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Case report
Significance of specialised preconception counselling in oocyte donation pregnancy with prior history of postpartum eclampsia
  1. Kim van Bentem,
  2. Lisa Lashley and
  3. Marie-Louise van der Hoorn
  1. Obstetrics and Gynaecology, Leiden University Medical Center, Leiden, The Netherlands
  1. Correspondence to Kim van Bentem; k.van_bentem{at}lumc.nl

Abstract

A well-known complication in oocyte donation (OD) pregnancy is preeclampsia. Here, we present a 31-year-old woman, pregnant after OD. She conceived by the reception of the oocyte from her partner (ROPA) and sperm from a sperm donor. She developed preeclampsia with severe features, necessitating caesarean delivery at 29 weeks’ gestation due to deterioration of her clinical condition. Admission at the intensive care unit postpartum was necessary, because of recurrent postpartum eclampsia and administration of high dose magnesium sulphate for convulsion prophylaxis. This case illustrates the importance of preconception counselling for patients who are considering to conceive by OD and double gamete donation. In this specific case an alternative way to conceive was available. However, ROPA was preferred as part of shared lesbian motherhood. The risk of complications in the subsequent pregnancy has led to an alternative decision to accomplish a second pregnancy.

  • obstetrics and gynaecology
  • reproductive medicine
  • pregnancy
  • immunology
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Footnotes

  • Contributors KvB drafted the manuscript. M-LvdH and LL edited the manuscript and gave their approval for the final version. M-LvdH and LL are the maternal-fetal medicine specialists who treated the patient. M-LvdH obtained patient consent.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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