A Handbook for the Assistant Nurse
نویسنده
چکیده
already reduced by disease. Prognosis and treatment are best assessed in the type of the cardiac response to this strain. Pregnancy being a temporary strain, by rest and treatment the patient may be able to discount to some extent further inroads on the heart reserve, whilst recovery may be almost, if not entirely, complete after the incident of pregnancy. Repeated pregnancies, particularly if recurring at frequent intervals, may disastrously reduce the cardiac reserve and lead to a fatal issue. Consideration of these cases, however, suggests that with proper selection, supervision, and care by trained personnel, the wide employment of therapeutic abortion is unjustified and that many mothers may complete one or two pregnancies without permanent aggravation of the heart lesion. No statistical evidence is available which satisfactorily proves that such cases die at any earlier age than nullipare with equivalent heart lesions. These cases were treated in the Royal Maternity Hospital under the direction of Mr. H. I. McClure, F.R.C.S., F.R.C.O.G., with the advice of Dr. Robert Marshall as cardiologist. My grateful thanks are due to them for permission to publish these results, and for help and criticism in the writing of this article.
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ورودعنوان ژورنال:
- The Ulster Medical Journal
دوره 18 شماره
صفحات -
تاریخ انتشار 1949