Related Links :
Grading of Cardiac Disease | Effect
of Heart Lesions on Pregnancy | Management
| Antenatal Management | Patient
Hospitalisation |
The most common types of heart diseases are rheumatic heart disease
& then congenital heart disease.
Grading
of cardiac disease
- Grade-1
- Patient who has cardiac disease, but it does not limit her
physical activity.
- Grade-2
- Patient who has cardiac disease but it gives her problems
on exertion.
- Grade-3
- Patient who has cardiac disease and it causes her discomfort
while doing her daily activities.
- Grade-4
- Patient who has cardiac disease and is uncomfortable even
at rest.
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Effect
of Heart Lesions on Pregnancy:
- Intrauterine growth retardation of baby.
- Preterm delivery (delivery before time) Premature baby (baby
born before time).
Pregnant woman with cardiac problem may have a fatal out come at
- 28-32 weeks of pregnancy.
- During labour.
- Immediately following delivery or
- At the end of 1st week after delivery.
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Management:
- Principles-
- Early diagnosis and evaluation of the functional grading
of the disease.
- To prevent, to detect and to give effective treatment.
- To prevent & control additional complications like,
anemia, toxaemia, infection or excessive weight gain.
- Hospital delivery is a must.
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Antenatal
Management:
Check ups every two weeks upto 28 weeks then weekly. Cardiologists
opinion is taken.
- Patient should
- Take adequate rest.
- Avoid exertion.
- Cold and cough & other infections are to be avoided.
- Avoid over excitement of any kind.
- Avoid rich or spicy food..
- Anaemia is to be corrected.
- Adequate dental care to has to be taken.
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Hospitalization:
Admission to hospital is done according to grade of disease.
- Grade I
- Two weeks before delivery the woman is admitted.
- Grade II
- At 28 weeks the woman is admitted.
- Grade III & IV
- As soon as diagnosis is made she has to be admitted..
Patient may have to be admitted in emergency if
- Condition of the woman deteriorates.
- Appearance of breathlessness, cough etc.
- On appearance of pregnancy related complications like anaemia,
toxaemia etc.
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