Mikulandra F, Merlak I, Perisa M, Kimer M
Jugosl Ginekol Opstet. 1984 Jan-Apr;24(1-2):20-4.
In a ten-year period the frequency of pregnant women with heart disorders amounted to 0.50%. In 83.87% of cases the disorders were acquired and in 16.13% congenital. According to the functional condition of the heart, 95% of the women observed belonged to the first and the second stage. In 82.26% the deliveries were spontaneously vaginal. The frequency of cesarean section proved four times as frequent as that in the control group (P less than 0.05). In not a single case was heart trouble alone the indication for cesarean section. Newborn children of women with heart disorders were slightly asphyxial (Apgar index 7-4) in 9.68% of cases as compared with 5.0% in the control group (P less than 0.05). The average birth mass of these newborns was 3491.9 +/- 2 SD 780.5 g and that in the control group 3,767.5 +/- 2 SD 824.2 g (P less than 0.05). Sixteen (25.8%) newborns in the early neonatal days had one or more neonatal complications, while those in the control group developed such complications in 14.2% of cases (P less than 0.05). Not a single child died perinatally. In the course of pregnancy, delivery, and puerperium only 3 (4.84%) women received cardiotonics and 22 (34.84%) antibiotics. The second day after delivery one puerpera developed paroxysmal tachycardia, while in all the remaining women the course of pregnancy, delivery, and puerperium was normal.
在十年期间，患有心脏疾病的孕妇比例为0.50%。其中83.87%的病例为后天性疾病，16.13%为先天性疾病。根据心脏功能状况，95%的观察对象属于第一和第二阶段。82.26%的分娩为自然阴道分娩。剖宫产的频率是对照组的四倍（P<0.05）。没有一例仅因心脏问题而进行剖宫产。患有心脏疾病的女性所生新生儿中，9.68%有轻度窒息（阿氏评分7 - 4），而对照组为5.0%（P<0.05）。这些新生儿的平均出生体重为3491.9±2标准差780.5克，对照组为3767.5±2标准差824.2克（P<0.05）。16名（25.8%）新生儿在新生儿早期出现一种或多种新生儿并发症，而对照组中出现此类并发症的比例为14.2%（P<0.05）。围产期没有一例儿童死亡。在妊娠、分娩和产褥期，只有3名（4.84%）妇女使用了强心剂，22名（34.84%）妇女使用了抗生素。一名产妇在分娩后第二天出现阵发性心动过速，其余所有妇女的妊娠、分娩和产褥期过程均正常。
