TY  - CHAP
M1  - Book, Section
TI  - Pulmonary Edema in Pregnancy
A1  - Farrer, Jason
A1  - Sullivan, John T.
A2  - Pacheco, Luis D.
A2  - Saade, George R.
A2  - Hankins, Gary D.V.
Y1  - 2015
N1  - 
T2  - Maternal Medicine
AB  - Pulmonary  edema  is  defined  as  the  abnormal  accumulation  of  fluid  in  the  interstitial  and  alveolar  spaces  of  the  lung.  This  accumulation  can  ultimately  impair  gas  exchange  by  leading  to  decreased  diffusion  of  carbon  dioxide  and  oxygen  in  the  alveoli.  The  resulting  impact  on  oxygenation  and  ventilation  carries  significant  morbidity  and  has  the  potential  to  be  life  threatening  if  severe.1  It  is  important  to  note  that  pulmonary  edema  is  a  clinical  symptom  that  represents  the  manifestations  of  several  distinct  pathological  processes.  In  the  setting  of  pregnancy,  pulmonary  edema  is  relatively  rare,  but  it  can  present  in  patients  in  the  antepartum,  intrapartum,  and  postpartum  periods.2  Maternal  pulmonary  edema  is  particularly  concerning  as  the  parturient  already  has  decreased  pulmonary  functional  reserve  because  of  the  physiologic  changes  associated  with  pregnancy,  increased  metabolic  needs,  and  the  gestating  fetus  is  less  able  to  tolerate  a  hypoxic  maternal  environment.  Furthermore,  several  coexisting  maternal  conditions  and  complications,  such  as  underlying  cardiac  disease,  preeclampsia,  sepsis,  multiple  gestations,  as  well  as  routinely  used  treatments  (eg,  tocolysis)  can  lead  to  the  development  of  pulmonary  edema  or  worsen  the  severity  of  the  condition.2,3  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/23
UR  - obgyn.mhmedical.com/content.aspx?aid=1115519325
ER  -