Hello, I recently took care of a pt w/ this diagnosis. She was 26 and her 4th pregnancy. She was healthy up until her 36th week. N/v set in, but her other children were sick, so she thought nothing of it. She did have the edema, but it was in all her pregnancies. She came to the hospital and the baby was found to be in severe distress. A crash c-section performed and the infant released meconium in the uterus. THe baby was sent to Children's Hospital on a vent and survived with seizures and is on Dilantin. The mother came to us in critical condition when she would not breathe on her own after the section. She woke up in the morning and extubated. Liver enzymes were sky high and bili was up, but no jaundice. Ct of abd showed nothing and kidney failure set in. Also, DIC set in and supportive therapy started. 2 weeks later she was allowed out of the unit and to the birthing center to stay with her newborn. She ended up having surgery for infection of the uterus. The uterus was necrotic and sepsis had set in. We could not save her.
Help me understand what happened. Did I mention she was a co-worker. We had never seen this at our hospital. We had experts from University Hospital, and she was recovering from the Fatty Liver. Mortality rates from this syndrome is not that high 18%. I just found out I'm pregnant and am scared to death. I know this is very rare. Has anyone seen it and what was the treatment? I know it was the infection that was the killer. The MD's attempted to do a hysterectomy earlier, but she refused. Sorry so lengthy.