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Korean J Crit Care Med > Volume 19(2); 2004 > Article
Korean Journal of Critical Care Medicine 2004;19(2): 143-147.
Labor Analgesia with Epidural Blockade in Parturient with Peripartum Cardiomyopathy: A Case Report
Tae Ha Ryu, Jae Hoon Jeong, Dong Gun Lim, Si Oh Kim
Department of Anesthesiology and Pain Medicine, College of Medicine, Kyungpook National University, Daegu, Korea. dglim@knu.ac.kr
ABSTRACT
Peripartum cardiomyopathy (PPCM) is an unusual and uncommon causes of antepartum and postpartum heart failure, which may result in severe cardiac failure and death. PPCM is often unrecognized as symptoms of normal pregnancy commonly mimic those of mild heart failure but can rapidly progress to cardiac failure. We presented a case of elective labor induction in a patient with peripartum cardiomyopathy. A epidural analgesia technique was performed without difficulty for labor analgesia in parturient with peripartum cardiomyopathy. Her post-delivery course was uncomplicated but her baby has died due to respiratory failure. We suggest that vaginal delivery with careful incremental epidural alnalgesia in patient with PPCM is acceptable methods and close peripartum monitoring is essential in the management of PPCM.
Key Words: Cardiomyopathy; Epidural block; Labor analgesia; Peripartum
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