Cossío-Aranda Jorge E, Gaspar-Hernández Jorge, Juanico-Enriquez Antonio, Rodríguez-Rosales Fernando, López-Jaramillo Ana M, A-Becerra-Vázquez David, Pinal-Moreno Ernestina, Díaz-Jiménez María J, Velázquez-Ramírez Norma, Cortés-Bonilla Manuel, Ruiz-Toral Alejandro, Pérez-Leos Daniel, Buendía-Hernández Alfonso, Chávez-Domínguez Rafael, Cardona-Pérez Jorge A, Martínez-Ríos Marco, Reguera Guillermo Fernández-de la
Departamento de Consulta Externa, Instituto Nacional de Cardiología Ignacio Chávez, Ciudad de México, México.
Dirección Médica, Instituto Nacional de Cardiología Ignacio Chávez, Ciudad de México, México.
Arch Cardiol Mex. 2020;90(1):81-85. doi: 10.24875/ACM.19000184.
The prevalence of pregnancy in adolescent women is high in Mexico and represents a public health problem. The pregnant teenager with heart disease has a high probability of complications during pregnancy and the delivery, which carries a risk of death of both the mother and the product. In many cases the pregnancy should have been avoided, planned or interrupted, however the majority at this age is vulnerable and although certain cases must be interrupted by their high risk of maternal-fetal death, prevention and legal aspects should be considered. In some cases the woman wants a pregnancy although her health condition does not allow it, but there are options of adoption or recourse to a surrogate belly. In response to this growing social problem, the National Cardiology Institute Ignacio Chávez and National Institute of Perinatology, with the coordination of Ministry of Health in Mexico, started a pregnancy prevention module within a clinic of follow-up of cardiopathy and pregnancy. This review raises the global problem in our country that occupies the first place in pregnancies in adolescents, with more than 400,000 pregnancies a year and the form of immediate response in a multidisciplinary way.
在墨西哥，青春期女性怀孕的比例很高，这是一个公共卫生问题。患有心脏病的怀孕青少年在孕期和分娩期间出现并发症的可能性很大，这会给母亲和胎儿带来死亡风险。在许多情况下，本应避免、计划或终止妊娠，然而这个年龄段的大多数人很脆弱，尽管某些情况因母婴死亡风险高而必须终止妊娠，但仍应考虑预防和法律方面的问题。在某些情况下，尽管女性的健康状况不允许，但她仍想要怀孕，不过也有收养或寻求代孕的选择。为应对这一日益严重的社会问题，墨西哥国家心脏病学研究所伊格纳西奥·查韦斯分院和国家围产医学研究所，在墨西哥卫生部的协调下，在一个心脏病与妊娠随访诊所内启动了一个预防怀孕的模块。本综述提出了我国的一个全球性问题，我国青少年怀孕率位居世界第一，每年有超过40万例怀孕，并介绍了多学科的即时应对方式。
