KUMJ | VOL. 4 | NO. 4 | ISSUE 16 | OCT-DEC, 2006

Peripartum cardiomyopathy undergoing caesarean section under epidural anaesthesia
Shrestha BR, Thapa C

Purpose: To report a case of peripartum dilated cardiomyopathy presenting for emergency caesarean section, this was successfully managed with Epidural Anaesthesia.
Clinical features: A parturient suffering from idiopathic peripartum cardiomyopathy (E.F. 18%) was brought for an emergency caesarean section. Epidural anaesthesia was performed and 2% Lignocaine with adrenaline total 13ml was injected into the epidural space. The patient’s haemodynamic status was monitored with NIBP, ECG, pulse oximetry. Patient’s perioperative course was uneventful.
Conclusion: In patients suffering from peripartum cardiomyopathy, undergoing caesarean section epidural
anaesthesia is an acceptable anaesthetic alternative