic Reaction Anaphylactic Shock World Allergy Organization Iron Sucrose 
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Copyright information

© Springer India 2016

Authors and Affiliations

  1. 1.Department of Obstetrics and GynaecologyG. R. Medical CollegeGwaliorIndia
  2. 2.Faculty of Human GeneticsJiwaji UniversityGwaliorIndia
  3. 3.Agrawal Hospital & Research InstituteGwaliorIndia

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