Concluded Case

AFLP leading to MOF and Cardiac arrest

A 24 yr lady presented with twin pregnancy associated with Jaundice and lower abdominal pain for 10 days LFT was Deranged with low platelet and raised PT & INR Obstetrical USG Twin Pregnancy term size liquor poor Bradycardia Lscs was done Two live male babies were delivered weighing 3.25 kg and 2.75 kg Patient developed severe PPH with a blood loss of approx 2.5 Ltrs Treated conservatively and controlled Post Op developed MOD involving Liver,CV, Kidney metabolic acidosis and deteriotion in the level of consciousness she was put on ventilator and inotropic supports but could not be revived.Developed Cardiac arrest 30 hrs after CS and was declared after CPR of half hour we would like to have a discussion on her Primary cause of Death

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Concluded answer

AFLP IS THE PRIMARY CAUSE OF DEATH

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HELLP syndrome

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DIC leading to MOD would be primary cause

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Thramboembolism may be.

LFT deranged platelet low leads PPH further MOD nd cardiac arrest. Streng! In such case we have to take decision to save life of baby.as mothers prognosis will bad.

Not sufficient clinical history still possibilities of AFLP or Sever preeclampsia

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AFLP IS THE PRIMARY CAUSE OF DEATH

Possibility of AFLP or HELLP

Hellp syndrome

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HELLP syndrome

HELLP SYNDROME

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