Peripartum cardiomyopathy following a spontaneous septic abortion in a second trimester twin pregnancy: A case report

Peripartum cardiomyopathy (PPCM) is a dreadful complication at the end of pregnancy or in the months following delivery. It is associated with Left ventricular dysfunction and Systolic heart failure. PPCM risk factor includes maternal age > 30 years, multiple gestational pregnancies, African American woman, Hypertension and Pre-eclampsia. Reported Incidence of these cases are variable based on geographical locations. Research in the past has suggested that PPCM is caused by vascular dysfunction, triggered by late-gestational maternal hormones and also multiple hit hypothesis. In this article we are presenting a case of Spontaneous Septic abortion of a Twin pregnancy during 2nd trimester in a Multiparous female who developed PPCM. After early detection and aggressive management she had good recovery from Sepsis and had improved Ejection fraction. Henceforth we emphasize on the need for early diagnosis and aggressive management after onset of PPCM which can lead to better clinical outcomes.