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Marfan's syndrome in pregnancy: implications for advanced practice nurses
1Parent-Child Health Nursing Department, College of Nursing, University of Cincinnati, Ohio, USA.
AACN Clinical Issues
|December 18, 1998
Summary
Marfan syndrome, a genetic disorder, poses significant risks during pregnancy due to cardiovascular and hormonal changes. Advanced practice nurses require comprehensive knowledge for effective maternal care.
Area of Science:
- Genetics
- Cardiology
- Obstetrics
Background:
- Marfan syndrome is a heritable connective tissue disorder impacting multiple organ systems.
- Pregnancy in women with Marfan syndrome presents unique cardiovascular and hormonal challenges.
- Maternal risks include aortic dissection, heart failure, and other serious complications.
Purpose of the Study:
- To highlight the critical need for advanced practice nurses to understand Marfan syndrome in pregnancy.
- To emphasize the importance of recognizing genetic factors and maternal physiological changes.
- To advocate for comprehensive, holistic care strategies for pregnant women with Marfan syndrome.
Main Methods:
- Literature review of Marfan syndrome, pregnancy complications, and nursing care.
- Analysis of physiological adaptations during pregnancy in the context of Marfan syndrome.
- Synthesis of current evidence on genetic counseling and risk management.
Main Results:
- Pregnancy exacerbates cardiovascular strain in Marfan syndrome patients.
- Hormonal fluctuations increase risks for aortic events and other cardiovascular complications.
- Genetic counseling is crucial for family planning and understanding inheritance patterns.
Conclusions:
- Advanced practice nurses must possess specialized knowledge of Marfan syndrome for safe pregnancy management.
- Multidisciplinary care involving cardiology, genetics, and obstetrics is essential.
- Early identification and proactive management can mitigate risks and improve maternal and fetal outcomes.