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[Cardiovascular disease and pregnancy]

L Redondo1, L Martins, R Rodrigues

  • 1Serviço de Obstetrícia, Hospital Garcia de Orta, Almada.

Acta Medica Portuguesa
|November 5, 2004
PubMed

Insights

Pregnancy poses risks for women with heart conditions like mechanical valves or congenital heart disease. Careful management during pregnancy, labor, and postpartum is crucial for maternal and fetal health.

Area of Science:

  • Cardiology
  • Obstetrics
  • Maternal-Fetal Medicine

Background:

  • Cardiovascular disease (CVD) is a leading non-obstetric cause of maternal morbidity and mortality.
  • Pregnancy significantly increases hemodynamic stress, potentially worsening pre-existing or unmasking underlying cardiac conditions.

Observation:

  • Presents three cases of pregnant women with complex cardiac conditions: mechanical prosthetic valve, cyanotic congenital heart disease, and intracardiac shunt.
  • Highlights the challenges in managing these high-risk pregnancies.

Findings:

  • Pregnancy, labor, and delivery impose a substantial hemodynamic burden.
  • These conditions can lead to symptom exacerbation and serious complications.

Implications:

  • Optimal antenatal, labor, and postpartum obstetric management for these patients remains a critical area of discussion.
  • Emphasizes the need for multidisciplinary care in managing pregnant women with severe heart disease.

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