ABSTRACT
Wernicke’s encephalopathy, central pontine myelinosis,4 rhabdomyolysis, peripheral neuropathy (from electrolyte and vitamin deficiencies), pneumomediastinum, Mallory-Weiss tears and oesophageal rupture (from pressures on oesophagus),5 pulmonary embolism and deep vein thrombosis (from immobility and haemoconcentration) have been reported, ultimately resulting in maternal deaths.6 The main impact on the fetus if electrolyte imbalances have occurred in a HG pregnancy is that of low birthweight.7 Fetal death occurs in approximately 40% of women who develop Wernicke’s encephalopathy.4
