Acute Postpartum Pulmonary Edema in a 32-Year-Old Woman Five Days after Cesarean Delivery

Authors

  • Masuda Islam Khan Department of Obstetrics & Gynecology, BIRDEM Hospital, Dhaka
  • Nasir Uddin Ahmed Department of Anesthesiology & Intensive Care Unit, National Institute of Traumatology & Orthopedic Rehabilitation (NITOR), Dhaka
  • Md. Shahabuddin Khan Coronary Care Unit, Al-Helal Specialized Hospital Ltd., Dhaka

DOI:

https://doi.org/10.3329/jemc.v3i2.16135

Keywords:

Acute postpartum pulmonary edema, Cesarean delivery,

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.

Journal of Enam Medical College; Vol 3 No 2 July 2013; Page 113-116

DOI: http://dx.doi.org/10.3329/jemc.v3i2.16135

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Published

2013-08-07

How to Cite

Khan, M. I., Ahmed, N. U., & Khan, M. S. (2013). Acute Postpartum Pulmonary Edema in a 32-Year-Old Woman Five Days after Cesarean Delivery. Journal of Enam Medical College, 3(2), 113–116. https://doi.org/10.3329/jemc.v3i2.16135

Issue

Section

Case Reports