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Related Experiment Videos

Pleural disease in pregnancy.

J E Heffner1, S A Sahn

  • 1Medical Critical Care, St. Joseph's Hospital and Medical Center, Phoenix, Arizona.

Clinics in Chest Medicine
|December 1, 1992
PubMed
Summary
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Pregnancy can cause pleural effusions, pneumomediastinum, and pneumothorax. This review examines their incidence, symptoms, and treatments to prevent misdiagnosis during labor.

Area of Science:

  • Obstetrics and Gynecology
  • Pulmonary Medicine
  • Critical Care Medicine

Background:

  • Pleural effusions, pneumomediastinum, and pneumothorax are recognized but infrequently reported complications during pregnancy.
  • These conditions pose diagnostic challenges, particularly during labor and delivery.
  • Existing literature is largely based on small case series and anecdotal reports.

Purpose of the Study:

  • To review the incidence, clinical manifestations, and therapeutic options for pleural effusions, pneumomediastinum, and pneumothorax in pregnancy.
  • To highlight the potential for misdiagnosis of these conditions during labor and delivery.
  • To consolidate current knowledge and guide clinical management.

Main Methods:

  • Comprehensive literature review of reported cases and series.

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  • Analysis of incidence, presenting symptoms, and diagnostic findings.
  • Evaluation of treatment strategies and outcomes.

    • Main Results:

    • The incidence of these spontaneous pneumothorax events in pregnancy is not well-established but they are serious.
    • Clinical presentations can be nonspecific, mimicking other obstetric emergencies.
    • Management varies, often requiring multidisciplinary approaches.

    Conclusions:

    • Spontaneous pneumothorax, pneumomediastinum, and pleural effusions are significant obstetric complications.
    • Timely diagnosis and appropriate management are crucial to improve maternal and fetal outcomes.
    • Further research is needed to better define incidence and optimal treatment protocols.