Key result
Spinal anaesthesia enables successful elective caesarean section in one pregnant patient with SLE.
Why the study?
Systemic lupus erythematosus in pregnancy poses challenges including disease exacerbation, fetal loss, neonatal lupus, pre-eclampsia, and high surgical and anesthesia risks.
Case Report (n=1)
Demonstrates successful management of elective caesarean section under spinal anaesthesia in a high-risk parturient with SLE.
Systemic lupus erythematosus (SLE) is an autoimmune disease most frequently found in women of child bearing age and may co-exist with pregnancy. Disease exacerbation, increased foetal loss, neonatal lupus and an increased incidence of pre-eclampsia are the major challenges. Its multisystem involvement and therapeutic interventions like anticoagulants, steroids and immunosuppressive agents pose a high risk for both surgery and anaesthesia. We describe successful management of an antinuclear antibody (ANA) positive parturient with bad obstetric history who underwent elective caesarean section under spinal anaesthesia.
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Shukla et al. (2014) conducted a case report in Systemic lupus erythematosus (n=1). Spinal anaesthesia for elective caesarean section was evaluated on Successful management. Spinal anaesthesia was successfully used for an elective caesarean section in 1 pregnant woman with systemic lupus erythematosus and a bad obstetric history.
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