PREGNANCY AND DELIVERY IN A PATIENT WITH RESENT PERIPARTUM CARDIOMYOPATHY

We present a case of successful pregnancy and delivery in a patient wi th peripartum cardiomyopathy who conceived only 3 months after a vagin al delivery complicated by peripartum cardiomyopathy. Following the on set of labor, an arterial pressure catheter and pulmonary artery cathe ter were placed. A combined epidural spinal technique was performed wi thout difficulty for labor analgesia, After a few hours of labor, the fetal heart rate tracing revealed repetitive variable decelerations, a nd a decision was made to proceed with operative delivery. The mother' s hemodynamic changes are presented, and the specifics of the anesthet ic care are outlined.