Obstetrics Cases From THE PITT

Judith Lastrade

10/10 headache and blurred vision at 36-37 weeks gestation

Judith Lastrade is a G1P0 female at approximately 36-37 weeks gestation who presents via EMS with a 2-day history of a worsening headache, now rated 10/10, accompanied by blurred vision and significant pitting edema. She has had a 'wild pregnancy' with absolutely no prenatal care, intending to have a 'free birth' without medical intervention. Symptoms were completely refractory to pre-hospital fentanyl administration.