Sickle cell crisis
→ It is characterized by intense bone pain due to intense sequestration of sickled erythrocytes & infarction in various organs.
→ Pregnancy can precipitate sickle cell crisis in both women with sickle cell trait and sickle cell disease.
→ IV fluids, O2
→ Epidural analgesia
Note: Red cell transfusion after the onset of pain do not have much benefit but prophylactic transfusions before the crisis, helps in decreasing the pain and shortening the duration of crisis.