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27th August 2023

A 35-year-old woman is in labour at term when she suddenly becomes unresponsive

A 35-year-old woman is in labour at term when she suddenly becomes unresponsive. Her blood pressure drops to 70/40 mmHg, and her heart rate is 135 bpm. On examination, you note generalised petechiae. Her blood tests show thrombocytopenia, prolonged prothrombin time and activated partial thromboplastin time, increased fibrin degradation products, and decreased fibrinogen.

What is the most likely diagnosis?

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