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- Title
A parturient with acute myocardial infarction during labour for management of labour analgesia and obstetric anesthesia during emergency caesarean delivery.
- Authors
Chavan, Surekha S.; Joshi, Shweta; Chavan, Madhu; Chavre, Priya
- Abstract
Acute myocardial infarction (AMI) during pregnancy is rare emergency, having potential risk for adverse fetomaternal outcomes. AMI accounts for 5.6% of the people under 40 years and females being only 0.7%. During pregnancy incidence is 1:10,000 to 1:30,000. During entire pregnancy, third trimester is the period where AMI is more common. Till 2005 around 230-250 AMI during pregnancy are reported in literature since 1920, but none is reported of AMI during labour. High index of suspicion and early diagnosis is a keystone for favourable fetomaternal outcome along with multidisciplinary team approach during management of parturient with AMI. We report a case of 28 year old parturient (G3P2L2 with 37weeks of gestation) admitted in active labour with breathlessness, chest pain diagnosed with AMI. She was posted for labour analgesia and converted into emergency caesarean section because of foetal distress.
- Subjects
MYOCARDIAL infarction; LABOR (Obstetrics); CESAREAN section; ANESTHESIA in obstetrics; FETAL distress; ANALGESIA
- Publication
Indian Journal of Basic & Applied Medical Research, 2020, Vol 10, Issue 1, p25
- ISSN
2250-284X
- Publication type
Article
- DOI
10.36848/IJBAMR/2020/16215.55528