患有心脏病的妇女的怀孕结果
Wendy Allen-Davis1, Melesia Hylton1, Shanea Gibson1
1Department of Obstetrics and Gynaecology, University of the West Indies, Kingston, Jamaica.
概括
怀孕期间的心脏病,通常是获得的,带来风险,但可以预测. 预孕咨询显著减少了孕产妇和新生儿并发症,改善了心脏病妇女的怀孕结果.
科学领域:
- 心脏病学 心脏病学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 生殖健康 生殖健康
背景情况:
- 心脏病是怀孕期间的一个重要问题.
- 在孕妇人群中,获得的心脏病比先天性心脏病更为普遍.
- 某些心脏病和世卫组织的功能类 (例如,第四类) 表明高风险怀孕.
研究的目的:
- 为了确定由心脏病复杂的怀孕的孕产妇和新生儿的结果.
- 评估心脏不良事件风险评估得分的预测准确性.
- 评估预孕咨询对怀孕结果的影响.
主要方法:
- 147例心脏病患者怀孕的回顾性审查.
- 收集有关心脏病类型/严重程度,并发症,风险评分,并发症和结果的数据.
- 使用SPSS进行分析,评估WHO和CARPREG评分系统.
主要成果:
- 获得的心脏病在73.5%的病例中存在.
- 4.0%的孕产妇死亡率和4.8%的产周死亡率.
- 世卫组织和CARPREG得分可靠预测心脏事件 (P <0.01).
- 预孕咨询与心脏和产科事件的减少有关.
结论:
- 获得的心脏病是最常见的类型在怀孕妇女在这个中心.
- 风险评估得分有效预测心脏不良结果.
- 预孕咨询可以改善高风险怀孕中母亲和新生儿的结果.
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