Document Detail

Pregnancy and delivery in cardiac disease.
MedLine Citation:
PMID:  23290155     Owner:  NLM     Status:  Publisher    
Although its prevalence is relatively low in pregnant women, heart disease is the most important cause of maternal mortality. Problems may arise due to hemodynamic burden and the hypercoagulable state of pregnancy. Heart disease may be congenital or acquired. In developed countries, the former composes the biggest part of women with heart disease. Patients with unrepaired lesions, cyanotic lesions, diminished systemic ventricular function, complex congenital heart disease, left ventricular outflow tract obstruction, pulmonary hypertension, or mechanical valves are at highest risk of developing complications during pregnancy. All patients with known cardiac disease should preferably be counseled before conception. Pre-pregnancy evaluation should include risk assessment for the mother and fetus, including medication use and information on heredity of the cardiac lesion. Management of pregnancy and delivery should be planned accordingly on individual bases. The types of complications are related to the cardiac diagnosis, with arrhythmias and heart failure being most common. Treatment options should be discussed with the future parents, as they may affect both mother and child. In general, the preferred route of delivery is vaginal. The optimal care for pregnant women with heart disease requires multidisciplinary involvement and is best concentrated in tertiary centers.
Titia P E Ruys; Jérôme Cornette; Jolien W Roos-Hesselink
Related Documents :
8060235 - Anomalous immunostaining of 'optically clear' nuclei in gestational endometrium. a pote...
23245675 - Pregnancy outcomes and relative risk factors among chinese women with congenital heart ...
8519455 - Hiv infection in women: immunological markers and the influence of pregnancy.
23546925 - Isolated cor triatriatum sinistrum and pregnancy: case report and review of the literat...
15905 - Practicability of ultrasonography for assessing fetal age and weight in early pregnancy.
12380675 - Cerebellar growth in normal fetuses of multiple gestations.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-2
Journal Detail:
Title:  Journal of cardiology     Volume:  -     ISSN:  1876-4738     ISO Abbreviation:  J Cardiol     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-7     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8804703     Medline TA:  J Cardiol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved.
Department of Cardiology, Erasmus Medical Center, Rotterdam, The Netherlands. Electronic address:
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

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

Previous Document:  Efficacy of theophylline plus salmeterol/fluticasone propionate combination therapy in patients with...
Next Document:  [Inhibitory effect of adenovirus-mediated D2S gene plus bromocriptine therapy on primary cultures of...