Heart Disease and Pregnancy
Obstetrics And Gynecology / / August 12, 2017
Cardiovascular diseases are the fourth leading cause of maternal mortality from infectious diseases, diseases caused by hypertension and bleeding.But do not worry, with the right planning pregnancy, the prognosis for patients with cardiovascular disease is favorable.
According to statistics, about 1% to 2% of pregnant women have heart disease, but their number is increasing every year.The reason for this lies not in bad doctors and the environment, but on the contrary, new methods of treatment.Modern medicine is increasingly improved and allows women with congenital heart disease to reach childbearing age.
heart of a pregnant woman is not able to meet the requirements of a normal pregnancy.In pregnancy, cardiac output increased by 25%, the volume of plasma is increased by 40-50%, in addition, increases the need for water and salt.This physiological stress is often caused by heart failure.It increases the likelihood of problems with the patient's age, duration of cardiac features and heart disease.
Pregnant women with heart problems should be under constant medical supervision and it is desirable to be periodically hospitalized for monitoring pregnancy.older women may be hospitalized during pregnancy.
During pregnancy, it is important for a woman to be alone and to control their weight.This helps reduce the load on the heart.You should also limit the use of fluids and sodium to prevent problems with the blood vessels.
Medication in this case should consist of the drug and safe at the minimum doses to minimize adverse effects on the fetus.Diuretics, drugs increase blood pressure and blood volume should be used with extreme caution.
Patients with complications should consider the possibility of abortion, especially if problems occur during the first trimester of pregnancy.After delivery, women with heart problems need to comply with bed rest for at least 1 week.Breastfeeding is also undesirable.