Conservative Management of a Case of Peripartum Cardiomyopathy in a Young Multigravida

TL;DR

A young woman with peripartum cardiomyopathy was successfully treated with conservative management, resulting in a good outcome for both mother and baby.

Contribution

The paper presents a rare case of PPCM in a young multigravida managed conservatively with positive results.

Findings

The patient developed PPCM intraoperatively during a cesarean section.

Conservative management led to minimal morbidity and a favorable maternal and perinatal outcome.

Prompt diagnosis and treatment are crucial for reducing mortality in PPCM cases.

Abstract

Peripartum cardiomyopathy (PPCM) is a rare disorder that generally affects the elderly multigravida females. It is a type of dilated cardiomyopathy that generally affects the last trimester of pregnancy or early postpartum period. Several risk factors are associated with the development of PPCM. Even though PPCM has greater morbidity, if managed promptly, it can be reverted with minimal morbidity or mortality. We present a case of a young woman, multigravida, with moderate anemia corrected, who was taken for emergency lower segment cesarean section, without previous cardiac evaluation, and ended up with pulmonary edema intraoperatively. Later on, her evaluation was done which came out to be PPCM. She was managed conservatively thereafter with no significant morbidity and a good maternal and perinatal outcome. We should be alert in diagnosing a case of PPCM with prompt treatment to reduce mortality. Cardiovascular conditions cause approximately 26 percent of pregnancy-related deaths which include valvular heart disease and congenital heart disease. Appropriate diagnosis and management are necessary for preventing mishaps.

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