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KMID : 0604020040190020143
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Korean Journal of Critical Care Medicine
2004 Volume.19 No. 2 p.143 ~ p.147
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Labor Analgesia Epidural Blockade in Parturient with Peripartum Cardiomyopathy -A Case Report-
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류태하/Ryu TH
정재훈/임동건/김시오/Jeong JH/Lim DG/Kim SO
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Abstract
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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.
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