Document Detail


Experience of managing pregnant women with Eisenmenger's syndrome: maternal and fetal outcome in 13 cases.
MedLine Citation:
PMID:  21040212     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To determine maternal and fetal outcomes in patients with Eisenmenger's syndrome (ES) with the therapeutic strategy.
MATERIAL & METHODS: The case histories and therapeutic procedures of 13 pregnant women with ES had been reviewed.
RESULTS: One case spontaneously aborted before 28 weeks due to intrauterine death, four were taken to cesarean section before 28 weeks and eight (61.5%) survived beyond 28 weeks' gestation before cesarean section. One mother died (92.3% survival), while infant loss was 38.5%. No pregnancy continued to term but eight babies delivered after 28 weeks were born alive, six of the children have normal physical and mental development.
CONCLUSIONS: In pregnant women with ES who wish to continue pregnancy, treatment should include: prolonged bedrest, continuous oxygen inhalation, diuretic administration with close hemodynamic monitoring, anticoagulants should be avoided and exact time point selection of cesarean section.
Authors:
Hong Wang; Weiyuan Zhang; Tao Liu
Publication Detail:
Type:  Journal Article     Date:  2010-10-11
Journal Detail:
Title:  The journal of obstetrics and gynaecology research     Volume:  37     ISSN:  1447-0756     ISO Abbreviation:  J. Obstet. Gynaecol. Res.     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-01-06     Completed Date:  2011-05-20     Revised Date:  2012-01-19    
Medline Journal Info:
Nlm Unique ID:  9612761     Medline TA:  J Obstet Gynaecol Res     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  64-70     Citation Subset:  IM    
Copyright Information:
© 2010 The Authors. Journal of Obstetrics and Gynaecology Research © 2010 Japan Society of Obstetrics and Gynecology.
Affiliation:
Beijing Anzhen Hospital of Capital Medical University, Beijing, China.
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MeSH Terms
Descriptor/Qualifier:
Adult
China
Eisenmenger Complex / complications*,  therapy*
Female
Humans
Pregnancy
Pregnancy Complications, Cardiovascular / therapy*
Pregnancy Outcome*
Young Adult

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