heart disease online : Heart Diseases resource HEART DISEASE ONLINE : Your resource for current and reliable information about HEART DISEASE.  It's so simple, even your child can understand !
Heart Disease information EVEN your child can understand !

LEARN
Heart Disease articles heart disease articles
Heart Disease resources
Heart Disease reports heart disease reports
READ
Heart Disease guides heart disease guides
Heart Disease books heart disease books
Heart Disease news heart disease news
TYPES
Congenital Heart Disease congenital heart disease
Coronary Heart Disease coronary heart disease
Rheumatic Heart Disease rheumatic heart disease
Ischemic Heart Disease ischemic heart disease
acute coronary syndrome acute coronary syndrome
RISKS
high cholesterol levels high cholesterol levels
smoking cessation quit smoking
aerobic exercise at home aerobic exercise at home
what is hypertension what is hypertension
ABOUT
Heart Disease Online heart disease online
heart disease facts heart disease facts
Signs of a Heart Attack signs of a heart attack
 

 


home / ARTICLES You Are Here Now Heart Valve Disease Coronary Artery Disease Congenital Heart Disease Congenital Heart Disease
HEART DISEASE ONLINE - Your resource on Heart Disease - all about the heart written in such a simple manner, EVEN your child can understand !
Heart Disease Articles
- By your Heart Disease Online guide photo of your guide to Heart Disease

Have a suggestion ?
Offer A Heart Disease Suggestion
Click here to
Tell the Doc


State of the Heart

Heart Fitness for Life : The Essential Guide to Preventing and Reversing Heart Disease

A Practical Guide
to YOUR Heart
and Heart Surgery

Click For More Info


Stay Informed

Join our mailing list.
Get the latest heart news by e-mail.



 

Antenatal care of the pregnant woman with heart disease

Pregnancy is one of the physiological conditions that places a considerable burden on the heart, forcing it to work harder for a significantly long period - nine months. While a normal heart is quite capable of taking this extra workload right in its stride, a diseased one may not be able to cope. Different kinds of heart disease may cause different problems during pregnancy. In this series of articles I plan to discuss this topic in depth.

Antenatal Care of pregnant women with heart disease

The focus of care early in pregnancy is on avoiding risk factors including

  • infection
  • high blood pressure
  • obesity
  • multiple pregnancies
  • anemia (low hemoglobin content)
  • arrhythmia (disturbed rhythm of the heart)
  • rarely hyperthyroidism

An ultrasound examination is done to

  1. confirm gestational age
  2. in congenital heart disease, to rule out fetal anomalies

When the patient is stable, no special treatment is needed. When there are signs of hemodynamic compromise, though, careful fetal monitoring is needed. Intra-uterine growth retardation (IUGR) and fetal asphyxia are the major concerns. Clinical and ultrasound examinations can assess fetal growth and amniotic fluid volume. Other tests that might be required in special circumstances are

  • Cardiotocography to measure fetal heart rate
  • Color doppler flow studies to measure fetal and maternal placental blood flow
  • Fetal blood sampling to detect low oxygen content

If heart failure develops, admission in hospital is advisable. The principles of treatment remain the same, with digoxin and diuretics being the cornerstones of therapy. Other precipitating causes are treated like rhythm disturbances or anemia. Once heart failure is brought under control, most women can be discharged from hospital.

In the next article, we will discuss aspects of management principles of heart disease patients during the pregnancy.



home / ARTICLES You Are Here Now Heart Valve Disease Coronary Artery Disease Congenital Heart Disease Congenital Heart Disease

 

 

 

LEGAL CONDITIONS AND TERMS OF USE APPLICABLE TO ALL USERS OF THIS SITE. ANY USE OF THIS SITE CONSTITUTES YOUR AGREEMENT TO THESE TERMS AND CONDITIONS OF USE.

Heart Disease Online does not provide medical advice, diagnosis or treatment. Material on this site is provided for informational purposes only. The site is not intended to supply personalized answers or advice to patients. It is not meant to be a substitute for professional medical advice. The information should not be used to diagnose or treat a health problem, disease, or to prescribe any medication. In case of doubt, promptly contact your health care provider. Never disregard professional medical advice or delay seeking it because of something you have read on Heart Disease Online. Click here for additional information and to read the full disclaimer and terms of use

Comments are welcome

Copyright © 1997-2013 Heart Disease Online , All rights reserved.
Terms of Use | Privacy policy | Disclaimer

Text, graphics, and HTML code are protected by US and International Copyright Laws,
and may not be copied, reprinted, published, translated, hosted, or otherwise
distributed by any means without explicit permission. Legal notices

Heart Disease Online (tm)
663, 99th Street, Madras, TN 60107
Fax : (603)-908 4676     E-mail : webmaster@heartdiseaseonline.com
URL : http://www.HeartDiseaseOnline.com