Document Detail


Successful pregnancy outcome with cardiac and severe restrictive lung disease requiring mechanical ventilation: a case report and literature review.
MedLine Citation:
PMID:  11332423     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The prognosis for pulmonary hypertension as a single entity is poor, but when it is superimposed on the physiological changes of pregnancy, it produces a lethal condition, with maternal mortality rates greater than 50%. We present a successfully managed case followed by a review and discussion of the available literature on this subject. A 24-year-old woman, a primigravida, was mechanically ventilated for severe restrictive lung disease. Her pregnancy required close surveillance of her labile cardiopulmonary status as well as fetal well-being. Her delivery was scheduled for induction at 34 weeks' gestation, but she required an emergency Cesarean section, which was productive of a healthy infant. Her recovery was complicated by recurrent fever. There is limited literature on restrictive lung disease and pulmonary hypertension with regards to their management during pregnancy. Nevertheless, successful pregnancy outcomes may result with careful multidisciplinary management.
Authors:
C S Pope; T J Boley
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  The Journal of maternal-fetal medicine     Volume:  10     ISSN:  1057-0802     ISO Abbreviation:  J Matern Fetal Med     Publication Date:  2001 Feb 
Date Detail:
Created Date:  2001-05-02     Completed Date:  2001-08-23     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9211288     Medline TA:  J Matern Fetal Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  64-7     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Baystate Medical Center, Tufts University School of Medicine, Springfield, Massachusetts 01199, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Cesarean Section
Fatal Outcome
Female
Humans
Hypertension, Pulmonary / complications,  therapy*
Infant, Newborn
Lung Diseases, Obstructive / complications,  therapy*
Pregnancy
Pregnancy Complications, Cardiovascular / therapy*
Pregnancy Outcome
Respiration, Artificial*

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