Conservative management of subglottic stenosis in pregnancy resulting in vaginal birth.
We present a case of subglottic stenosis complicating pregnancy. The patient was born prematurely at 24 weeks gestation and required a twelve-month period of intubation. Airway trauma from prolonged intubation resulted in acquired subglottic stenosis. As an adult the patient had a longstanding audible stridor; however, was not breathless during activity before or during pregnancy. The patient went into spontaneous labour at 37+4 weeks and delivered vaginally with epidural analgesia. This case is significant, as no cases of a patient with such a degree of stenosis delivering vaginally without airway treatment have been reported.
Department of Medicine, King's College London, London, UK.
Zachary
Z
Nash
Archana
A
Krishna
Mohamed
M
Darwish
Lawrence
L
Mascarenhas
D000328:Adult; D036861:Delivery, Obstetric; D019468:Disease Management; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects; D007829:Laryngostenosis / Q000209:etiology; D011247:Pregnancy; D011248:Pregnancy Complications