Pregnancy should be on how to prevent heart disease

1. Not pregnant when organic heart disease if the situation of women of childbearing age are not pregnant:

① heart function Ⅲ grade or above grade Ⅲ serious pulmonary hypertension associated with mitral stenosis, or have a significant cyanotic congenital heart disease patients should first surgery to repair surgery such as surgery or not;

② rheumatic heart disease with atrial fibrillation, or rapid heart rate difficult to control;

③ significant expansion of the heart (myocardial damage or prompt a serious valve disease) or had incomplete restoration of cerebral embolism;

④ had history of heart failure or with serious medical complications such as tuberculosis, and other chronic nephritis patients with these patients should be strictly contraceptive

2. Pregnancy

① therapeutic abortion of pregnant women suffering from organic heart disease should not be the whereabouts of the indications of pregnancy should be done as soon as possible abortion of pregnancy within three months of pregnancy possible absorption Palace over three months to choose the appropriate measures to pregnancy termination of pregnancy in heart failure Control of congestive heart failure who have to wait until later to do abortions

② strengthen prenatal check heart function Ⅰ Ⅱ-class pregnant women can continue to pregnancy should be started early pregnancy prenatal care system close observation of the best cardiac function by the obstetrics and medicine to see joint custody of cardiac function Ⅰ-class or grade Ⅱ patients during pregnancy or exertion Upper respiratory tract infection can rapidly deteriorate into Ⅲ-class and even heart failure who do not need hospital treatment of patients with this rare spirit of often tense should give more comfort to avoid emotional fluctuations

③ guarantee the prevention of heart failure sleep at night every day for 10 hours after meal breaks during the day 0.5 to 1 hour limit activities of daily limit of salt is not more than four grams active combat anemia to iron folic acid and B vitamin C, such as calcium to strengthen the nutrition Weight gain during pregnancy should not be more than 11 kg

④ early detection of heart failure when a sudden decline in physical array of cough heart rate continued to accelerate at the end of the lung-moist and not disappear after coughing or edema heavier body weight should be growing too fast when the alert

⑤ timely treatment of acute heart failure from semi-supine to facilitate breathing and reduce the oxygen immediately to give blood Huixin sedatives diuretic (furosemide general to oral or intravenous) west of intravenous drugs and cardiac toxicity or Mao Xuan Lan Effect Hanako K Symptoms can be improved, as appropriate, and preparation of oral Maodi Huang Gexin 0.25 to 0.5 mg per day for the maintenance of

⑥ timely admission should also be asymptomatic even in pre-production period of two weeks before the hospital for worsening heart function during pregnancy Ⅲ-class or infection should be timely hospital treatment

⑦ a history of heart surgery, the treatment still depends on the situation heart function after surgery

3. Maternity leave period

① birth process should start antibiotics to combat infection positive four times daily body temperature measured pulse and breathing a few ground

② maternal quiet rest can give a small amount of sedatives to prevent heart failure and intermittent oxygen fetal distress

③ If no indication of cesarean section after vaginal delivery can be as short as possible but the birth process of lateral feasible perineum of forceps, such as heart function closely observe the situation for labor can be extended burden is heavier heart can be appropriate to relax the cesarean indications epidural If a suitable anesthesia to be positive control of heart failure after failure to cesarean section

④ fetus delivered after abdominal pressure placed sandbags to prevent a sudden decrease in abdominal pressure and heart failure immediate injection of morphine 0.01 grams or 0.2 grams of sodium phenobarbital such as postpartum hemorrhage more than 300 ml intramuscular injection oxytocin 10 to 20 units required blood transfusion Infusion should not pay attention to excessive speed

4. Puerperal women should rest close observation of the pulse of the body temperature of vaginal bleeding heart rate and blood pressure in heart failure and guard against infection following the use of antibiotics to be considered for sterilization