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Obstet Gynecol. 2011 Aug;118(2 Pt 2):495-7. doi: 10.1097/AOG.0b013e3182267e58.

Epidural analgesia for treatment of a sickle cell crisis during pregnancy.

Author information

1
Department of Gynecology and Obstetrics, Johns Hopkins University, Baltimore, MD 21287, USA. abigailwinder@gmail.com

Abstract

BACKGROUND:

More than 50% of obstetric patients with sickle cell disease will have a pain crisis during pregnancy, and the management of these cases can be challenging.

CASE:

A 20-year-old African American with sickle cell disease presented at 29 4/7 weeks of gestation with severe, debilitating leg and back pain. Large doses of intravenous narcotics did not result in significant pain relief, so a lumbar epidural was placed. This resulted in complete pain relief within several minutes. The patient's symptoms resolved over several days and after a short course of narcotics she was discharged to home, and the remainder of her pregnancy was uncomplicated.

CONCLUSION:

Epidural anesthesia should be considered as a potentially effective treatment for a severe sickle cell crisis in obstetric patients.

PMID:
21768865
DOI:
10.1097/AOG.0b013e3182267e58
[Indexed for MEDLINE]
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