Pulmonary oedema after hexoprenaline administration in preterm labour. A report of 4 cases.
Despite the widespread use of beta-sympathomimetic agents for preterm labour there appears to be a limited appreciation of the need for cardiovascular monitoring in the mother. Four patients in whom pulmonary oedema developed during tocolysis with hexoprenaline are described and the aetiological factors and pathogenesis of this potentially lethal complication discussed. Guidelines for the safe use of hexoprenaline in preterm labour are suggested.
van Iddekinge
B
B
Department of Obstetrics and Gynaecology, Johannesburg Hospital, RSA.
Gobetz
L
L
Seaward
P G
PG
Hofmeyr
G J
GJ
D000328:Adult; D005260:Female; D006594:Hexoprenaline / Q000009:adverse effects*; D006801:Humans; D007752:Obstetric Labor, Premature / Q000188:drug therapy*; D011247:Pregnancy; D011654:Pulmonary Edema / Q000139:chemically induced*
D006594:Hexoprenaline