MATTHEW A. PARKER, M.D.
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To the editor: The paper by Hughson and associates (1) is an example of how clinical accumen and academic skills can be combined to produce valuable, practical information. It is easy to imagine many situations in which the presence of a pleural effusion would lead to unnecessary and potentially dangerous steps.
However, the logic of calling these pleural effusions "postpartum" and attempting to explain them on the basis of events during labor and delivery escapes me. It seems possible that the effusions were present before delivery for the same hemodynamic and vascular reasons cited. A pleural effusion during pregnancy would
PARKER MA. Prepartum or Postpartum Pleural Effusion. Ann Intern Med. ;98:413–414. doi: 10.7326/0003-4819-98-3-413_3
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Published: Ann Intern Med. 1983;98(3):413-414.
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