title: Antithrombin deficiency in pregnancy.
abstract: We present a case of a 39-year-old, gravida 3 para 2, Chinese female with a history of inherited type 1 Antithrombin deficiency and multiple prior episodes of venous thromboembolism. She presented at 29+4 weeks' gestation with severe pre-eclampsia complicated by haemolysis, elevated liver enzymes and low platelet (HELLP) syndrome. She subsequently underwent an emergency caesarean section for non-reassuring fetal status, which was complicated by postpartum haemorrhage secondary to uterine atony, requiring a B-Lynch suture intraoperatively.
authors.affiliation: Department of Obstetrics & Gynaecology, Singapore General Hospital, Singapore, Singapore.
authors.forename: Shivani
authors.initials: S
authors.lastname: Durai
authors.affiliation: Department of Obstetrics & Gynaecology, Singapore General Hospital, Singapore, Singapore.
authors.forename: Lay Kok
authors.initials: LK
authors.lastname: Tan
authors.affiliation: Department of Obstetrics & Gynaecology, Singapore General Hospital, Singapore, Singapore.
authors.forename: Serene
authors.initials: S
authors.lastname: Lim
mesh_terms: D000328:Adult; D002585:Cesarean Section; D002681:China; D005260:Female; D005337:Fibrin / Q000172:deficiency*; D017359:HELLP Syndrome / Q000209:etiology*; D006801:Humans; D011225:Pre-Eclampsia / Q000209:etiology*; D011247:Pregnancy; D014593:Uterine Inertia / Q000209:etiology; D054556:Venous Thromboembolism / Q000175:diagnosis
chemical_list: D005337:Fibrin