| Title: |
Hereditary Angioedema in Pregnancy: A Case Report and Review of Obstetric Anesthesia Management |
| Authors: |
de Valle, Micah K.; Stevenson, Cooper; Adkison, Michael; Delaune, Christy; Defilippis, Nicholas; Murugan, Shobana |
| Source: |
A&A Practice ; volume 18, issue 9, page e01833 ; ISSN 2575-3126 |
| Publisher Information: |
Ovid Technologies (Wolters Kluwer Health) |
| Publication Year: |
2024 |
| Description: |
Hereditary angioedema (HAE) is a rare disorder due to C1 esterase inhibitor deficiency, causing recurrent swelling. Pregnancy can exacerbate HAE due to estrogen fluctuations alongside peripartum stress and trauma. We present a pregnant patient with HAE who underwent induction of labor and vaginal delivery with neuraxial anesthesia. Management included C1-inhibitor prophylaxis, 48 hours of postpartum monitoring, and a self-treatment plan at discharge. Angioedema prevention involves timely anesthesia consultation, accessible emergency airway equipment, early neuraxial anesthesia, planned vaginal delivery, and 48 to 72 hours of close postpartum monitoring. Readily available C1-inhibitor and a multidisciplinary approach with these recommendations are crucial for peripartum management. |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| DOI: |
10.1213/xaa.0000000000001833 |
| DOI: |
10.1213/XAA.0000000000001833 |
| Availability: |
https://doi.org/10.1213/xaa.0000000000001833; https://journals.lww.com/10.1213/XAA.0000000000001833 |
| Accession Number: |
edsbas.EB5C1115 |
| Database: |
BASE |