Hlavácek K, Charvát J, Kölbel F
I. interní klinika 2. LF UK, Praha.
Cas Lek Cesk. 1993 Jun 20;132(14):417-20.
The authors investigated a group of 95 pregnant women with congenital heart disease. In two induced abortion was indicated fur cardiac reason (major left-to-right shunt in ASD II and in a patient with a non-corrected TOF with a significant right-to-left shunt). In the remainder the course of pregnancy was not complicated. From the total number of 132 deliveries only six were by Caesarean section, five times on obstetric grounds. One infant died, delivery during the 29th week by Caesarean section on account of premature escape of amniotic fluid--mother with a history of radial correction of TOF. Other relevant data are summarized in a table. In the conclusion the authors summarize basic provisions indicated in pregnant women with congenital heart disease.
作者对95名患有先天性心脏病的孕妇进行了调查。其中两名因心脏原因(房间隔缺损II型的大型左向右分流以及一名法洛四联症未矫正且有明显右向左分流的患者)而进行了人工流产。其余孕妇的妊娠过程未出现并发症。在总共132次分娩中,只有6次是剖宫产,其中5次是基于产科原因。有一名婴儿死亡,其母亲有法洛四联症矫正手术史,因羊水过早流出在第29周时进行剖宫产分娩。其他相关数据汇总在一张表格中。作者在结论中总结了患有先天性心脏病孕妇的基本注意事项。