Dyspnoea at Term in an Obese Mother
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Introduction
Maternal obesity is associated with an increased risk of complications for the mother and her offspring during pregnancy, at delivery and during the postpartum period. Although dyspnoea is a common symptom in obese pregnant women, other differential diagnoses, however, should not be overlooked.
Peripartum cardiomyopathy (PPCM), for example, is a rare and potentially life-threatening differential diagnosis. This report highlights the complexity of care which may be required for a morbidly obese pregnant woman.

Case Report
A 35-year-old European first-time mother with an unplanned pregnancy presented late for antenatal care at 35 weeks gestation. In her past medical history, she had asthma for which she was using a salbutamol inhaler. At presentation her weight was 147?kg and her Body Mass Index (BMI) was 54?kg/m2. An oral glucose tolerance test was normal. She was seen regularly in the antenatal clinic where she was found to be normotensive with no proteinuria. At her visits she, however, did complain of dyspnoea on exertion, bilateral leg swelling, and excessive weight gain especially in the third trimester. However, these findings were attributed to her pregnancy....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3335656/
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