A serious complication in the puerperium: peripartum cardiomyopathy.

Two women, aged 27, presented with different symptoms shortly after giving birth to their first child. Peripartum cardiomyopathy (PPCM) was diagnosed. PPCM is a rare form of cardiac failure occurring late in pregnancy or in the postpartum period. Many women experience dyspnoea, fatigue, and pedal oedema in the last month of pregnancy or postpartum, symptoms which are identical to early congestive heart failure. Therefore, the diagnosis of PPCM requires vigilance. A high mortality rate and overall poor clinical outcome has been reported in a high percentage of these patients. Subsequent pregnancies remain controversial. (Neth Heart J 2008;16:415-8.).

[Diagnostic image (242). Intrauterine fetal demise at term]. / Een aterme, in utero overleden vrucht.

In a 32-year-old woman, fetal demise at term was caused by constriction of the umbilical cord by an amniotic band.