- October 16, 2017 at 17:27 #3783
Although cardiac disease provokes complications only in a couple of percentage worldwide, cardiovascular complications are a leading reason for maternal morbidity and mortality. Pregnancy is linked with numerous alterations in the cardio circulatory system that may have a significant effect on the underlying cardiac disease. An awareness about those changes is important to supply appropriate care to such patients. Patients with underlying cardiovascular disease should be examined just before the pregnancy whenever possible.
While the labor and delivery might be connected with marked fluctuations in the cardiac output, there is no data to point out that cesarean delivery is safer in general. Cesarean section should be reserved for standard obstetrical complications or for those patients, to whom labor and delivery, is comparatively contraindicated, i.e. Marfan syndrome with a dilated aortic root.
Precise control of the patients with a cardiovascular disease require a team of skillful specialists to take proper care of them. Delivery should take place at centers with resources to aid both mother and her unborn child.
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