Millington Sandra, Magarey Judith, Dekker Gustaaf A, Clark Robyn A
Adelaide Nursing School The University of Adelaide Adelaide South Australia Australia.
Northern Campus Women's and Children's Division, Lyell McEwin Hospital The University of Adelaide Elizabeth Vale South Australia Australia.
Nurs Open. 2019 Apr 1;6(3):722-732. doi: 10.1002/nop2.269. eCollection 2019 Jul.
This paper provides an overview of the two broad categories of cardiac conditions observed in pregnancy (congenital and acquired). It also identifies the midwives' role in the childbirth continuum and includes assessment, track and trigger systems and management during labour and delivery.
Discussion paper.
Data were collected by reviewing international evidence and by searching computerized databases.
Research has identified that women with associated risk factors of a cardiac condition who delay pregnancy have an increased risk of experiencing cardiovascular complications in pregnancy with poorer outcomes. The Three Ps in a Pod clinical initiative in the United Kingdom highlights working as a team in multidisciplinary programmes to improve mothers' care and save lives. Midwives play a key role during pregnancy and need to be appraised in relation to cardiovascular disease observed in pregnancy, its potential risks and anticipated problems and within the continuum of care.
本文概述了孕期观察到的两大类心脏疾病（先天性和后天性）。它还确定了助产士在分娩连续过程中的作用，包括评估、跟踪和触发系统以及分娩期间的管理。
讨论文件。
通过查阅国际证据和搜索计算机化数据库收集数据。
研究发现，有心脏病相关风险因素但延迟怀孕的女性，孕期发生心血管并发症的风险增加，且结局较差。英国的“三个一组”临床倡议强调在多学科项目中团队协作，以改善对母亲的护理并挽救生命。助产士在孕期发挥关键作用，需要就孕期观察到的心血管疾病、其潜在风险和预期问题以及在连续护理过程中进行评估。
