THE PREGNANCY IN PATIENTS WITH PROSTHETIC HEART VALVE (REPORT OF FIVE CASES)
- VernacularTitle:人造心脏瓣膜置换术后妊娠五例报告
- Author:
Qi ZHANG
- Publication Type:Journal Article
- From:
Academic Journal of Second Military Medical University
1981;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
It is still a controversy whether a patient with prosthetic heart valve can have a normal pregnancy. Here we report five cases of such patients, of which two with a tissue valve and one with a mechanical valve. Their heart functions were of grade I. They were carefully monitored by both the obstetrician and cardiologist till the term. The pregnancy periods were uneventful, but two babies were delivered by cesarean section and one was vaginal delivery. The patient with an artificial mechanical valve was given oral anticoagulant every day and vitamin K1 injected before the operation. Both the mothers and babies had no complications. Twenty-four hours later, the oral anticoagulant was resumed and puerperium was still normal. Two other patients with a mechanical heart valve were pregnant, their heart functions were of grade II and one of them suffered from complications. They were not in a condition for continuous pregnancy, and so, operations were performed. Therefore, women with a prosthetic heart valve can have children if their management is closely supervised and extreme care taken with the use of oral anticoagulant.
