Systemic lupus erythematosus is characterized by chronic, inflammatory, multi-organ symptoms caused by immune complexes and auto antibodies. The disease is having wide clinical presentation involving cardiovascular system, respiratory system, gastrointestinal system, renal, hematologic, central nervous system, musculoskeletal and dermatologic system pathologies. Commonly the onset of this disease is in the third to fourth decade of life. In pregnancy systemic lupus erythematosus may exacerbate causing spontaneous abortions, intrauterine death, pre-eclampsia and eclampsia, intrauterine growth retardation, preterm delivery. This case report summarizes the peri-operative course and anaesthetic management in a parturient with SLE with bad obstetric history who underwent elective caesarean section [LSCS].

Keywords: Autoimmune; LSCS; Pregnancy; Systemic Lupus Erythematosus; ANA.