Managing severe peripartum hyponatraemia: A case report

Abstract

We present a case of severe peripartum hyponatraemia that occurred following a major obstetric haemorrhage causing both an ischaemic stroke and Sheehan's syndrome and outline the investigations and management strategy required.

Authors’ response to letter by Adam Morton regarding: “Managing severe peripartum hyponatraemia: A case report”

“…We thank Dr Morton for his interest in our case report. 1 He queries whether acute glucocorticoid deficiency could have been responsible for our patient’s symptoms. We agree with him that it is important to exclude adrenal insufficiency early in the investigation of patients with hyponatraemia to avoid the risks of missed diagnosis.…”

Letter regarding: Managing severe peripartum hyponatraemia: A case report, Obstetric Medicine: The Medicine of Pregnancy

“…I thank Snow et al for their case report on the management of severe peripartum hyponatraemia. 1 Severe hyponatraemia has been described in the peripartum period with preeclampsia, ingestion or infusion of excess fluids during delivery, prolonged infusion of oxytocin and glucocorticoid deficiency due to Sheehan's syndrome. The authors attributed severe hyponatraemia in the subject presented to syndrome of inappropriate antidiuretic hormone secretion (SIADH).…”