Spontaneous Pneumomediastinum in Labor
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Introduction
Labor related pneumomediastinum and subcutaneous emphysema is also known as Hamman's syndrome, it is named after the physician who first described pneumomediastinum in association with subcutaneous emphysema during pregnancy in 1945 [1]. We report the case of an uneventful pregnancy in a primigravid parturient, which was complicated in the late second stage of labor by the development of Hamman's syndrome.

Case Report
A 22-year-old nulliparous, with no medical history, presented to our hospital in established labor after a spontaneous rupture of membranes, at 40 weeks of pregnancy. The first stage of labor lasted for 6 hours. During labor, she refused to receive any form of analgesia. At the end of the second stage of labor which had lasted for 2 hours, the patient began to cough; she also complained of shortness of breath and pain over the chest and the neck regions.

Physical examination revealed conscious patient; the blood pressure was 120/90?mmHg, pulse was 96/min, and the oxygen saturation was 98% on 3?L/min of oxygen. The patient had mild dyspnea with breath rate of 24 cycles/minutes. No edema was present and the patient was afebrile; the cardiopulmonary auscultation was normal.....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5339537/
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