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Skip Navigation LinksHome > July 1980 - Volume 56 - Issue 1 > Maternal Pulmonary Edema Resulting from Betamimetic and Gluc...
Obstetrics & Gynecology:
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Maternal Pulmonary Edema Resulting from Betamimetic and Glucocorticoid Therapy

ARIAS, FERNANDO MD, PhD; KNIGHT, ALFRED B MD

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Abstract

Four cases are presented of maternal pulmonary edema occurring in patients who had no primary cardiac disease but who were receiving terbutaline and glucocorticoids or terbutaline alone for treatment of premature labor. Fluid overload was the event that triggered this decompensation. The physiologic high-output cardiac state of pregnancy is described and the manner in which betamimetic drugs and corticosteroids exacerbate this situation and cause congestive heart failure is shown. Methods of management to avoid this complication of premature labor therapy are suggested

(C) 1980 The American College of Obstetricians and Gynecologists

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