Pneumomediastinum during the fourth stage of labor.

Gynecol. Obstet. Invest. · Jan 2009

Case Reports

Pneumomediastinum during the fourth stage of labor.

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. ⋯ 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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- Ignacio Zapardiel, Jesus Delafuente-Valero, Virginia Diaz-Miguel, Veronica Godoy-Tundidor, and Jose Manuel Bajo-Arenas.
- Obstetrics and Gynecology Department, Santa Cristina University Hospital, Madrid, Spain. ignaciozapardiel@hotmail.com
- Gynecol. Obstet. Invest. 2009 Jan 1; 67 (1): 70-2.
AbstractPostpartum 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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Pneumomediastinum during the fourth stage of labor.

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