Kirkland C J
NAACOGS Clin Issu Perinat Womens Health Nurs. 1992;3(3):429-42.
Many women with congenital heart disease can successfully tolerate the profound hemodynamic changes associated with pregnancy and birth with a collaborative team approach to management of their disease. This article provides a discussion of the interaction between pregnancy and congenital heart disease (including left-to-right shunts, obstructive lesions, and cyanotic defects), focusing on maternal risks and strategies for intrapartum hemodynamic management. Nurses providing intrapartum care for women with congenital heart disease must understand the applicable cardiac pathophysiology, the risks imposed by pregnancy and the birth process, and appropriate medical and nursing interventions to prevent complications.
许多患有先天性心脏病的女性通过多学科协作团队对其疾病的管理方法，能够成功耐受与妊娠和分娩相关的深刻血流动力学变化。本文讨论了妊娠与先天性心脏病（包括左向右分流、梗阻性病变和青紫型缺陷）之间的相互作用，重点关注母体风险以及产时血流动力学管理策略。为患有先天性心脏病的女性提供产时护理的护士必须了解适用的心脏病理生理学、妊娠和分娩过程所带来的风险，以及预防并发症的适当医疗和护理干预措施。
