Aplastic anemia in two consecutive pregnancies: Obstetric and anesthetic management

Aplastic anemia (AA) is a life-threatening, albeit rare disease, with serious implications for pregnancy.1 It is defined by the presence of pancytopenia with hypocellular bone marrow in the absence of an abnormal infiltrate or bone marrow fibrosis.2 There are limited available data about its natural history in pregnancy and there are no reported cases of recurrence with successful management in consecutive pregnancies. Here we present the first reported case of aplastic anemia in a patient who despite deterioration of her medical condition, successfully carried two consecutive pregnancies with favorable obstetric and neonatal outcomes, and in whom, labor analgesia was adapted to her condition with excellent patient satisfaction.
Source: International Journal of Obstetric Anesthesia - Category: Anesthesiology Authors: Tags: Case report Source Type: research