Conventional tests Electrocardiography Echocardiography Chast X-ray Diagnosis of early heart failure during pregnancy Dyspnea, palpitation at slight physical activity. Resting pulse larger than 110 beats per minute. Paroxysmal nocturnal dyspnea. Rale in lower lungs
Conventional tests • Electrocardiography • Ecocardiography • Chast X-ray Diagnosis of early heart failure during pregnancy • Dyspnea, palpitation at slight physical activity. • Resting pulse larger than 110 beats per minute. • Paroxysmal nocturnal dyspnea. • Rale in lower lungs
Prognosis The likelihood of a favorable outcome for the mother with heart disease depends upon the functional cardiac capacity (2)other complications that further increase cardiac load 3 )quality of medical care provided
Prognosis The likelihood of a favorable outcome for the mother with heart disease depends upon the (1) functional cardiac capacity (2) other complications that further increase cardiac load (3) quality of medical care provided
Management General management Counseling(preconceptional counceling). (to decide the pregnancy should be continued) Intensive pregnatal care. Active prevent factors increasing cardiac functional load (such as respiratory tract infection, anemia and pregnancy-induced hypertension)
Counseling (Preconceptional counceling). (to decide the pregnancy should be continued) Intensive pregnatal care. Active prevent factors increasing cardiac functional load. (such as respiratory tract infection, anemia and pregnancy-induced hypertension) Management ➢ General management
Management during labor and delivery Monitoring the vital signs Sedatives and analgesic Shortening the second stage of labor (by forceps)(Classes I and l) Indications of cs(cesarean section (Class Ill or more, obstetric indications
Monitoring the vital signs Sedatives and analgesic Shortening the second stage of labor (by forceps)(Classes I and II) Indications of CS (cesarean section) (Class III or more, obstetric indications,) ➢ Management during labor and delivery