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Venous thromboembolic event in pregnancy is a rare but dreaded complication. When it occurs in labour, it presents with sudden severe fetal distress and maternal haemodynamic compromise. We present to you a case where in patient was taken up for emergency caesarean section for severe fetal distress. Intraoperative ECG showed right heart strain. Hence, an immediate bedside echocardiography was done in medical intensive care unit and it picked up a swirling thrombus in right atrium which immediately got dislodged to pulmonary vessels. Postcaesarean, we faced challenge of controlling active bleeding from atonic uterus with non-surgical techniques (Bakri balloon tamponade and uterine artery embolisation) before considering anticoagulation therapy for pulmonary embolism. The patient recovered well after anticoagulation treatment.

BACKGROUND We intended to assess the knowledge, attitude and practice of preventive measures followed against Covid-19 infection among pregnant women attending the antenatal clinic at K S Hegde Medical Academy, Mangalore. METHODS This cross-sectional study was conducted among the pregnant women attending antenatal clinic at K S Hegde Medical Academy, Mangalore, from July 1st 2020 to August 31st 2020. A validated questionnaire was provided to the patient. It consisted of 2 parts, demographic data, and 25 questions regarding knowledge, attitude, and practices. RESULTS Among 202 participants the overall knowledge, attitude and practice scores were 90.64 %, 97.33 % and 98.8 % respectively. CONCLUSIONS Majority of pregnant women demonstrated good knowledge, positive attitude and good practice regarding Covid-19 pandemic. KEY WORDS Covid-19, Knowledge, Attitude, Practice, Pandemic, India