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  • Title: Pneumomediastinum during the fourth stage of labor.
    Author: Zapardiel I, Delafuente-Valero J, Diaz-Miguel V, Godoy-Tundidor V, Bajo-Arenas JM.
    Journal: Gynecol Obstet Invest; 2009; 67(1):70-2. PubMed ID: 18843189.
    Abstract:
    Postpartum spontaneous pneumomediastinum (Hamman's syndrome) is a very rare event with an estimated incidence of 1 in 100,000 deliveries. It occurs mainly in the second stage of labor and is potentially lethal. We report the case of a 29-year-old primiparous woman during the immediate puerperium (Leff's fourth stage of labor) presenting with acute chest pain, dyspnea and petechiae. She was admitted to the intensive care unit with a suspected diagnosis of amniotic fluid embolism. A chest radiograph revealed a pneumomediastinum that finally resolved with oxygen therapy and supportive management in 3 days.
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