妊娠合并心脏病患者不同心功能状态对母亲和围生儿的影响

Effect of cardiac function in pregnancy with heart disease on maternal and perinatal complications

摘要: 目的:探讨妊娠合并心脏病患者不同心功能状态对母亲和围生儿的影响。方法:对22例妊娠合并心脏病患者临床资料进行回顾性分析。结果:心功能Ⅰ~Ⅱ级者妊娠结局良好,心功能Ⅲ~Ⅳ级者剖宫产率增加,新生儿早产率、孕妇心衰发生率明显增高。结论:妊娠合并心脏病母婴预后与心功能状态密切相关,心功能Ⅰ~Ⅱ级者可以在密切监护下经阴道分娩,心功能Ⅲ~Ⅳ级者要加强监测,定期产前检查,及时终止妊娠,改善母儿预后。

Abstract: Objective: To investigate the influence of cardiac function in pregnancy complicated with heart disease on maternal and perinatal complications.Methods: Retrospective study was carried out in 22 cases of pregnancy complicated with heart disease.Results: The outcome of pregnancy with cardiac function degree Ⅰ to Ⅱ was normally good.while the outcome of pregnancy with cardiac function degree Ⅲ to Ⅳ was bad.The latter had a higher incidence rate of cesarean section,premature delivery and heart failure.Conclusions: Mother-fetal outcome is highly related to the cardiac function.Under intensive monitor,vaginal delivery can be selected for the pregnant with heart function degree Ⅰ to Ⅱ.For the cases with cardiac function degree Ⅲ to Ⅳ,prenatal consultation,systematic prenatal care and ending the pregnancy in time can improve the outcome of both mothers and fetus.