[Eisenmenger's syndrome and pregnancy]

Eisenmenger's syndrome is one of the congenital heart defects which deteriorates in the course of pregnancy. For this reason, it is tried to discourage the patient from becoming pregnant, or to strictly interrupt pregnancy up to the 10th gestation week, or -- if the former proves impossible -- to introduce intensive medical supervision until the end of gravidity. A delivery is described of a 23-year old woman, in whom, when 19 years old, Eisenmenger's syndrome -- developed secondarily on the atrial septal defect -- was diagnosed by catheterization. She was admitted to the Department in the 26th week of pregnancy and as successfully confined in the 38th week by using vacuum extraction. Peripartal antibiotic prophylaxis was applied during labour, although she was given oxygen. No derivatives of ergotamine were administered in order to avoid undesirable effects. The loss of blood was controlled and replaced. She was discharged with a healthy girl on the 9th postpartal day without any complications.