-transparent.png){kind=logo}
Acute viral hepatitis is hazardous in the obstetric patient because of associated multi-system involvement which may include coagulation defects. The fetus may be compromised by maternal complications as well as by high levels of indirect bilirubin which crosses the placenta. Cesarean section is frequently indicated for fetal distress or failed progress of labor. An elderly primigravida with severe acute viral hepatitis complicated by gastrointestinal bleeding, hypofibrinogenemia, thrombocytopenia and prolonged prothrombin and partial thromboplastin times required emergency cesarean section. Clotting factors were replenished prior to surgery. General anesthesia with low-dose ketamine induction and high inspired oxygen fraction was considered the method of choice for the specific maternal and fetal problems.
H M Schaer, and
G F Marx
July 1978,
Der Anaesthesist,
H M Schaer, and
G F Marx
October 1975,
Hu li za zhi The journal of nursing,
H M Schaer, and
G F Marx
January 1982,
Deutsche medizinische Wochenschrift (1946),
H M Schaer, and
G F Marx
October 1978,
Masui. The Japanese journal of anesthesiology,
H M Schaer, and
G F Marx
July 1974,
Klinische Wochenschrift,
H M Schaer, and
G F Marx
January 1978,
Przeglad lekarski,
H M Schaer, and
G F Marx
January 1980,
Zentralblatt fur Gynakologie,
H M Schaer, and
G F Marx
April 1978,
La Nouvelle presse medicale,
H M Schaer, and
G F Marx
May 1974,
Ceskoslovenska gynekologie,
H M Schaer, and
G F Marx
October 1977,
Ceskoslovenska gynekologie,
