title: [Treatment of anaphylaxis after ampicillin prophylaxis in a woman in labour].
abstract: A primipara developed anaphylaxis during labour due to intravenous (i.v.) administration of ampicillin given prophylactic against group B streptococcal infection. Initially, she was treated with oxygen, i.v. fluids, antihistamine and a slight left-side position. Fifteen minutes later she was given 0.5 mg adrenaline i.v. due to persistent foetal bradycardia (60-90 bpm). Seven minutes later the foetal heart rate could not be detected. By acute caesarean section a child with Apgar score 1/1 was delivered and resuscitated. Cord arterial blood-pH was 6.97, base excess -9.2 mmol/l and lactate level 12.5 mmol/l. One month later the child appeared normal.
authors.affiliation: Urologisk Afdeling, Næstved Sygehus, Ringstedgade 61, 4700 Næstved. julie.stryhn@gmail.com.
authors.forename: Julie
authors.initials: J
authors.lastname: Stryhn
authors.forename: Tom
authors.initials: T
authors.lastname: Weber
mesh_terms: D000328:Adult; D000667:Ampicillin / Q000009:adverse effects* / Q000627:therapeutic use; D000707:Anaphylaxis / Q000139:chemically induced* / Q000628:therapy; D000900:Anti-Bacterial Agents / Q000009:adverse effects* / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007744:Obstetric Labor Complications / Q000139:chemically induced / Q000628:therapy; D011247:Pregnancy; D013290:Streptococcal Infections / Q000188:drug therapy
chemical_list: D000900:Anti-Bacterial Agents; D000667:Ampicillin