Abstract

 

Single umbilical artery is associated with multiple organ malformations, fetoplacental insufficiency and intrauterine

fetal growth retardation. During anaesthesia severe hypotension can cause decrease of uteroplacental blood flow

and fetal distress. Herpes Simplex (HSV) infection is activated by exogeneous factors such as sunlight, wind, trauma

and fever or endogenous physcological factors such as stress especially in immune deficiency. The choice of

anaesthetic technique for HSV infected obstetric patient with single umbilical artery requires both uteroplacental

blood flow sufficiency and prevention of HSV activation. For these reasons we aimed to report the anaesthetic

method that we performed for a caesarean section of single umbilical artery and HSV type 1 positive obstetric

patient.

Key Words: Obstetric Anaesthesia; Umbilical Cord Abnormality: Single Umbilical Artery, Herpes Simplex Virus Type 1 Infection.