Analysis of pregnancy outcome of pregnant women with Eisenmenger syndrome
10.3760/cma.j.issn.1673-4904.2017.10.007
- VernacularTitle:妊娠合并艾森曼格综合征九例母胎结局临床分析
- Author:
Xiaoyun LU
1
;
Yangcheng LIU
;
Bin YAN
Author Information
1. 160011大连,医科大学附属第一医院妇产科
- Keywords:
Eisenmenger syndrome;
Pregnancy;
Pulmonary hypertension;
Cesarean section
- From:
Chinese Journal of Postgraduates of Medicine
2017;40(10):891-894
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the maternal and fetal outcomes and treatment strategies of pregnant women with Eisenmenger syndrome. Methods Datas of pregnant women with Eisenmenger syndrome from September 2009 to March 2017 were analyzed retrospectively. Results Three patients did not accept regular prenatal care. Two patients suffered from eclampsism. Two patients suffered from arrhythmia. One patient suffered from pulmonary infection. Four patients suffered from congestive heart failure. One patient had no complications. One patient died from pulmonary hypertension crisis within 72 h of postpartum. Four of the seven perinatal infants died from premature complications. Conclusions Patients with Eisenmenger syndrome have tendency to become heart failure and so are unsuitable for pregnancy. Once paitents have pregnancy, high mortality exists. So progestation counseling and management should be strengthened. Early pregnancy should be terminated. In mid or late trimester of pregnancy, regular prenatal care should be needed to help mothers and fetuses get better outcomes.