HEREDITARY ANGIONEUROTIC-EDEMA - CURRENT MANAGEMENT IN PREGNANCY

A 20-year-old primiparous woman, with a history of type 1 hereditary a ngioneurotic oedema, presented for induction of labour. She was hirsut e, obese and presented technical difficulties for both general and epi dural/spinal anaesthesia. Her management included prophylactic Cl este rase inhibitors and epidural analgesia for pain relief. A spontaneous vaginal delivery was achieved and no adverse complications occurred. F ive days after delivery size had abdominal pain which was investigated and resolved spontaneously. The management of this condition is discu ssed.