Diagnosis

Acute respiratory failure is usually the cardinal presenting feature of pulmonary embolism that requires critical care management. Apart from obstetric emboli originating from either amniotic fluid or deep vein thrombosis, a number of other conditions which may or may not be specifically related to the pregnant state can lead to acute respiratory failure (Table !). These should be considered in every pregnant patient with respiratory distress, since they may be influenced significantly by the physiological, hormonal, or anatomical effects of pregnancy, resulting in an increase in incidence, a deterioration in symptomatology, or an alteration in management.

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Table 1 Causes of acute respiratory failure in pregnancy and the puerperium

Sleep Apnea

Sleep Apnea

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