ARDS – AN UNCOMMON LIFE-THREATENING OBSTETRIC EMERGENCY

Abstract

Acute respiratory distress syndrome (ARDS) is a form of hypoxemic respiratory failure characterized by severe impairment of gas exchange and lung mechanics, with a high case fatality rate. With the rising levels of pollution in our city the incidence of this clinical syndrome has been on the rise. Respiratory failure complicates relatively a small number of pregnancies, but causes significant potential risks for both mother and foetus. The mortality rate is high at 38.5 % and has not significantly improved for the past several decades. Here we present a patient at 35 weeks pregnancy who presented with respiratory failure and was managed successfully with the mother and baby being discharged in a good condition. A high index of suspicion is needed for diagnosis and subsequent management for a good maternal and foetal outcome.

Keywords: ARDS; Pregnancy; Respiratory failure