Maternal Hyponatremia and Cardiac Arrhythmia in Peripartum Period: A Case Report and Review of Literature

Rabia Zill-E-Huma, Brendon Brownie, Paul Kirk and Melissa Kitching

Department of Obstetrics, East and North Hertfordshire NHS Trust, UK Department of Obstetrics and Gynecology, East and North Hertfordshire NHS Trust, UK Department of Cardiology, East and North Hertfordshire NHS Trust, UK Department of Anesthesia, East and North Hertfordshire NHS Trust, UK

^*Correspondance to: Rabia Zill-E-Huma 

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Abstract:

Hyponatremia is a common and sometimes unrecognized electrolyte imbalance in labor and hospital admissions. Pregnant women are at greater risk of this complication because of several reasons e.g. lower baseline plasma sodium level in pregnancy, altered secretion of Anti Diuretic Hormone (ADH), inappropriate fluid management in labor or increased oral intake and the anti-diuretic effect of oxytocin. We present a case which illustrates complications associated with hypervolemic hyponatremia as a result of positive fluid balance in labor. A caesarean section was required for failure to progress in first stage, chorioamnionitis, hyponatremia and acute kidney injury. She developed narrow complex Supra Ventricular Tachycardia (SVT) immediate postdelivery which was terminated with adenosine

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Cite the Article:

Zill-E-Huma R, Brownie B, Kirk P, Kitching M. Maternal Hyponatremia and Cardiac Arrhythmia in Peripartum Period: A Case Report and Review of Literature. Clin Case Rep Int. 2020; 4: 1165.