Intrauterine Growth Restr...

The patient is a 36-year-old pregnant woman who was severely overweight with a BMI of 32.9 before becoming pregnant and could not carry the baby to term. She suffered from severe hyperemesis gravidarum from the beginning of her pregnancy. Due to her obesity, she saw a high-risk obstetrician who monitored her weekly. Her blood pressure increased at 18 weeks and rose drastically from 19 to 20 weeks. The patient was admitted to the hospital due to preeclampsia, proteinuria, possible intrauterine growth restriction (IUGR) of the baby, and hyperemesis gravidarum. The doctors decided that the risks of the patient dying outweighed the risks of delivering a 24-week pre-term IUGR baby and performing a cesarean section. The infant was given surfactant and did not need any ventilator support but was diagnosed with a "large" Patent Ductus Arteriosus (PDA) on the fourth day of her life. Surgeons recommended clipping and closing the PDA. However, the infant was over-anaesthetized during the surgery due to her small size and never regained consciousness. She was intubated from the surgery onward and died on the sixth day of her life.