Dr. Preetpal Grewal was on a busy shift when a patient came into the obstetric emergency department (OBED) with complaints of uterine contractions, leaking of fluid from the vagina (premature rupture of membranes) and decreased fetal movement.

She was evaluated in OB triage and noted to be in early labor with preeclampsia features including elevated blood pressure, ranging from 140 to 180s over 110 (in the severe range) and a urine protein creatinine ratio of 5.

She also complained of decreased fetal movement. On the fetal monitor, she was noted to have decelerations, which tells us the baby was in distress.

The maternal fetal medicine specialist was consulted who recommended delivery and patient was taken in an emergent fashion to the operating room. The patient underwent an emergency cesarean section. The baby was crying and moving and in other words, doing really well upon delivery.

For elevated blood pressure, the patient continued to be on a medication to prevent seizures from happening after delivery for 24 hours as well. All this happened on a weekend and, at the end, we had a great outcome with both mom and baby.

Emergencies can happen at any hour. Our OB/GYN hospitalist programs provide around-the-clock care from hospital-based OB/GYN physicians. These highly skilled clinicians do not replace the care patients receive from their regular OB/GYN physicians, instead, they serve as an extension of the patient’s regular doctor.

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