Learn about acute pulmonary edema during pregnancy

Acute pulmonary edema is a common medical emergency in obstetric practice. Acute pulmonary edema in obstetrics usually occurs in patients with heart disease, high blood pressure, kidney disease or infections during pregnancy.

1.Changes in pregnancy

From the very beginning of having a baby, the mother begins to have the phenomenon of keeping water in the body. Water is retained and distributed evenly in the organization of soft tissues. Especially this phenomenon increases much in the last 10 weeks of pregnancy until labor, post-birth will decrease suddenly.

Plasma volume increases rapidly, most obviously from the 6th week until the 34th week and remains stable until birth. Plasma volume returns to normal after 6 weeks of post-production.

The heart rate of the pregnant woman increases with gestational age, an average increase of about 15%. Heart flow increases due to the high demand for oxygen for both the mother, the fetus and the appendix. The rate of velocity also increases due to the connection between the medley arterial system and the veins of the placenta. On the other hand, the position of the heart changes due to the large uterus, pushing the diaphragm upwards, which makes the heart from the longitudinal axis switch to a horizontal position. Thus, causing the blood vessels from the heart to slightly fold, as a result, the heart works in more difficult conditions before pregnancy.

2. Factors affecting acute pulmonary edema in pregnant women

Learn about acute pulmonary edema during pregnancy

Heart disease affects acute pulmonary edema in pregnant women
  • Heart disease

Depending on the condition of the mother's heart disease is severe or mild, the most typical is the stenosis of the mitral valve with a rate of 70-90% causing complications of acute pulmonary edema. The more narrow the degree, the more severe the disease and the more complications. The more damaged the heart valves, the worse the disease.

  • Number of previous births

Those who give birth for the first time have a lower risk of the disease than those who give birth several times.

  • Gestational age

The larger the pregnancy, the more cardiovascular events in obstetrics occur.

  • Gestational hypertension

Hypertension conditions in pregnancy, especially severe pre-seizures, acute pulmonary edema will have more favorable conditions to appear.

In addition, acute pulmonary edema is also encountered in cases of anemia, malnutrition, infection, kidney disease, drug poisoning or poisoning of other toxins …

3. Manifestations of acute pulmonary edema in pregnant women

3.1 Typical form

Manifested as a drama, the nature of which is rampant with the following symptoms:

  • Pregnant women with acute pulmonary edema will suddenly have difficulty breathing, increased breathing with a lot of cough.
  • Lips and fingertips, purple legs.
  • Mental panic, feelings of chest anger, cold sweats of limbs.
  • Heart beats fast, heart rate > 100 times per minute.
  • Blood pressure is often clamped or hypertension in pre-seizures, kidney diseases. However, hypotension may be encountered due to cardiovascular failure, which is a severe condition that demonstrates that the heart does not work to compensate in time and leads to acute respiratory failure.

3.2 Semi-level

  • Also appears with sudden shortness of breath, the sensation of itching of the neck. This disease is more common.

In addition, we may encounter the maximum that will progress very quickly within a few minutes. However, any clinical body of acute pulmonary edema gives the same bad dosage.

Note, acute pulmonary edema will usually have symptoms that are several hours or longer in advance. If early detection of these signs will be very beneficial in treatment and can prevent pulmonary edema from occurring.

4. How to treat acute pulmonary edema?

Learn about acute pulmonary edema during pregnancy

Intravenous administration of acute pulmonary edema

4.1 Acute pulmonary edema treatment

  • Position: place the patient upright, resting his back, to relax his legs on the support seat. This is a measure to reduce blood flow to the heart quickly and simply.
  • Oxygen breathing
  • Bandages forcing the root of the genus (3 3 3 3-erm) change every 15 minutes.
  • Intravenously drugs such as morphine, lasix, cedilanid.
  • If after 15 minutes there is no reduction then:
    • Extracts of blood but are not currently used regularly.
    • Blood pressure control.
  • In severe cases, it is possible to put in the inaoc administration sucking sputum, helping to breathe.

4.2 Obstetrics and gynecology

  • Obstetric treatment after acute pulmonary edema passes and the patient stabilizes again.
  • Small pregnancy under 28 weeks terminates the pregnancy by cesarean section, sterilization.
  • Pregnancy over 28 weeks, cesarean section, sterilization or a part-time cervical shear if the cause of acute pulmonary edema is heart and kidney disease.

5. Acute pulmonary edema prevention

  • Using painkillers, sedatives during labor, it is recommended to choose drugs that do not make the heart beat fast.
  • If possible, it is recommended to give a nervous anesthesia or regional anesthesia to support childbirth.
  • Adequate oxygen supply during labor and post-birth.
  • Avoid excessive post-birth bleeding. Limit the use of drugs that contract the uterus at this stage if post-birth blood bandages are not available.
  • Avoid cesarean section if there is no clear obstetrics and gynecology indicties.
  • Do not breastfeed when heart failure is too severe.

Choosing a tracking address, taking care of pregnancy health from pregnancy to welcoming your baby is important and brings many benefits for both mother and baby. At Share99 International Health Hub, we are currently providing a full maternity package, with this package pregnant mother and the whole family will be completely assured because Share99 is committed to bringing high quality of service with both love and dedication, making the journey of pregnancy and childbirth of mother become the most wonderful and happy thing.

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  • Acute pulmonary edema: Diagnosis and treatment
  • How dangerous is hypertension during pregnancy?
  • Signs of recognition of acute angulitis

About: Minh Quynh

b1ffdb54307529964874ff53a5c5de33?s=90&d=identicon&r=gI am the author of Share99.net. I had been working in Vinmec International General Hospital for over 10 years. I dedicate my passion on every post in this site.


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