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International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure
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Pneumomediastinum during the fourth stage of labor

Ignacio Zapardiel1, Jesus Delafuente-Valero, Virginia Diaz-Miguel

  • 1Obstetrics and Gynecology Department, Santa Cristina University Hospital, Madrid, Spain. ignaciozapardiel@hotmail.com

Gynecologic and Obstetric Investigation
|October 10, 2008
PubMed

Postpartum spontaneous pneumomediastinum (Hamman's syndrome) is a very rare event with an estimated incidence of 1 in 100,000 deliveries. It occurs mainly in the second stage of labor and is potentially lethal. We report the case of a 29-year-old primiparous woman during the immediate puerperium (Leff's fourth stage of labor) presenting with acute chest pain, dyspnea and petechiae. She was admitted to the intensive care unit with a suspected diagnosis of amniotic fluid embolism. A chest radiograph revealed a pneumomediastinum that finally resolved with oxygen therapy and supportive management in 3 days.

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