怀孕期间的心血管疾病及其后果:一项前性研究
Dipali Prasad1, Ravi Vishnu Prasad2, Manoj Kumar Choudhary3
1Department of OBG, IGIMS, Patna, Bihar, India.
Journal of family medicine and primary care
|January 8, 2024
概括
母亲心脏病显著增加了孕妇及其婴儿的风险,包括较高的低出生体重率和产科并发症. 早期诊断和多学科管理对于降低孕产妇发病率和死亡率至关重要.
科学领域:
- 心脏病学 心脏病学
- 产科 产科 产科 产科 产科
- 孕产妇健康 孕产妇健康
背景情况:
- 母亲心脏病影响0.3-3.5%的怀孕.
- 心血管疾病高达20.5%的非产科产妇死亡.
研究的目的:
- 为了确定怀孕期间心脏病的患病率和频谱.
- 在第三级护理中心评估患有心脏病的女性怀孕后果.
主要方法:
- 这是一项长达一年的前性研究,涉及65名患有心脏病的孕妇和65名对照患者.
- 排除患有脏,肝脏,肺部或糖尿病的患者.
- 使用IBM SPSS v23.3 的数据分析.
主要成果:
- 怀孕期间心脏病的发病率为5.8%,主要是风湿性心脏病 (RHD).
- 在心脏病组中,医疗终止怀孕,紧急剖腹产和仪器分娩的比例更高.
- 低出生体重婴儿 (36.4%) 和产科并发症的发病率增加,包括贫血,高血压和妊娠期糖尿病.
结论:
- 产前护理,早期诊断和涉及心脏病专家和手术干预的多学科管理可以显著降低孕产妇的发病率和死亡率.
- 母亲的不良结果与多对性,严重的膜病变,先进的NYHA功能类,心律失常和低射出分数有关.
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