Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-55f67697df-bzg56 Total loading time: 0 Render date: 2025-05-12T12:05:12.767Z Has data issue: false hasContentIssue false

18 - Pregnancy-Associated Pulmonary Oedema

from Section 4 - Pulmonary Conditions Related to Pregnancy

Published online by Cambridge University Press:  14 April 2020

By
Lisa E. Moore
Edited by
Stephen E. Lapinsky  and
Lauren A. Plante
Stephen E. Lapinsky
Affiliation:
Mount Sinai Hospital, Toronto
Lauren A. Plante
Affiliation:
Drexel University Hospital, Philadelphia
Get access

Summary

Pulmonary oedema (PED) is an accumulation of fluid in the lung interstitium and alveoli. PED is typically divided into cardiogenic and non-cardiogenic mechanisms. Cardiogenic PED, or congestive heart failure, occurs when the heart is unable to pump the blood returning from the lungs to the body effectively, either as a result of intrinsic heart dysfunction or external effects such as hypertension causing increased afterload. Non-cardiogenic PED, also known as acute respiratory distress syndrome (ARDS), occurs due to changes in capillary membrane permeability, resulting in the accumulation of fluid in the alveoli and interstitium. PED complicates between 0.08% and 0.5% of pregnancies.

Type
Chapter
Information
Respiratory Disease in Pregnancy , pp. 171 - 176
Publisher: Cambridge University Press
Print publication year: 2020

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Book purchase

Temporarily unavailable

References

Sciscione, AC, Ivester, T, Largoza, J, et al. Acute pulmonary edema in pregnancy. Obstet Gynecol. 2003 101(3):511–15.Google Scholar
O’Dwyer, SL, Gupta, M, Anthony, J. Pulmonary edema in pregnancy and the puerperium: a cohort study of 53 cases. J Perinatal Med. 2015 43(6):675–81.CrossRefGoogle ScholarPubMed
Serena, C, Begot, E, Cros, J, et al. Nicardipine-induced acute pulmonary edema: a rare but severe complication of tocolysis. Case Rep Crit. 2014 2014:242703.Google ScholarPubMed
Xiao, C, Gangal, M, Abenhaim, HA.Effect of magnesium sulfate and nifedipine on the risk of developing pulmonary edema in preterm births. J Perinatal Med. 2014 42(5):585–9.Google Scholar
Gandhi, S, Sun, D, Park, AL,et al. The Pulmonary Edema Preeclampsia Evaluation (PEPE) Study. J Obstet Gynaecol Can 2014 36(12):1065–70.Google Scholar
Ogunyemi, D.Risk factors for acute pulmonary edema in preterm delivery, Eur J Obstet Gynecol Reprod Biol 2007 133(2):143–7.CrossRefGoogle ScholarPubMed
Samol, JM, Lambers, DS. Magnesium sulfate tocolysis and pulmonary edema: the drug or the vehicle? Am J Obstet Gynecol. 2005 192(5):1430–2.CrossRefGoogle ScholarPubMed
Torgersen, KL, Curran, CA. A systematic approach to the physiologic adaptations of pregnancy. Crit Care Nurs Quart 2006 29(1):2–19.Google Scholar
Poggi, SH, Barr, S, Cannum, R, et al. Risk factors for pulmonary edema in triplet pregnancies. J Perinatol. 2003 23(6):462–5.CrossRefGoogle ScholarPubMed
Masue, T, Shimonaka, H, Terazawa, E, et al. Prediction of patients with higher order multifetal pregnancy at risk for postpartum pulmonary edema. Eur J Obstet Gynecol Reprod Biol. 1998 81(1):33–6.Google Scholar
Ker, JA, Soma-Pillay, P. NT-proBNP: when is it useful in obstetric medicine? Obstet Med. 2018 11(1):3–5.Google Scholar
Hameed, AB, Chan, K, Ghamsary, M, Elkayam, U. Longitudinal changes in the B-type natriuretic peptide levels in normal pregnancy and postpartum Clin Cardiol. 2009 32(8):E60–2.Google Scholar
Tanous, D, Siu, SC, Mason, J, et al. B-type natriuretic peptide in pregnant women with heart disease. J Am Coll Cardiol. 2010 56(15):1247–53.CrossRefGoogle ScholarPubMed
Ware, LB, Matthay, MA. Clinical practice: acute pulmonary edema. N Engl J Med. 2005 353(26):2788–96.Google Scholar
Sosnowski, MA. Review article: lack of effect of opiates in the treatment of acute cardiogenic pulmonary oedema. Emerg Med Aus. 2008 20(5):384–90.Google Scholar
Ellingsrud, C, Agewall, S. Morphine in the treatment of acute pulmonary oedema: why?, Int J Cardiol 2016 202:870–3.CrossRefGoogle ScholarPubMed
Binanay, C. Califf, R.M. Hasselblad, V. et al. Evaluation study of congestive heart failure and pulmonary artery catheterization effectiveness: the ESCAPE trial J Am Med Assoc. 2005 294(13):1625–33.Google Scholar
Kahwash, R, Leier, CV, Miller, L. Role of the pulmonary artery catheter in diagnosis and management of heart failure. Cardiol Clin. 2011 29(2):281–8.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×