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Anaphylactoid Syndrome After Intrauterine Pressure Catheter Placement

Harbison, Laura DO; Bell, Laird MD, MPH

doi: 10.1097/AOG.0b013e3181b5c8cc
Case Reports

BACKGROUND: Anaphylactoid syndrome of pregnancy is a rare and poorly understood complication of pregnancy. Intrauterine pressure catheter placement is a procedure routinely performed in labor and delivery that is traditionally associated with few complications.

CASE: A pregnant woman at term experienced anaphylactoid syndrome of pregnancy associated with cardiopulmonary failure, disseminated intravascular coagulation, and neurologic sequelae immediately after the placement of an intrauterine pressure catheter. Ultimately, the patient returned to a near-normal level of function, whereas the infant died of pneumonia at 10 months of age.

CONCLUSION: Anaphylactoid syndrome of pregnancy is a rare complication of intrauterine pressure catheter placement. It is important to be prepared for unexpected emergencies, even with such a routine procedure.

Anaphylactoid syndrome in pregnancy occurred after placement of an intrauterine pressure catheter.

From the Cox Family Medicine Residency, Springfield, Missouri.

Corresponding author: Laura Harbison, DO, Cox Family Medicine Residency, 1423 North Jefferson Avenue; Suite A100, Springfield, MO 65802; e-mail:

Financial Disclosure The authors did not report any potential conflicts of interest.

© 2010 The American College of Obstetricians and Gynecologists