We present the clinical course of a pregnant woman in septic shock. Wh
ile we were managing this case, an elevated pulmonary capillary wedge
pressure was found, expressing left ventricular dysfunction. Therefore
we question the widely accepted and recommended practice of: loading
the pregnant women in septic shock with 1 to 2 L of crystalloids befor
e the institution of central monitoring. It is our belief that an aggr
essive and earlier central monitoring of the hemodynamic status can re
sult in better treatment decisions.