Goyal Sunita, Khanna Pooja
J Indian Med Assoc. 2013 Oct;111(10):702-3.
Peripartum cardiomyopathy remains a rare but troubling complication of pregnancy. The cardiovascular stress of labour and delivery may lead to cardiac decompensation. These patients require special anaesthetic care during labour and delivery. Compensated patients may undergo vaginal delivery with appropriate monitoring. For those patients late in pregnancy with more significant haemodynamic compromise, consideration should be given to elective caesarean section with invasive haemodynamic monitoring of the mother. We report two antenatal cases of peripartum cardiomyopathy where a near miss situation was avoided by doing an emergency caesarean section.
围产期心肌病仍然是一种罕见但令人困扰的妊娠并发症。分娩时的心血管压力可能导致心脏代偿失调。这些患者在分娩时需要特殊的麻醉护理。病情得到代偿的患者可在适当监测下进行阴道分娩。对于那些妊娠晚期血流动力学受损更严重的患者，应考虑进行选择性剖宫产，并对母亲进行有创血流动力学监测。我们报告了两例围产期心肌病的产前病例，通过紧急剖宫产避免了险些发生的严重后果。
