Kelly Bronagh, Walker Niki
Scottish Adult Congenital Cardiac Service, Golden Jubilee National Hospital, Clydebank, G81 4DY, UK.
JRSM Cardiovasc Dis. 2025 Aug 6;14:20480040251365987. doi: 10.1177/20480040251365987. eCollection 2025 Jan-Dec.
Pregnancy is an exciting time, with great anticipation of the future for the woman and her baby. However, for women with mechanical heart valves (MHVs) pregnancy is a challenging undertaking fraught with risk to them and their baby. This article considers the issues for the woman, highlighting pre-surgical opportunities, pre-pregnancy counselling, the issues to consider with fertility treatment, the options during pregnancy for anti-coagulation management and the recognition and management of complications. This update stresses the complex challenges in the management of women with MHV during pregnancy and the need for specialist multi-disciplinary team involvement.
怀孕是一段令人兴奋的时光，女性及其腹中胎儿都对未来满怀期待。然而，对于患有机械心脏瓣膜（MHV）的女性来说，怀孕是一项充满挑战的任务，对她们自身以及腹中胎儿都存在诸多风险。本文探讨了这类女性面临的问题，重点介绍了手术前的时机、孕前咨询、生育治疗时需考虑的问题、孕期抗凝管理的选择以及并发症的识别与管理。此次更新强调了孕期患有机械心脏瓣膜女性管理方面的复杂挑战，以及多学科专家团队参与的必要性。
