Coagulation conundrum in obstetric anesthesia with COVID-19

Anand Kuppusamy; B Natarajan; Belinda Cherian; K Gunasri

doi:10.1016/j.mjafi.2022.05.005

Coagulation conundrum in obstetric anesthesia with COVID-19

Med J Armed Forces India. 2022 Aug 18;80(1):106-109. doi: 10.1016/j.mjafi.2022.05.005. Online ahead of print.

Authors

Anand Kuppusamy¹, B Natarajan², Belinda Cherian³, K Gunasri⁴

Affiliations

¹ Professor (Anaesthesiology), SRM Medical College Hospital & Research Centre, Chengelpet, Tamil Nadu, India.
² Senior Resident (Anaesthesiology), SRM Medical College Hospital & Research Centre, Chengelpet, Tamil Nadu, India.
³ Medical ICU Consultant, Rajagiri Hospital, Chunangamvely Aluva, Ernakulam, Kerala, India.
⁴ Post Graduate, (Anaesthesiology), SRM Medical College Hospital & Research Centre, Chengelpet, Tamil Nadu, India.

PMID: 35996615
PMCID: PMC9385406 (available on 2025-01-01)
DOI: 10.1016/j.mjafi.2022.05.005

Abstract

Coronavirus disease (COVID-19) pandemic is an unprecedented public health calamity that has caused an immense setback to maternal health services in developing countries. In addition to morbidity and mortality caused by COVID-19 disease in parturient directly, the indirect adverse impact of lockdown imposed during pandemic causing loss of follow-up of patients with coexisting illness is significant. There are no standard protocols to manage COVID-19 patients with comorbid medical illness, who are not optimized during antenatal visits. We report an interesting case of an antenatal patient with COVID-19, with prosthetic aortic valve on warfarin with elevated International Normalized Ratio (INR) and severe pre-eclampsia, posted for emergency cesarean section.

Keywords: COVID-19; HELLP Syndrome; Heparin; Pre-eclampsia; Rheumatic heart disease.

Publication types

Case Reports