Document Detail


Myocardial infarction during pregnancy: a team challenge.
MedLine Citation:
PMID:  3679859     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Myocardial infarction during pregnancy is rare but may be increasing in frequency because of the trend toward later childbearing and an overall increase in risk factors for women (smoking, high-stress careers). The physiologic changes and stresses of pregnancy and labor provide a unique and often devastating setting for coronary diseases. The mortality rate is extremely high, approaching 40% if delivery ensues within 2 weeks of infarction. A planned, induced labor with regional anesthesia and continuous invasive monitoring in a well-equipped medical center provides the safest setting for delivery. Assisted vaginal delivery may offer a lower risk of death than cesarean section. The nurse, as well as the other members of the multidisciplinary team, should be well versed in the normal physiologic stresses of pregnancy. The fetal and cardiac effects of all medications and interventions must be explored. The almost simultaneous appearance of a new child in one's life with a heightened and immediate awareness of one's own mortality can lead to overwhelming feelings of despair and anxiety. Transition to home life may be difficult. All aspects of the patient's needs from heart to hope, should be addressed.
Authors:
M A Lamb
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Heart & lung : the journal of critical care     Volume:  16     ISSN:  0147-9563     ISO Abbreviation:  Heart Lung     Publication Date:  1987 Nov 
Date Detail:
Created Date:  1987-12-28     Completed Date:  1987-12-28     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0330057     Medline TA:  Heart Lung     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  658-61     Citation Subset:  AIM; IM    
Affiliation:
Department of Nursing, University of New Hampshire, Durham 03824.
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MeSH Terms
Descriptor/Qualifier:
Adult
Delivery, Obstetric / methods
Female
Humans
Myocardial Infarction / nursing*,  physiopathology
Patient Care Team*
Patient Education as Topic
Pregnancy
Pregnancy Complications, Cardiovascular / nursing*,  physiopathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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