Acute Postpartum Pulmonary Edema in a 32-Year-Old Woman Five Days after Cesarean Delivery.
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Date
2013-07
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Abstract
Acute dyspnea after pregnancy is a rare presentation, and a number of important conditions
may accompany it. Pulmonary embolism, amniotic fluid embolism, pneumonia, aspiration and
pulmonary edema are some of the potential causes that must be considered. The percentage of
pregnancies that are complicated by acute pulmonary edema has been estimated 0.08%. The
most common contributing factors include the administration of tocolytic agents, underlying
cardiac disease, iatrogenic fluid overload and preeclampsia. Here we report a case of 32-
year-old woman of 5th postpartum day following lower uterine cesarean section with acute
dyspnea from her first pregnancy who was admitted in coronary care unit with history of one
episode of raised blood pressure 160/90 mm Hg and cough on 1st postoperative day. Clinical
examination and relevant investigations explored that it was a case of bilateral pulmonary
edema. Patient was kept in ventilator and was treated with nitroglycerine (GTN), frusemide
and ACE inhibitor. After diuresis, considerable improvement was observed in her respiratory
status. From the 4th day, the patient became hemodynamically stable and was weaned off the
ventilator. After five days, all the biochemical parameters became normal and she had no
dyspnea.
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Keywords
Acute postpartum pulmonary edema, Cesarean delivery
Citation
Khan Masuda Islam, Ahmed Nasir Uddin, Khan Md Shahabuddin. Acute Postpartum Pulmonary Edema in a 32-Year-Old Woman Five Days after Cesarean Delivery. Journal of Enam Medical College. 2013 Jul; 3(2): 113-116.