Before shipment, appropriate counseling, child-bearing age who must have a congenital or acquired heart problems, make the choice to give all pregnant women. After pregnancy, a woman must be kept in a multidisciplinary team of doctors and research must take the next time to time. The team should include obstetricians, heart disease and anesthetists. Proper arrangements must be carried out in the vicinity of a local hospital. The main purpose of management is to take care of the current situation of the use of drugs, monitoring conditions deterioratin GAND, to minimize the chance of overloading the delivery and post-cardiovascular system. After the onset of pre-induction of labor should avoid running.
Mode of delivery
Most women prefer vaginal delivery with heart disease, unless there are special obstetric indications or worsening heart problems, require early delivery. Vaginal delivery by induction of labor, regional analgesia for pain relief to low-dose, and to facilitate the delivery and, like tweezers, to avoid the mother's effort to push the tool very easily.
Postpartum
During or after the delivery of postpartum care and observation of high levels of time, you need at least two weeks in the hospital. Recently it has been found, a chest infection or other problems occur at any time: a month ago delivered to five months after delivery.
Specific high-risk conditions
Myocardial infarction
Myocardial infarction is the leading cause of cardiac death in women over the past few years. Syndrome diagnosis low threshold, myocardial infarction, and women with acute coronary risk factors must be addressed coronary angiography, percutaneous coronary intervention, thrombolysis form. Thrombolytic therapy carries a significant risk of bleeding during delivery. The preferred treatment of pregnant women with acute coronary syndrome percutaneous coronary intervention.
Aortic dissection
Aortic dissection is a particular risk in women with Marfan syndrome; risk is considered to be the highest or near-term delivery immediately after. Women from Marfan syndrome, must be pre-pregnancy counseling management. If there is risk of aortic dissection, aortic root replacement replacement must be carried out prior to pregnancy.
Valvular heart disease
Valvular condition to carry the highest risk of pregnancy is mitral stenosis. This rheumatic heart disease is common in less developed countries. Pregnant patients with mitral stenosis should be managed with experts in the field in three hospitals. Here, the biggest risk is pulmonary edema at time of delivery. Other valves in the severity of the condition of pregnancy by the condition management constraints.
Pulmonary hypertension
Pulmonary hypertension during pregnancy had a very high risk of mortality as high as 50%. This situation must be discussed before pregnancy. If pregnant, must continue, proper arrangements must be made by more than one professional team to deal with her condition.
Peripartum cardiomyopathy
Definition of peripartum cardiomyopathy is the case of heart failure, there is no other apparent reason before one month pregnant shipments occur at any time up to five months after delivery
In short, there is no woman's life in a social misunderstanding heart problems should not become pregnant. But modern doctors can ensure safe management of heart disease during pregnancy. This is necessary to assess the woman's heart condition, in order to determine whether the pregnancy is a good idea. There are very few cases of pregnancy there is a risk of heart problems. Some experts say that hormonal changes during pregnancy can help the heart work better question. Before but the best are at high risk of heart disease of women, pregnancy must be taken expert advice and arrange multi-disciplinary expert services have a healthy pregnancy and a healthy child.
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