Outcomes of pregnancy in patients with known Budd-Chiari syndrome

Table 2 Gestational course and perinatal complications in 16 pregnancies

Patient No.	Pregnancy No.	Age at gestation (yr)	Anticoagulation during pregnancy	Mode of delivery	Weeks gestation	Birth weight	Foetal/infant condition	Maternal condition
1	1	37	LMWH	Vaginal	36	2645 g	Neonatal jaundice, treatment with antibiotics for suspected infection
2	2	24	LMWH	Emergency caesarean section	35	2140 g	Fetal distress (reduced foetal movements)- Healthy baby	ICP OGDs during pregnancy, no varices seen
3	3	35	LMWH	Vaginal delivery	35	2600 g	Mild Jaundice	In-vitro fertilization treatment
3	4	37	LMWH	Vaginal delivery	37	2450 g	Healthy	In-vitro fertilization treatment Primary post-partum haemorrhage secondary to retained placenta that was surgically evacuated
4	5	23	LMWH	Caesarean section	37	2645 g	Fetal distress - Healthy baby post delivery	…
5	6	36	LMWH and Aspirin (switched from warfarin and Hydroxyurea at 22 wk when pregnancy was diagnosed)	Emergency caesarean section	37	3115 g	Breech presentation	Had several gastroscopies (OGD) and banding to Oesophageal Varices during pregnancy
5	7	39	Warfarin	Miscarriage	5	-	-	PV bleeding; was not aware of conception
6	8	31	LMWH	Emergency Caesarean Section	27	Not available	Healthy boy	Bleeding secondary to placental abruption ICP from 25 wk
6	9	37	LMWH, Aspirin, interferon for MPD (Myeloproliferative disorder)	Emergency Caesarean section	35	Not available	Fetal distress. Healthy baby	ICP Minor subchorionic bleeding at 12 and 23 wk. LMWH reduced, aspirin stopped temporarily. Changes resolved on subsequent scans. Presentation with PH and suspected placental abruption at 35 wk Secondary post-partum haemorrhage treated with surgical of uterine clot evacuation and Rusch Balloon
7	10	25	LMWH	Miscarriage	9	-	-	-
7	11	27	LMWH	Miscarriage	20	-	Congenital pneumonia and mild amnionitis	Weakness of cervix;
7	12	28	LMWH	Miscarriage	19	-	-	Placental abruption Weakness of cervix; Placental abruption
7	13	29	LMWH	Emergency Caesarean Section	35	2974 g	Healthy boy	Dyspnoeic during 3rd Trimester; ICP in 20 wk onwards; C-Section for difficult labour (cervical suture could not be removed)
7	14	31	LMWH	Failed Pregnancy	10	-	-	Surgical removal of retained products of Contraception
7	15	33	LMWH	Miscarriage	7	-	-	-
7	16	34	LMWH	Emergency Caesarean Section	35	2440 g	Healthy boy	Pre-eclampsia; Breathlessness during 3rd trimester, PH diagnosed after pregnancy

LMWH: Low molecular weight heparin; ICP: Intrahepatic cholestasis of pregnancy; PH: Pulmonary hypertension.