Key result
Epidural analgesia was successfully used during labour and vaginal delivery in a parturient with symptomatic congenital hypertrophic obstructive cardiomyopathy.
Case Report (n=1)
Carefully managed epidural analgesia can optimize pain relief and minimize stress during vaginal delivery in parturients with congenital hypertrophic obstructive cardiomyopathy.
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May support epidural consideration in select HOCM parturients; leaves open need for controlled data before wider use.
We report a parturient delivering vaginally at term with symptomatic congenital hypertrophic obstructive cardiomyopathy. Epidural analgesia was used during labour and delivery and is likely to have made a useful contribution to the successful outcome. Although controversial, reported use of epidural analgesia during labour for hypertrophic obstructive cardiomyopathy parturients has been generally positive. A multi-disciplinary team approach, early anaesthetic assessment and a carefully managed epidural catheter inserted in early labour can optimize analgesia and minimize the stresses of labour and vaginal delivery provided the risks of reduced preload and afterload are minimized.
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Paix et al. (1999) conducted a case report in Congenital hypertrophic obstructive cardiomyopathy (n=1). Epidural analgesia was evaluated on Successful outcome of labour and delivery. Epidural analgesia was successfully used during labour and vaginal delivery in a parturient with symptomatic congenital hypertrophic obstructive cardiomyopathy.
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