SEPTIC SHOCK IN PREGNANCY - A CASE-REPORT

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.