Cesarean delivery for life-threatening status asthmaticus

Jamie O. Lo, Jonathan Boltax, Torri D. Metz

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Background: Asthma remains a common chronic illness in pregnancy with the potential for catastrophic complications. Most women with asthma exacerbation can be treated with medical management and continuation of pregnancy. However, refractory cases may necessitate delivery for fetal or maternal indications. Case: We report a case of status asthmaticus at 33 weeks of gestation with significant maternal respiratory acidosis and difficulty with ventilation necessitating delivery by cesarean delivery in the medical intensive care unit. The patient was unresponsive to standard medical therapies. Delivery resulted in immediate improvement in maternal ventilation parameters. Conclusion: In cases of life-threatening status asthmaticus refractory to standard medical and ventilatory therapies in the third trimester, cesarean delivery should be considered as a final effort to increase tidal volumes and improve maternal gas exchange.

Original languageEnglish (US)
Pages (from-to)422-424
Number of pages3
JournalObstetrics and gynecology
Volume121
Issue number2 PART 2
DOIs
StatePublished - Feb 1 2013

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ASJC Scopus subject areas

  • Obstetrics and Gynecology

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