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Pregnancy and alpha-1 antitrypsin deficiency.
  1. A. R. Atkinson
  1. South Shore Regional Hospital, Bridgewater, Nova Scotia, Canada.


    A 29 year old patient with alpha-1 antitrypsin deficiency and bullous emphysema became pregnant against the advice of her physicians. Despite a mid-trimester pneumothorax requiring the insertion of a chest tube, she went on to deliver a healthy child under epidural anaesthesia using a midforceps technique. Vaginal delivery is not necessarily contra-indicated in multiparous patients with bullous emphysema.

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