A rare case of peripartum cardiomyopathy

Peripartum cardiomyopathy (PPCM) is defined as acute onset heart failure without demonstrable cause in the last month of pregnancy or within the first 5 months after delivery. All other causes of dilated cardiomyopathy with heart failure must be systematically excluded before accepting the diagnosis of PPCM. Such a case is reported where a 4th gravida undergoing lower segment caesarean section (LSCS) for pre-eclampsia with abruptio placenta and fetal distress landed up with pulmonary edema and later diagnosed as PPCM. She was diligently managed and subsequently followed up for 6 months and complete reversal of her cardiac function was confirmed.