Nadolu-Anton C R
Clinique II d'Obstétrique et Gynécologie de Iaşi.
Rev Med Chir Soc Med Nat Iasi. 1990 Apr-Jun;94(2):291-6.
About 2 per cent of the deliveries are recorded in patients with heart diseases. Between 1983 and 1987, 30 pregnant women with congenital cardiovascular diseases (CCVD) were studied retrospectively on the basis of clinical observation cards and operation records. Detected during the first trimester of pregnancy, 13 cases underwent therapeutical abortion, in a case in whom life was threatened a hysterotomy was performed while 16 CCVD cases carried on their pregnancies to the end. Eleven of them delivered by caesarean section and 5 had a natural delivery. In a patient with dissecting aneurysm of aorta (Marfan's syndrome) death occurred after caesarean section. Six CCVD had been corrected by previous surgery. In conclusion it is stated that in pregnant women CCVD is a high risk. Surgical correction of CCVD, preferably outside the pregnancy period, is the best prophylaxis of the incidents in the cardiac pregnant women.
约2%的分娩记录在患有心脏病的患者中。1983年至1987年期间，基于临床观察卡片和手术记录对30例患有先天性心血管疾病（CCVD）的孕妇进行了回顾性研究。在妊娠早期检测到13例患者接受了治疗性流产，1例生命受到威胁的患者进行了子宫切开术，16例CCVD患者继续妊娠至足月。其中11例剖宫产分娩，5例自然分娩。1例患有主动脉夹层动脉瘤（马凡综合征）的患者剖宫产术后死亡。6例CCVD患者此前已接受手术矫正。总之，指出CCVD在孕妇中是高风险的。CCVD的手术矫正，最好在非孕期进行，是预防心脏病孕妇发生意外的最佳措施。
