{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T00:15:01Z","timestamp":1783988101802,"version":"3.55.0"},"reference-count":10,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2018,3,14]],"date-time":"2018-03-14T00:00:00Z","timestamp":1520985600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Obstet Med"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:p> Postpartum pneumomediastinum is a rare complication of labour and delivery, where air leaks into the mediastinum following rupture of marginal alveoli. It follows prolonged and forceful Valsalva manoeuvres that increase intra-thoracic pressure. Subcutaneous emphysema may also develop. A chest radiograph can confirm the diagnosis, however a computed tomography thorax maybe required. Treatment is conservative as it is usually self-limiting. We present a case of postpartum pneumomediastinum following a delay in the second stage of labour and subsequent instrumental delivery. She developed chest pain and dyspnea 40\u2009min post-delivery, and subcutaneous emphysema was palpable. Supplementary nasal flow oxygen was administered for 24\u2009h prior to discharge. There is sparse evidence or guidance as to the management of postpartum pneumomediastinum, but consensus appears to be supplemental oxygen for 24\u2009h. More data are needed on the type and duration of oxygen therapy, need for repeat imaging and management of subsequent pregnancies. <\/jats:p>","DOI":"10.1177\/1753495x18757162","type":"journal-article","created":{"date-parts":[[2018,3,14]],"date-time":"2018-03-14T09:32:19Z","timestamp":1521019939000},"page":"143-145","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Case report: Postpartum pneumomediastinum and subcutaneous emphysema"],"prefix":"10.1177","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0943-8618","authenticated-orcid":false,"given":"AD","family":"Jakes","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Guy's and St. Thomas' NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K","family":"Kunde","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Guy's and St. Thomas' NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Banerjee","sequence":"additional","affiliation":[{"name":"Department of Obstetric Medicine, Guy's and St. Thomas' NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,3,14]]},"reference":[{"key":"bibr1-1753495X18757162","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1945.02860180003001"},{"key":"bibr2-1753495X18757162","doi-asserted-by":"crossref","first-page":"667","DOI":"10.1016\/S0272-5231(21)01134-5","volume":"13","author":"Heffner JE","year":"1992","journal-title":"Clin Chest Med"},{"key":"bibr3-1753495X18757162","first-page":"735154","volume":"2013","author":"Kandiah S","year":"2013","journal-title":"Case Rep Obstetr Gynecol"},{"key":"bibr4-1753495X18757162","doi-asserted-by":"crossref","first-page":"956142","DOI":"10.1155\/2010\/956142","volume":"2010","author":"Revicky V","year":"2010","journal-title":"Obstetr Gynecol Int"},{"key":"bibr5-1753495X18757162","first-page":"1","volume":"64","author":"Hamman LV.","year":"1939","journal-title":"Bull Johns Hopkins Hosp Baltimore"},{"key":"bibr6-1753495X18757162","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2001.117309"},{"key":"bibr7-1753495X18757162","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.1993.tb06853.x"},{"key":"bibr8-1753495X18757162","unstructured":"National Institute for Health and Care Excellence. Intrapartum care: care of healthy women and their babies during childbirth (Clinical Guideline 109). 2014. Available at: https:\/\/www.nice.org.uk\/guidance\/cg190 (accessed November 2017)."},{"key":"bibr9-1753495X18757162","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.4.5779.86"},{"key":"bibr10-1753495X18757162","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2010.136986"}],"container-title":["Obstetric Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1753495X18757162","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1753495X18757162","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1753495X18757162","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T09:59:20Z","timestamp":1740823160000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1753495X18757162"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,3,14]]},"references-count":10,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2019,9]]}},"alternative-id":["10.1177\/1753495X18757162"],"URL":"https:\/\/doi.org\/10.1177\/1753495x18757162","relation":{},"ISSN":["1753-495X","1753-4968"],"issn-type":[{"value":"1753-495X","type":"print"},{"value":"1753-4968","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,3,14]]}}}