心臓病の女性における妊娠の結果に関する将来的な多センター研究
S C Siu1, M Sermer, J M Colman
1University of Toronto, Toronto, Ontario, Canada. Sam.Siu@uhn.on.ca
Circulation
|August 2, 2001
まとめ
心臓病の女性における妊娠は,高度なケアにもかかわらず,母親と新生児の両方にとって重大なリスクをもたらします. 予測リスク指数は,妊娠中に心臓合併症のリスクが高い女性を特定するのに役立ちます.
科学分野:
- 心臓病学 心臓病学
- 妊産婦・胎児医学について
- 生殖器保健は,生殖器の健康についてです.
背景:
- 心臓病を患っている妊婦の妊婦および新生児のリスクはよく定義されていません.
- 総合的な産前ケアが不可欠ですが,結果についてはさらに詳しく説明する必要があります.
研究 の 目的:
- 心臓病の妊婦における母性および新生児リスクの定義.
- 母親の心臓合併症と新生児の合併症の予測要因を特定する.
主な方法:
- 562人の心臓病の妊婦の将来的な登録.
- 599例の妊娠 (流産を除く) のアウトカムの分析.
- 妊産婦および新生児の合併症に関する独立した予測因子の特定.
主要な成果:
- 妊娠の13%は,母親の心臓病 (肺腫,不律性,脳卒中,心臓病による死亡) によって合併症が発生しました.
- 母親の心臓合併症の主要な予測要因には,前回の心臓発作,機能不良のクラス,シアノシス,左心閉塞,左心室収縮機能不全が含まれます.
- 新生児合併症は,妊娠の20%で発生し,機能的クラス不良,シアノシス,左心閉塞,抗凝固薬,喫煙,多胎妊娠と関連しています.
結論:
- 心臓病の女性における妊娠は,最適なケアであっても,重大な心臓および新生児リスクをもたらす.
- 検証されたリスク指数は,母親の心臓リスクを効果的に予測することができます.
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