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Postpartum Maternal Hypothermia in an Adolescent Patient Following Spontaneous Vaginal Delivery
Postpartum hypothermia, though rare after spontaneous vaginal delivery, can be life-threatening, warranting efficient workup and intervention. A 14-year-old primigravida developed postpartum hypothermia following spontaneous vaginal delivery. No clear etiology was identified despite extensive workup...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9388955/ https://www.ncbi.nlm.nih.gov/pubmed/35990562 http://dx.doi.org/10.7759/cureus.28142 |
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author | Weishaar, Kara Bailey, Erin El Ado Mikdachi, Hana Murphy, Jessica E |
author_facet | Weishaar, Kara Bailey, Erin El Ado Mikdachi, Hana Murphy, Jessica E |
author_sort | Weishaar, Kara |
collection | PubMed |
description | Postpartum hypothermia, though rare after spontaneous vaginal delivery, can be life-threatening, warranting efficient workup and intervention. A 14-year-old primigravida developed postpartum hypothermia following spontaneous vaginal delivery. No clear etiology was identified despite extensive workup. Intervention with warmed fluids and application of forced air warming system resolved the hypothermia in less than 24 hours without relapse. Following negative workup, the most likely etiology was administration of chilled intravenous fluids in the setting of acute blood loss of delivery and physiologic vasodilation of pregnancy. This case demonstrates the importance of considering common and unusual causes of postpartum hypothermia and leads to a recommendation for routine postpartum temperature checks and hypothermia protocols that include warmed fluid replacement and a forced air warming system. |
format | Online Article Text |
id | pubmed-9388955 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-93889552022-08-20 Postpartum Maternal Hypothermia in an Adolescent Patient Following Spontaneous Vaginal Delivery Weishaar, Kara Bailey, Erin El Ado Mikdachi, Hana Murphy, Jessica E Cureus Obstetrics/Gynecology Postpartum hypothermia, though rare after spontaneous vaginal delivery, can be life-threatening, warranting efficient workup and intervention. A 14-year-old primigravida developed postpartum hypothermia following spontaneous vaginal delivery. No clear etiology was identified despite extensive workup. Intervention with warmed fluids and application of forced air warming system resolved the hypothermia in less than 24 hours without relapse. Following negative workup, the most likely etiology was administration of chilled intravenous fluids in the setting of acute blood loss of delivery and physiologic vasodilation of pregnancy. This case demonstrates the importance of considering common and unusual causes of postpartum hypothermia and leads to a recommendation for routine postpartum temperature checks and hypothermia protocols that include warmed fluid replacement and a forced air warming system. Cureus 2022-08-18 /pmc/articles/PMC9388955/ /pubmed/35990562 http://dx.doi.org/10.7759/cureus.28142 Text en Copyright © 2022, Weishaar et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Obstetrics/Gynecology Weishaar, Kara Bailey, Erin El Ado Mikdachi, Hana Murphy, Jessica E Postpartum Maternal Hypothermia in an Adolescent Patient Following Spontaneous Vaginal Delivery |
title | Postpartum Maternal Hypothermia in an Adolescent Patient Following Spontaneous Vaginal Delivery |
title_full | Postpartum Maternal Hypothermia in an Adolescent Patient Following Spontaneous Vaginal Delivery |
title_fullStr | Postpartum Maternal Hypothermia in an Adolescent Patient Following Spontaneous Vaginal Delivery |
title_full_unstemmed | Postpartum Maternal Hypothermia in an Adolescent Patient Following Spontaneous Vaginal Delivery |
title_short | Postpartum Maternal Hypothermia in an Adolescent Patient Following Spontaneous Vaginal Delivery |
title_sort | postpartum maternal hypothermia in an adolescent patient following spontaneous vaginal delivery |
topic | Obstetrics/Gynecology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9388955/ https://www.ncbi.nlm.nih.gov/pubmed/35990562 http://dx.doi.org/10.7759/cureus.28142 |
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