BookKusum Jashnani, editor.
Summary: The book discusses about 45 cases of maternal autopsies. These maternal mortalities are related to pregnancy-related diseases, pre-existing diseases that worsen or manifest during pregnancy and diseases for which pregnant patient has increased risk. As the study of maternal mortality is a healthcare quality indicator and plays an important role in the improvement of obstetric care, the book aims at discussing autopsy findings, which is the gold standard for establishing not only the causes of death, but also to uncover the various pathological lesions produced by the physiologic phenomenon of pregnancy. This helps in identifying the direct and indirect causes, which can be reviewed at multidisciplinary review meetings. The chapters are arranged according to direct and indirect causes of maternal death, involving varied target organ systems i.e. central nervous system, cardiovascular system, respiratory system, gastro-intestinal tract, hepato-biliary system and pancreas, urinary system, female genital tract and others. However, it does not include diseases coincidental in pregnancy. Each case begins with the complete case history (age, duration of pregnancy, clinical presentation, investigations, clinical diagnosis, therapy, and course during ward stay, if any), autopsy findings, followed by a clinico-pathological discussion and includes appropriate gross organ and microscopic images. The book caters to the specialists in pathology, obstetrics, general medicine, critical care, surgery, pulmonologists, cardiology and all those involved in the care of pregnant women.
Contents:
Part: I - Direct Maternal Death
Catastrophic Abruptio Placentae- An Autopsy Case Series
Liver Infarct in Pregnancy: A Complex, Rare and Dreadful Affair
Cerebral Venous Sinus Thrombosis An Avertable Catastrophe
Fatty Liver: More Likely to be Fatal in Pregnancy!
Eclampsia: A Risk Factor for Intracranial Haemorrhage
Cervical Trauma: Clinical Conundrum and Correlation
Amniotic Fluid Embolism Syndrome: A Rare, Unpredictable and Catastrophic Complication of Pregnancy
Systemic Thromboembolism and Giant Gastric Mucor Ulcer
Puerperal Sepsis: A Preventable Cause of Maternal Death
Peri-partum Cardiomyopathy- Failed Cardiac Physiology
HELLP Syndrome: The Snowball Effect
Uterine Anomalies: Less Common but Lethal if not Detected
Retained Products of Conception and Dilatation & Curettage: A cause for Disseminated Intravascular Coagulation
Part: II - Indirect Maternal Death
Pulmonary Bone Marrow Embolism: The Uncommon but Fatal Complication of Sickle Cell Disease
Neurocysticercosis, Pregnancy and Albendazole The Unholy Trio
Lupus Nephritis and Pregnancy: Concern for Both Mother and Fetus
Disseminated Microthrombi in Pregnancy: Not Always DIC, Think of TTP
Hepatitis E Virus Associated Hepatic Necrosis
H1N1 Influenza in Pregnancy Yet Another Dreaded Flu
"Uber Diffuse" Myocarditis: Still a Giant Mystery!
Liver: A Fatal Target of Sepsis Related Organ Dysfunction
Complicated Malaria in Pregnancy
Adrenal Hemorrhage: A Dark Horse in Maternal Mortality
Disseminated Miliary Tuberculosis: A classic Case of Fatality!
Disseminated Miliary TB with Missing Millet Tubercles on Gross: Suspect Severe Immunocompromised State
Mystic Hepatopathy in a Sickle Hemoglobinopathy
Acute Hemorrhagic Pancreatitis and Sepsis: A Cause for Maternal Death
Maternal Death due to Nonhodgkins Lymphoma
Normal Physiologic Changes of Gravid Uterus
Lobar Pneumonia: A Fatal Non-Obstetric Infection!
Uterine Arterio-Venous Malformation
Herpes Simplex Pneumonitis
Renal Cortical Necrosis in Pregnancy: Still a Sad Reality in Developing Countries
Severe Anaemia and Pregnancy
Hypertrophic Cardiomyopathy as an Incidental Finding
Gastro-Intestinal Candidiasis An Unusual Accompaniment
Plugging of Visceral Blood Vessels by Atypical Cells: Clue to Leukemia!
Chronic Kidney Disease Masquerading as Pregnancy Induced Hypertension
Pulmonary Edema and Aspiration Pneumonia- Cause for Maternal Death
Post-Partum Febrile Illness - Recurrent Acute Rheumatic Fever
Common Atrio-Ventricular Canal: A Fatality Due to A Commonality
Choked Prosthetic Mitral Valve
Interstitial Lung Disease: Scarred, Stiff Lungs with Honeycombing
Diffuse Alveolar Damage in Covid 19 infection
Takayasu Arteritis Third Trimester Tragedy.