Acute oedema of the lung and pre-eclampsia about 15 cases

ABSTRACT

Our aim is to point out the relation between acute oedema of lung and pre-eclampsia and guidelines of care. All the patients were hospitalized in the intensive care unit of the university hospital center of Hassan II of Fez, for pre-eclampsia and eclampsia from January 2003 to March 2006. The authors report 15 cases of acute oedema of the lung [AOL] associated with pre-eclampsia. The average age was of 24 +/- 9 years. We noted 9 primipars, 6 cases of AOL occurred in delivery period. 10 cases of preeclampsia were detected, whereas it was associated to a cardiomyopathy of the peripartum and three rheumatic valvulopathies. The childbirth took place by Caesarean at 8 patients and 7 were confined by low way. 9 patientes required artificial ventilation and the haemodialysis was carried out in 3 patientes. The evolution was favourable in 12 patientes. We deplored three maternal deaths and 4 newborn deaths. The acute oedema of the lung during the preeclampsia is a serious pathology; its mechanism of appearance is complex. The materno-foetal forecast depends on how the treatment was prompt, of the severity of the EP and the age of the pregnancy. The prevention is based on the antenatal consultation and the monitoring of any EP in order to propose in time a possible ending of pregnancy