Journal article
Peripartum management of two parturients with ornithine transcarbamylase deficiency
International journal of obstetric anesthesia, Vol.21(1), pp.90-93
2012
DOI: 10.1016/j.ijoa.2011.09.007
PMID: 22138526
Abstract
Ornithine transcarbamylase deficiency is a rare X-linked disorder in which female carriers are usually heterozygous for the ornithine transcarbamylase deficiency gene. In pregnancy it has been associated with altered mental status, seizures, coma and death, especially in the postpartum period. We report the management of labor and delivery in two parturients with known ornithine transcarbamylase deficiency. Both patients were maintained on arginine, citrulline and sodium phenylacetate therapy with restricted protein intake during pregnancy. Neuraxial techniques were used for pain relief in labor and anesthesia for operative delivery. A dextrose infusion provided caloric intake during labor and perioperatively.
Details
- Title: Subtitle
- Peripartum management of two parturients with ornithine transcarbamylase deficiency
- Creators
- U Ituk - Department of Anesthesiology, Duke University Health System, Durham NC, USAO.C Constantinescu - Department of Anesthesiology, Duke University Health System, Durham NC, USAT.K Allen - Department of Anesthesiology, Duke University Health System, Durham NC, USAM.J Small - Department of Obstetrics and Gynecology, Duke University Health System, Durham, NC, USAA.S Habib - Department of Anesthesiology, Duke University Health System, Durham NC, USA
- Resource Type
- Journal article
- Publication Details
- International journal of obstetric anesthesia, Vol.21(1), pp.90-93
- Publisher
- Elsevier Ltd
- DOI
- 10.1016/j.ijoa.2011.09.007
- PMID
- 22138526
- ISSN
- 0959-289X
- eISSN
- 1532-3374
- Language
- English
- Date published
- 2012
- Academic Unit
- Anesthesia
- Record Identifier
- 9984006366502771
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