Congenital Heart Disease and Pregnancy
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Abstract:
ضایعات مادرزادی قلب خط مشی های گوناگونی از قبیل مراقبت دقیق بیماران باردار تا پیشگیری از بارداری و یا خاتمه آن را در زنان سن باروری ایجاب می کند. با پیشرفت روشهای درمان جراحی و دارویی در تصحیح و یا بر طرف کردن علایم بیماری مادرزادی، اکنون بسیاری از زنان مبتلا به مرحله باروری رسیده و باردار می شوند. اداره موفقیت آمیز این زنان در طی بارداری و بلافاصله بعد از زایمان به همکاری نزدیک بین متخصصین زایمان و قلب نیاز دارد. بیماریهای قلبی مادر می تواند سلامت مادر و جنین را متأثر سازد. زیرا تکامل جنین نیاز مند گردش مناسب و کافی خون اکسیژن دار در رحم و جفت است و در صورت وجود اختلالات متعدد و مکرر در خون رسانی، زندگی جنین به مخاطره افتاده و یا موجب تلف شدن آن می شود.
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[Pregnancy and congenital heart disease].
INTRODUCTION AND OBJECTIVES Since the creation of the Adult Congenital Heart Disease Units and of the High Obstetric Risk Units, there has been increasing interest in hemodynamic and obstetric outcomes in pregnant woman with congenital heart disease. METHODS Retrospective descriptive study of 56 women with congenital heart disease aged (mean [range]) 25 (18-40) years, who experienced a total ...
full textCongenital heart disease PREGNANCY IN HEART DISEASE
Correspondence to: Dr Sara A Thorne, The Queen Elizabeth Hospital, Edgbaston, Birmingham B15 2TH, UK; [email protected] _________________________ H eart disease is the joint most common cause of maternal death in the UK. The most common cardiac causes of death involve cardiomyopathy and pulmonary hypertension (fig 1). Congenital heart disease (CHD) is infrequently associated with maternal ...
full textCongenital heart disease in pregnancy.
Care of pregnant patients with congenital heart disease requires understanding of the specific congenital defect, the nature of previous surgical correction, and the residua and sequelae. General risks and principles can be adduced in management decisions. In addition, lesion- and patient-specific details are important. There are only a few conditions that place patients at a high enough risk t...
full textCongenital heart disease in pregnancy
Congenital heart disease is now more prevalent than acquired in pregnancy in the developed world. In pregnancy the fall in systemic vascular resistance and increase in blood volume and cardiac output can cause functional deterioration in certain conditions. A minimally symptomatic woman with good ventricular function, normal oxygen saturation, and no left heart obstruction should tolerate pregn...
full textCongenital heart disease in pregnancy.
INTRODUCTION Pregnancy, birth, and the puerperium are associated with significant physiological changes and adaptations in the cardiovascular system, which pose a significant risk to pregnant women with congenital heart disease (CHD). Thanks to advances in pediatric cardiac surgery and cardiology the majority of children with CHD survive to adulthood, and an increasing number eventually become ...
full textPregnancy in women with congenital heart disease.
OPINION STATEMENT Advances in cardiac surgical interventions in infancy and childhood have led to an increased number of women with congenital heart disease of childbearing age. For these women, individualized preconception counseling and pregnancy planning should be a vital component of their medical management, and presentation for obstetric care may even be an opportunity to re-establish car...
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Journal title
volume 4 issue 4
pages 25- 30
publication date 1994-12
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