Prashiddha Bikram Kadel

Vascular Unit, Department of Cardiothoracic Vascular Center, Manmohan Cardiothoracic Vascular and Transplant Center, Maharajgunj, Kathmandu, Nepal

Introduction:
Pulmonary embolism is a fatal condition leading to loss of life if delay in treatment and diagnosis is present. Every year many patients present to tertiary centre with features suggestive of pulmonary embolism and a large proportion belong to postpartum pulmonary embolism. Due to the hyper coagulable state during pregnancy, pregnant and postpartum females are more prone to pulmonary embolism.
Methods:
All the patients records who were diagnosed as pulmonary embolism admitted in Manmohan Cardiothoracic Vascular and Transplant Center between Baisakh 2070 to Poush 2077 were investigated and observational cross-sectional study of patient population on the basis of demography, parity, day of diagnosis of postpartum Pulmonary embolism and modes of delivery was done.
Objectives:
To categorize the patients with pulmonary embolism, to calculate the fraction of patients with diagnosis of postpartum pulmonary embolism, to define the various clinical signs and symptoms with which the patients with PE presented, relation of pulmonary embolism to postpartum day and parity.
Results:
A total of 198 patients were admitted in Manmohan Cardiothoracic Vascular and Transplant Centre, among them a total of 19 patients (9.59%) had Postpartum pulmonary embolism. Most common symptom of Postpartum PE was sudden onset dyspnea (89.47%). Majority of patient with post partum PE were primipara (42.1%) followed by second parity (36.8%). Majority of Postpartum PE had cesarean section (57.9%Vs 42.1%) mode of delivery as compared to normal vaginal delivery. The time of presentation of patients with pulmonary embolism who had undergone lower section cesarean section was (4.18± 2.75 days VS 14.25±3.7 days) in comparison to normal vaginal delivery.
Conclusion:
Postpartum pulmonary embolism represents a fraction of pulmonary embolism. Primigravida are more likely to present with postpartum pulmonary embolism with susceptible time within 4 weeks of delivery.

Pulmonary Embolism, Postpartum.

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VOLUME 04 ISSUE 11 NOVEMBER 2021