Chest pain and dyspnoea in a young primiparous woman following prolonged labour at a remote Australian community health centre

Chest pain and dyspnoea in a young primiparous woman following prolonged labour at a remote Australian community health centre

Rural and Remote Health

  • Author(s): Hashim, Mohd Azlan Mohd, Linton, Timothy, Heraganahally, Subash
  • Published: 2019
  • Volume: 19

Abstract: Reported here is a rare respiratory complication in a young primiparous woman in a remote community hospital in the Northern Territory, Australia. A Caucasian primiparous woman aged 23 years presented with chest pain following a very prolonged second stage of labour. On clinical examination a crunching and crackling sound was heard over the precordium, synchronous with the heartbeat (Hamman’s sign). A chest radiograph confirmed the presence of pneumomediastinum. Complete resolution of symptoms and signs was achieved with supportive management.

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