Maternaler Todesfall im Wochenbett bei Erstdiagnose eines myelodysplastischen Syndroms während der Schwangerschaft – Ein Fallbericht

The confrontation with potential life-threatening diseases during pregnancy is rare. Especially haematologic malignancies as acute leukaemia and the myelodysplastic syndrome are rare events during pregnancy and childbed. The care of affected women and the management of birth and the postpartal period is non-standardized because of the small number of cases. The patients are risk-pregnancies and an interdisciplinary care by obstetricians and specialized haematooncologists is necessary. A lot of studies have demonstrated the benefit of a prophylactic intrapartal single-dose antibiotic during caesarean section and its routine use should be standardized. Especially in risk collectives with postpartal infect signs or postpartal fever an intravenous antibiotic should be administered soon and generously.