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International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure
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Published on: March 12, 2020

Spontaneous subcutaneous emphysema and pneumomediastinum during second stage of labour

Andrew McGregor1, Christopher Ogwu, Talat Uppal

  • 1Newcastle upon Tyne NHS Foundation Trust, Newcastle upon Tyne, UK. andrew.mcgregor@gmail.com

BMJ Case Reports
|June 14, 2012
PubMed

A 27-year-old healthy primigravida presented with spontaneous labour at 40 weeks gestation and proceeded to an unassisted vaginal delivery of a 3.2 kg infant. She immediately developed swelling in the neck and facial area associated with pleuritic chest pain. There was palpable crepitus throughout her anterior chest wall and neck. CT confirmed pneumomediastinum. She was managed with oxygen and analgesia in the intensive care unit and subsequently discharged with resolution of her symptoms. Postpartum pneumomediastinum with subcutaneous emphysema is treated conservatively after cardiac and embolic causes have been excluded; however, there is no consensus on the management of subsequent pregnancies.

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