Three Cases of Peripartum Cardiomyopathy

Lam, Tsk; Lo, CM; Kam, Cw

doi:10.1177/102490790801500406

Cited by 3 publications

(3 citation statements)

References 10 publications

(28 reference statements)

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“…62,63,[69][70][71] The cardiovascular category also had the highest number of cases that were associated with maternal mortality (n ¼ 3). 48,54,72 The other five cases of maternal mortality were due to pheochromocytoma, malignant fibrous histiocytoma, concomitant central venous thrombosis and pulmonary thromboembolism, missed abortion, and status asthmaticus. Patients most commonly presented within the first 3 months of postpartum.…”

Section: Resultsmentioning

confidence: 99%

“…Of the 108 case reports ( Supplementary Table S1 , available in the online version), 37% dealt with cardiovascular disease, including aortic dissection, 48 peripartum cardiomyopathy, 15 49 50 51 52 53 54 55 56 spontaneous coronary artery dissection, 48 57 58 59 60 61 62 63 64 65 66 67 68 and ST-elevation myocardial infarction. 62 63 69 70 71 The cardiovascular category also had the highest number of cases that were associated with maternal mortality ( n = 3).…”

Section: Resultsmentioning

confidence: 99%

“…42,43 Implementation of postpartum clinics or home visits did not tend to have an effect, [44][45][46] although women at risk for depression who self-excluded from home visits were more likely to visit an ED. 47 Of the 108 case reports (►Supplementary Table S1, available in the online version), 37% dealt with cardiovascular disease, including aortic dissection, 48 peripartum cardiomyopathy, 15,[49][50][51][52][53][54][55][56] spontaneous coronary artery dissection, 48,[57][58][59][60][61][62][63][64][65][66][67][68] and ST-elevation myocardial infarction. 62,63,[69][70][71] The cardiovascular category also had the highest number of cases that were associated with maternal mortality (n ¼ 3).…”

Section: D-dimers and Clinical Decision Rules To Address The Likeliho...mentioning

confidence: 99%

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Care of the Postpartum Patient in the Emergency Department: A Systematic Review with Implications for Maternal Mortality

Mitchell

Haddock

Husainy³

et al. 2021

Am J Perinatol

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Objective Approximately one-third of maternal deaths occur postpartum. Little is known about the intersection between the postpartum period, emergency department (ED) use, and opportunities to reduce maternal mortality. The primary objectives of this systematic review are to explore the incidence of postpartum ED use, identify postpartum disease states that are evaluated in the ED, and summarize postpartum ED use by race/ethnicity and payor source. Study Design We searched PubMed, Embase, Cumulative Index of Nursing and Allied Health Literature (CINAHL), ClinicalTrials.gov, Cochrane CENTRAL, Social Services Abstracts, and Scopus from inception to September 19, 2019. Each identified abstract was screened by two authors; the full-text manuscripts of all studies deemed to be potential candidates were then reviewed by the same two authors and included if they were full-text, peer-reviewed articles in the English language with primary patient data reporting care of a female in the ED in the postpartum period, defined as up to 1 year after the end of pregnancy. Results A total of 620 were screened, 354 records were excluded and 266 full-text articles were reviewed. Of the 266 full-text articles, 178 were included in the systematic review; of these, 108 were case reports. Incidence of ED use by postpartum females varied from 4.8 to 12.2% in the general population. Infection was the most common reason for postpartum ED evaluation. Young females of minority race and those with public insurance were more likely than whites and those with private insurance to use the ED. Conclusion As many as 12% of postpartum women seek care in the ED. Young minority women of lower socioeconomic status are more likely to use the ED. Since approximately one-third of maternal deaths occur in the postpartum period, successful efforts to reduce maternal mortality must include ED stakeholders. Systematic Review Registration CRD42020151126. Key Points

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