Loading....
Coupon Accepted Successfully!

 

Sickle Cell Disease

Pregnancy can precipitate sickle cell crisis. Clinical features of sickle cell crisis:

  1. Anemia and infections
  2. Acute chest syndrome
  3. Retinopathy
  4. Leg ulcers
  5. Stroke
  6. Avascular necrosis of bone, renal papillary necrosis, and splenic sequestration

Effect of Pregnancy on Disease

Effect of Disease on Pregnancy

Acute chest syndrome

Abortions

Sickle cell crisis

IUGR

UTI

Preterm labor

Puerperal sepsis

IUFD

Pneumonia

Fetal distress

Pulmonary embolism

 

 

Management of sickle cell crisis

  1. IV hydration
  2. Antibiotics
  3. Sodium bicarbonate (to avoid acidosis)
  4. Oxygenation (avoid hypoxia)
  5. Warmth
  6. Maintaining Hb "5" below 50% by exchange transfusion





Test Your Skills Now!
Take a Quiz now
Reviewer Name