title: [About three consecutive pregnancies in a patient suffering from liver cirrhosis].
abstract: We report the case of a patient suffering from an immune liver cirrhosis with chronic liver insufficiency and a portal hypertension, presenting with three consecutive pregnancies. During the first pregnancy, stillbirth occurred at 34 weeks gestation (WG) with a justified vaginal delivery. There was no liver deterioration during the second pregnancy until 36 WG when fetal distress occurred, requiring a caesarean section under general anaesthesia. During the third pregnancy, fetal distress and maternal hepatic failure occurred at 35 WG, requiring an emergency caesarean section complicated with post partum haemorrhage and an episode of encephalopathy.
authors.affiliation: Département d'anesthésie-réanimation, polyclinique, Hôtel-Dieu, CHU de Clermont-Ferrand, 63000 Clermont-Ferrand, France. mbonnin@chu-clermontferrand.fr
authors.forename: M
authors.initials: M
authors.lastname: Bonnin
authors.forename: H
authors.initials: H
authors.lastname: Roman
authors.forename: F
authors.initials: F
authors.lastname: Bolandard
authors.forename: M
authors.initials: M
authors.lastname: Canis
authors.forename: J-E
authors.initials: JE
authors.lastname: Bazin
mesh_terms: D000328:Adult; D000768:Anesthesia, General; D002585:Cesarean Section; D036861:Delivery, Obstetric; D005260:Female; D005316:Fetal Distress; D019693:Hepatitis, Autoimmune / Q000150:complications*; D006801:Humans; D006975:Hypertension, Portal / Q000503:physiopathology; D007231:Infant, Newborn; D008103:Liver Cirrhosis / Q000150:complications*; D008111:Liver Function Tests; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy*; D011256:Pregnancy Outcome