![]() In view of normal coagulation profile, regional anaesthesia was planned. ![]() Patient was shifted to the operation theatre. Preoperative investigations revealed a normal BT, CT, APTT and PT, INR. Injection LMWH was withheld 24 h prior to surgery. In view of bad obstetric history and precious pregnancy, an elective caesarean section was planned at term. She was being monitored by serial bleeding time (BT), clotting time (CT) and activated partial thromboplastin time (APTT) measurements. ![]() To improve the foetal outcome, she was receiving low molecular weight heparin (LMWH) 2500 IU subcutaneously twice daily. Liver and renal function tests (LFT, RFT), electrocardiograph (ECG) were further ordered to rule out any systemic involvement and were found to be normal. Her complete blood count (CBC), blood sugar, urine examination were normal. She was found to be ANA (antinuclear antibody) positive but negative for antiphospholipid antibody, although there was no history suggestive of any systemic involvement. On examination, she had mild pallor and pedal oedema.ĭuring antenatal checkups, she was investigated in view of bad obstetric history and a diagnosis of SLE was made. Patient had a history of easy fatiguability. ![]() Because of secondary infertility and cervicitis, intrauterine insemination was done 9 months back. Her obstetric history revealed that she had two consecutive abortions and had no live issues. A 25-year-old woman (G3P0L0) with 39 weeks amenorrhea, diagnosed with SLE was scheduled for elective caesarean section in view of cephalopelvic disproportion. ![]()
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