Book contents
- Pregnancy Complications
- Pregnancy Complications
- Copyright page
- Contents
- Contributors
- Preface
- Note from the Editor-in-Chief
- Normal Laboratory Values (Conventional Units) []
- Section 1 Antepartum (Early Pregnancy)
- Section 2 Antepartum (Mid-trimester)
- Section 3 Antepartum (Late Pregnancy)
- Section 4 Antepartum (Medical Complications)
- Section 5 Antepartum (Infectious Complications)
- Section 6 Intrapartum/Delivery
- Section 7 Postpartum
- Case 63 A 20-Year-Old with Vaginal Bleeding and Enlarging Fundus Following a Cesarean Delivery
- Case 64 A 25-Year-Old with Post-cesarean Endometritis and Fever Unresponsive to Antibiotics
- Case 65 A 40-Year-Old with Severe Obesity and Painful Right Pedal Edema
- Case 66 A 20-Year-Old 3 Weeks’ Postpartum Presents with Anhedonia and Insomnia
- Case 67 A 40-Year-Old 1 Week after Vaginal Delivery Presents with Shortness of Breath and Orthopnea
- Case 68 A 30-Year-Old with Postural Headache 12 Hours after a Vaginal Delivery with Use of an Epidural
- Case 69 A 35-Year-Old Develops Agitation, Dyspnea, Hypotension, and Cardiovascular Collapse Immediately Postpartum
- Case 70 A 25-Year-Old Presents with Bright Red Vaginal Bleeding 3 Weeks’ Postpartum
- Case 71 A 25-Year-Old Presents Immediately Postpartum with Severe Pubic Pain Limiting Ambulation
- Case 72 A 20-Year-Old with Right Breast Pain and Fever while Breast-Feeding
- Case 73 A 25-Year-Old 6 Hours’ Postpartum with Severe Hypertension, Seizures, and Confusion
- Section 8 Fetal Complications
- Section 9 Placental Complications
- Section 10 Complications of the Cord, Amnion, and Gravid Uterus
- Section 11 Psychosocial Considerations
- Index
- References
Case 67 - A 40-Year-Old 1 Week after Vaginal Delivery Presents with Shortness of Breath and Orthopnea
from Section 7 - Postpartum
Published online by Cambridge University Press: 08 April 2025
Book contents
- Pregnancy Complications
- Pregnancy Complications
- Copyright page
- Contents
- Contributors
- Preface
- Note from the Editor-in-Chief
- Normal Laboratory Values (Conventional Units) []
- Section 1 Antepartum (Early Pregnancy)
- Section 2 Antepartum (Mid-trimester)
- Section 3 Antepartum (Late Pregnancy)
- Section 4 Antepartum (Medical Complications)
- Section 5 Antepartum (Infectious Complications)
- Section 6 Intrapartum/Delivery
- Section 7 Postpartum
- Case 63 A 20-Year-Old with Vaginal Bleeding and Enlarging Fundus Following a Cesarean Delivery
- Case 64 A 25-Year-Old with Post-cesarean Endometritis and Fever Unresponsive to Antibiotics
- Case 65 A 40-Year-Old with Severe Obesity and Painful Right Pedal Edema
- Case 66 A 20-Year-Old 3 Weeks’ Postpartum Presents with Anhedonia and Insomnia
- Case 67 A 40-Year-Old 1 Week after Vaginal Delivery Presents with Shortness of Breath and Orthopnea
- Case 68 A 30-Year-Old with Postural Headache 12 Hours after a Vaginal Delivery with Use of an Epidural
- Case 69 A 35-Year-Old Develops Agitation, Dyspnea, Hypotension, and Cardiovascular Collapse Immediately Postpartum
- Case 70 A 25-Year-Old Presents with Bright Red Vaginal Bleeding 3 Weeks’ Postpartum
- Case 71 A 25-Year-Old Presents Immediately Postpartum with Severe Pubic Pain Limiting Ambulation
- Case 72 A 20-Year-Old with Right Breast Pain and Fever while Breast-Feeding
- Case 73 A 25-Year-Old 6 Hours’ Postpartum with Severe Hypertension, Seizures, and Confusion
- Section 8 Fetal Complications
- Section 9 Placental Complications
- Section 10 Complications of the Cord, Amnion, and Gravid Uterus
- Section 11 Psychosocial Considerations
- Index
- References
Summary
Peripartum cardiomyopathy (PPCM) is a rare cause of heart failure in the last month of pregnancy or within 5 months postpartum. Symptoms of PPCM can often be mistaken for normal pregnancy symptoms, which may delay the diagnosis. After a thorough history and physical examination are performed, a transthoracic echocardiogram should be ordered in any patient in which PPCM is suspected. A multidisciplinary approach to care is essential and should include maternal-fetal medicine and cardiology input. Treatment and management are usually supportive and directed toward immediately managing the signs and symptoms of heart failure as well as improving blood flow to vital organs and reducing fluid overload.
Keywords
- Type
- Chapter
- Information
- Pregnancy ComplicationsA Case-Based Approach, pp. 205 - 207Publisher: Cambridge University PressPrint publication year: 2025
References
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