A Case of Postpartum Pulmonary Edema Induced by Oxytocin

Abstract

Postpartum dyspnea can be due to many causes, such as pulmonary embolism, amniotic fluid embolism, peripartum cardiomyopathy, but less frequently due to acute pulmonary edema. The incidence of acute pulmonary edema during pregnancy and in the postpartum period has been estimated to be around 0.08%. About half of the cases are attributed to tocolytic therapy. Herein, we present a case of a young woman presenting with acute hypoxia after induction of labor with oxytocin and found to have acute pulmonary edema. This case aims to illustrate and add to a growing body of literature regarding oxytocin-induced acute pulmonary edema and highlights the importance of recognizing the rare complication of oxytocin and necessary interventions to avoid complications. Oxytocin-induced pulmonary edema is a relatively uncommon condition, but physicians should have a high index of suspicion to initiate timely intervention and to avoid fetal complications.

Acute Pulmonary Edema During a Cesarean Delivery After an Adverse Drug Event

“…APEd has been traditionally classified as cardiogenic or noncardiogenic, with the difference based on the protein concentration of the transudate [3][4][5]. However, an intermediate type of pulmonary edema has been described, which has been hypothesized to be the result of a two-stage process [6].…”