Related Links :
Grading of Cardiac Disease |
Effect of Heart Lesions on Pregnancy |
Management |
Antenatal Management |
Patient Hospitalisation |
The most common types of heart diseases are rheumatic
heart disease & then congenital heart disease.
Grading of cardiac disease
- Grade-1
- Patient who has cardiac disease, but
it does not limit her physical activity.
- Grade-2
- Patient who has cardiac disease but
it gives her problems on exertion.
- Grade-3
- Patient who has cardiac disease and
it causes her discomfort while doing her daily activities.
- Grade-4
- Patient who has cardiac disease and
is uncomfortable even at rest.
TOP
Effect of Heart Lesions on Pregnancy:
- Intrauterine
growth
retardation of baby.
- Preterm delivery (delivery before
time) Premature baby (baby born before time).
Pregnant woman with cardiac problem may have a
fatal out come at
- 28-32 weeks of pregnancy.
- During labour.
- Immediately following delivery or
- At the end of 1st week after
delivery.
TOP
Management:
- Principles-
- Early diagnosis and evaluation of
the functional grading of the disease.
- To prevent, to detect and to give
effective treatment.
- To prevent & control additional
complications like, anemia, toxaemia,
infection or excessive weight gain.
- Hospital delivery is a
must.
TOP
Antenatal Management:
Check
ups every two weeks
upto 28 weeks then weekly. Cardiologists opinion is taken.
- Patient should
- Take adequate rest.
- Avoid exertion.
- Cold and cough & other
infections are to be avoided.
- Avoid over excitement of any kind.
- Avoid rich or spicy food..
- Anaemia
is
to be corrected.
- Adequate dental care to has to be
taken.
TOP
Hospitalization:
Admission to hospital is done according to grade of disease.
- Grade I
- Two weeks before delivery the woman
is admitted.
- Grade II
- At 28 weeks the woman is admitted.
- Grade III & IV
- As soon as diagnosis is made she has
to be admitted..
Patient may have to be admitted in emergency if
- Condition of the woman deteriorates.
- Appearance of breathlessness, cough
etc.
- On appearance of pregnancy related
complications like anaemia, toxaemia etc.
TOP
