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Posted by Master, Doctor Nguyen Thi Le - Department of Obstetrics and Gynecology - Vinmec Da Nang International General Hospital.
Pregnant women with heart disease, depending on the degree of heart failure, have different obstetric treatment. In case there is no heart failure, it is possible to monitor the vaginal delivery and coordinate with the monitoring of cardiology, obstetrics, anesthesia and resuscitation.
1. Can I have a normal delivery with heart disease?
During pregnancy with heart disease, women need to be monitored throughout pregnancy to ensure the safety of both mother and child, and can offer timely treatment if problems occur. Pregnant women with heart disease can give birth naturally is a question that many people care about. To answer this question depends on the specific case:
1.1 Case without heart failure
First birth: Monitor pregnancy closely, hospitalize early 2 weeks before giving birth. Second birth or more: Should be discontinued if the pregnancy is <3 months, if the fetus is large, it is necessary to closely monitor the cardiovascular - obstetrics, keep the pregnancy until full term, wait for delivery to support the procedure or cesarean section if available. point. 1.2 In case of heart failure
First birth: <20 weeks should terminate pregnancy If heart failure grade 3-4: Termination of pregnancy at any gestational age, medical treatment before, during and after termination Second birth or more: Should terminate pregnancy, if near term should be treated aggressively until full month after that, elective cesarean section
Sản phụ bị bệnh tim khi mang thai cần hết sức thận trọng
2. Attention during labor for pregnant women with heart disease
Pregnant women with heart disease undergoing procedures need the coordination of obstetricians, cardiologists, neonatologists and anesthesiologists. After placental abruption: Lower the leg, insert the inferior vena cava to avoid sudden blood return to the heart, causing acute heart failure, avoiding the placenta.
Cesarean section, if indicated, elective cesarean section should be performed, anticoagulation should be stopped 1 week before surgery.
At Vinmec International General Hospital, there is a package maternity service as a solution to help pregnant women feel secure because of the companionship of the medical team throughout the pregnancy. When choosing Maternity Package, pregnant women can:
Sử dụng dịch vụ thai sản trọn gói giúp mẹ bầu an tâm
Pregnancy is monitored by a team of qualified doctors Regular check-ups, early detection of abnormal problems Maternity package to facilitate the delivery process Newborns are taken care of comprehensively To Registering for examination and treatment at Vinmec International General Hospital, you can contact Vinmec Health System nationwide, or register for an online examination HERE
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