Acute Fatty Liver of Pregnancy Complicated by Quadruplets

ConclusionOn postoperative day 2, the woman began to experience agitation, deterioration in mental status, and decreased ability to communicate. Fibrinogen decreased from 327 to 225, international normalized ratio (INR) increased from 2.2 to 2.5, ammonia increased from 33 to 51, and creatinine was 2.60. A care team including renal specialists, critical care providers, maternal/fetal medicine and obstetric intensive care unit nurses agreed to transfer the woman to a long‐term acute care facility with an in‐house live transplant team for ongoing support and care. The diagnosis of AFLP prior to surgical incision proved critical to this woman's survival. The multidisciplinary care team worked together to provide optimal care and prevented what could have been a dire outcome.

Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Nan Ybarra Tags: Childbearing Source Type: research