Acute pulmonary oedema in pregnancy
Journal Title: JOURNAL OF MEDICAL COLLEGE CHANDIGARH - Year 2017, Vol 7, Issue 2
Abstract
Introduction:Acute pulmonary oedema (APE) in pregnancy is a common cause of maternal mortality. Early obstetric intervention if the fetal age is>28 weeks may improve the maternal and fetal outcome. Methods: Data of patients with a diagnosis of APE was collected retrospectively from Jan 2014 to July 2016. The data collected were diagnosis on admission, whether admitted to ward or ICU, gestational age, time interval between decompensation of the patient and intervention, mode of delivery, duration of ICU stay and maternal and foetal survival. For analysis, data was divided into: Group E: patients in whom obstetric intervention was done within 6 hours of decompensation and Group L: patients in whom obstetric intervention was done after 6 hours of decompensation. A p value of <0.05 was considered significant. Results: 30 patients (0.12%) were identified with a diagnosis of APE. Fifty three percent of the patients had a primary diagnosis of pregnancy induced hypertension (PIH) whereas 23.3% presented with a mixed picture of anaemia, peripartum cardiomyopathy and/ or PIH. The mean foetal age ranged from 31-39 weeks in group E and 28-39 weeks in group L. The mean ICU stay was significantly longer in patients of group L (6±3.57 days) as compared to 3±1.46 days in group E (p<0.01). Two mothers (p=0.48) and 10 babies (p<0.01) expired in Group L as compared to none in Group E. Conclusion: An early obstetric intervention in patients of acute pulmonary oedema due to any cause helps in significant reduction of maternal morbidity and foetal mortality.
Authors and Affiliations
Ranju Singh, Nishant Kumar, Aruna Jain
Keywords
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- EP ID EP312518
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