Skip to main content
MedVellum
QuestionsVideosPricing

MedVellum

Fellowship exam preparation across every specialty: source-verified topics, questions in every format, and videos.

Product

  • Specialties
  • Questions
  • Videos
  • Exam tools
  • Pricing

Verification & policy

  • Verified register
  • Editorial policy
  • Privacy
  • Terms

Account

  • Sign in
  • Create account
  • Dashboard
  • Account & billing

© 2026 MedVellum. For education only — not a substitute for clinical judgement.

llms.txtPsychiatry LLM catalogSitemap

O&G CasesAntenatal care — haematological disorders

O&G Cases · Antenatal care — haematological disorders

Sickle crisis with acute chest syndrome in pregnancy — emergency management station

Emergency management station on sickle cell crisis with acute chest syndrome in pregnancy. Tests the candidate on the crisis bundle with drug doses, recognition of acute chest syndrome, exchange transfusion thresholds, phenotypic blood matching, and fetal and team communication. Includes assessor key and marking domains.

resus3 min readVerification in progress

Target exams

FRANZCOGMRCOGABOG
On this page
Study tools

Target exams

FRANZCOGMRCOGABOG
Prompt
A 28-year-old G1P0 at 32 weeks gestation with known HbSS sickle cell disease presents to the maternity assessment unit with a 6-hour history of severe chest and back pain. She has a cough and feels breathless. Observations: HR 118 bpm, BP 102/60 mmHg, RR 26, oxygen saturation 91 percent on room air, temperature 38.2 Celsius. Chest X-ray shows new bilateral lower-zone infiltrates. Fetal cardiotocography is reactive. She is on folic acid 5 mg daily and weight-adjusted enoxaparin per protocol.

Station brief

Format. Emergency management station, approximately 12 minutes. You are the obstetric registrar in the maternity assessment unit. A midwife, an anaesthetist and a haematology registrar are available on call. The assessor will run the clock and feed you new observations. [1]

Candidate instruction. Lead the management of sickle cell crisis with acute chest syndrome in pregnancy. Verbalise your drug orders with doses, your escalation triggers, your transfusion decisions, and your communication with the patient and team. [1][3]

Obstetrics & Gynaecology Pro

Continue reading

You have read the opening of this case. The complete unit — every section and its primary-source references — is part of the Obstetrics & Gynaecology fellowship library.

Sign in to continueSee pricing
References6ShowHide
  1. [1]Oteng-Ntim E, Pavord S, Howard R, et al. Management of sickle cell disease in pregnancy. A British Society for Haematology Guideline Br J Haematol, 2021.PMID 34409598
  2. [2]Oteng-Ntim E, Meeks D, Seed PT, Webster L, Howard J, Doyle P, Chappell LC Adverse maternal and perinatal outcomes in pregnant women with sickle cell disease: systematic review and meta-analysis Blood, 2015.PMID 25800049
  3. [3]Chou ST, Alsawas M, Fasano RM, Field JJ, Hendrickson JE, Howard J, Kameka M, Kwiatkowski JL, Pirenne F, Shi PA, Stowell SR, Thein SL, Westhoff CM, Wong TE, Akl EA American Society of Hematology 2020 guidelines for sickle cell disease: transfusion support Blood Adv, 2020.PMID 31985807
  4. [4]Boulet SL, Okoroh EM, Azonobi I, Grant A, Craig Hooper C Sickle cell disease in pregnancy: maternal complications in a Medicaid-enrolled population Matern Child Health J, 2013.PMID 23315242
  5. [5]Howard RJ, Lillis C, Tuck SM Contraceptives, counselling, and pregnancy in women with sickle cell disease BMJ, 1993.PMID 8343632
  6. [6]Taher AT, Iolascon A, Matar CF, Bou-Fakhredin R, de Franceschi L, Cappellini MD, Barcellini W, Russo R, Andolfo I, Tyan P, Gulbis B, Aydinok Y, Anagnou NP, Bencaiova GA, Tamary H, Martinez PA, Forni G, Vindigni R Recommendations for Pregnancy in Rare Inherited Anemias HemaSphere, 2020.PMID 32885142
Obstetrics & Gynaecology Pro

$29/ monthor $279 / year

The complete Obstetrics & Gynaecology library, every exam format, one subscription.

  • Complete library for one chosen specialty
  • Timed MCQ mock exams and spaced review
  • Clinical cases & cross-table vivas
See pricingSign in
PreviousLate-presenting severe iron deficiency at 32 weeks — management stationAntenatal care — haematological disordersNextLeading a morbidity and mortality review after a hypoxic event — governance and leadership stationProfessional practice — clinical governance, quality and patient safety