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Eisenmenger's syndrome and pregnancy.
M Bitsch1, C Johansen, A Wennevold
1Department of Gynecology and Obstetrics, Rigshospitalet, Copenhagen, Denmark.
Summary
Pregnancy in women with Eisenmenger syndrome is high-risk. This report details successful management strategies for these high-risk pregnancies, including hospitalization and intensive monitoring.
Area of Science:
- Cardiology
- Maternal-Fetal Medicine
- Critical Care Medicine
Background:
- Eisenmenger syndrome presents significant risks during pregnancy, often necessitating termination.
- Successful management requires a multidisciplinary approach and intensive monitoring.
Observation:
- Two cases of Eisenmenger syndrome during pregnancy were successfully managed.
- Patients require hospitalization around 25 weeks gestation, with strict bed rest and oxygen support.
Findings:
- Continuous monitoring of blood gases is crucial for detecting shunt flow changes.
- Labor management involves arterial and epidural catheters, immediate blood pressure support with norepinephrine, and transfusion for blood loss.
Implications:
- This approach offers a potential management pathway for pregnant women with Eisenmenger syndrome who decline termination.
- Close postpartum monitoring for 7-14 days is essential for patient stability.