Abstract

Pregnancy induced hypertension is a hypertensive disorder, which occurs in 5% to 7% of all pregnancies. Number of Stillbirths and IUFD in mothers due to severe preeclampsia is rising in developing countries. A 40 year-old Primi-gravida patient with severe PIH developed acute pulmonary oedema due to fluid overload and intrauterine fetal death at 29th week of gestational age delivered vaginally by using labour epidural anasthesia. She was monitored carefully inside OR and intensive care Unit with invasive lines and supported with NIV for 24 hours. She was managed by multi-disciplinary team with proper and clear management plan and discharged from the hospital on the 4th postpartum day in good general condition.