Aug 5, 2008

Patients with heart disease during pregnancy can be pregnant?

Pregnant women with heart disease has become seriously endanger pregnant women and fetal diseases.

Pregnant women with heart disease has become seriously endanger pregnant women and fetal diseases.

1, pregnancy will add to the burden heart

From pregnancy to begin within a few weeks after giving birth, the mother may be a series of complex changes. Article 10 of a pregnancy from 12 weeks beginning cardiac output increased in the supine position when the pregnancy section 20 of a 24-week high, than the rest of pregnant women at a 40% growth in 30, two weeks after childbirth returned to normal.

Pregnancy heart rate than pregnant women not to fast in the last term, can increase 10 times per minute around, with twins, by even more. Blood volume in the first 6-10 weeks of pregnancy began to increase to a peak of 32-34 weeks, compared with growth of 30-50 per cent pregnancy. Blood volume and generally include plasma volume of red blood cells, red blood cells during pregnancy despite the increasing volume, to full-term growth at above 18 percent, but the plasma volume has grown about 50 percent, than the increase in the volume of red blood cells, therefore, the number of red blood cells and hemoglobin Concentration due to dilution and reduced, a "physiological anemia." Because fetal growth and maternal circulation, respiratory workload increase, both to the increasing oxygen consumption, to delivery reached the peak (of pregnancy than the growth of 20 per cent). Pregnancy body moisture gradually increase, plasma osmolality lower uterus is gradually increasing, oppression of IVC, inferior vena cava pressure increased with the gravity because the majority of pregnant women in the lower leg and ankle edema. Late pregnancy, the uterus increased significantly, to cross at elevation, a cross-heart, vascular buckling, such as increased pressure on the right ventricle, the above changes have increased the burden on the heart.

2, heart disease whether women can be pregnant

Has identified the heart of the women, pregnancy can determine whether it should be carefully considered. Variable generally considered less serious heart disease, will rise to daily physical activity or the Light workers, pregnancy, childbirth and heart failure occurred when the opportunity less, thus the absence of other complications and cyanosis, and the age of 35-year-old following, in obstetric Heart doctor and under the guidance of regular inspections, allowing pregnancy. Such as heart disease serious change, the Light labor will cause palpitations, short breath, or even more serious symptoms of pregnancy should not be caught. Such patients during pregnancy, delivery. Puerperium the incidence of heart failure in more than 46 percent. In addition, severe congenital heart defects associated with cyanosis, rheumatic heart disease the second category of severe stenosis and serious arrhythmias, the activities of rheumatic fever, sub-acute bacterial endocarditis, poor treatment of severe hypertension; past efforts History of failure and cerebral embolism, pregnancy on the risk of mother and son are great, this is not pregnant.

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