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Journal of Obstrectic Anaesthesia and Critical Care
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Year : 2021  |  Volume : 11  |  Issue : 1  |  Page : 25-29

Methaemoglobinemia in pregnancy: Case series and literature review

1 Consultant Physician, Department of Obstetric Medicine, Fernandez Hospital, Consultant Physician, Hyderabad, Telangana, India
2 Senior Resident, Fernandez Hospital, Hyderabad, Telangana, India
3 Consultant Anaesthetist and Intensivist, Fernandez Hospital, Hyderabad, Telangana, India
4 Consultant Obstetrician, Fernandez Hospital, Hyderabad, Telangana, India

Correspondence Address:
Dr. Hari Kishan Boorugu
Consultant Physician, Department of Obstetric Medicine, Fernandez Hospital, Hyderabad - 500 029, Telangana
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/JOACC.JOACC_108_20

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Background: Methaemoglobinemia is a rare disease complicating pregnancy and often diagnosed for the first time in perioperative or peripartum setting. Aim: To analyse the type of methaemoglobinemia, clinical presentation and pregnancy outcomes in our series of pregnant women with methaemoglobinemia. Methods: This is a single centre retrospective study of patients with methaemoglobinemia admitted between 2003 and 2015. Results: We had six pregnant women with methaemoglobinemia during the study period. Three women had congenital methaemoglobinemia and three of them had acquired methaemoglobinemia. Obstetric and foetal outcomes were good. Conclusion: Congenital methaemoglobinemia is reasonably well tolerated in pregnancy. With proper counselling, follow-up, avoidance of drugs associated with methaemoglobinemia and prompt diagnosis and management especially in cases of acquired methaemoglobinemia, we can achieve good pregnancy outcomes.

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