Related Experiment Videos
Acute pulmonary edema in pregnancy
Anthony C Sciscione1, Thomas Ivester, Marissa Largoza
1Department of Obstetrics and Gynecology, Maternal-Fetal Medicine Division, Christiana Care Health Services, 4755 Ogletown-Stanton Road, Newark, DE 19718, USA. aciscione@christianacare.org
Obstetrics and Gynecology
|March 15, 2003
Summary
Pulmonary edema in pregnancy affects 0.08% of women, often linked to tocolytic use, cardiac issues, fluid overload, or preeclampsia. Early identification of these factors is crucial for maternal health.
Area of Science:
- Obstetrics and Gynecology
- Cardiology
- Critical Care Medicine
Background:
- Pulmonary edema is a serious condition that can occur during pregnancy.
- Identifying the causes and risk factors is essential for effective management.
Purpose of the Study:
- To determine the incidence of pulmonary edema in pregnant patients.
- To identify predisposing conditions and inciting factors leading to pulmonary edema.
Main Methods:
- A retrospective review of 62,917 pregnancies from 1989 to 1999.
- Analysis of maternal demographics, diagnoses, medications, gestational age, fluid balance, and coexisting illnesses.
Main Results:
- Pulmonary edema occurred in 51 women (0.08%), with a mean gestational age of 31.5 weeks.
- Common causes included tocolytic agents (25.5%), cardiac disease (25.5%), fluid overload (21.5%), and preeclampsia (18%).
- Patients with fluid overload had a significantly higher positive fluid balance (6022 mL).
Conclusions:
- Tocolytic agents, cardiac disease, fluid overload, and preeclampsia are the most frequent causes of pulmonary edema in pregnancy.
- Undiagnosed structural heart disease was noted in some cases.
- Multiple tocolytic agents were often used concurrently.