Heart Disease And Pregnancy Flashcards
By Prof Adegbola
What position should women with heart disease be nursed in during labor?
Cardiac position
This helps to manage their condition more effectively.
What type of monitoring is essential during labor for pregnant women with heart disease?
Continuous fetal heart rate monitoring and monitoring of vital signs closely
Strict intake and output charts are also necessary.
What is the preferred oxytocic for the third stage of labor in women with heart disease?
Oxytocin
It is preferred due to its safety profile in this population.
What is a significant risk in the postpartum period for women with heart disease?
Risk of pulmonary edema
This risk persists 24 to 72 hours after delivery, especially in the first 12 hours.
What follow-up is recommended after discharge for women with heart disease who have given birth?
Appointment with the cardiologist and obstetrician
Cardiovascular responses do not completely normalize until 7 months after delivery.
What percentage of women have some form of cardiac disease during pregnancy?
1% to 3%
This includes women with pre-existing conditions or those diagnosed during pregnancy.
What is the purpose of preconceptional care for women with heart disease?
To bring the medical condition to a stable state before conception
This is necessary for a favorable pregnancy outcome.
What is the classification system used for heart diseases?
Class I, Class II, Class III, Class IV
These classes help in assessing the severity and management of cardiac conditions.
What conditions can precipitate heart failure during pregnancy?
- Fever
- Malaria
- Infections (UTI, Respiratory)
- Stress
- Anaemia
- Fluid overload
- Arrhythmias
Early identification and management of these conditions is crucial.
What are the four classes of heart disease?
Class 1, Class 2, Class 3, and Class 4.
Which class of heart disease is characterized by no limitation of physical activity?
Class 1.
Which class of heart disease includes patients who are unable to carry on any physical activity without discomfort?
Class 4.
What symptom might patients in Class 2 heart disease experience during physical activity?
Mild symptoms such as fatigue or shortness of breath.
What does Class 1 heart disease indicate about a patient’s daily activities?
They can perform normal activities without symptoms.
Which class of heart disease would likely require significant lifestyle modifications?
Class 4.
What class of heart disease is often associated with severe limitations and discomfort?
Class 4.
In heart diseases, Class —-& —— need to spend the greater part of the pregnancy period in the hospital.
III & IV
It is better to synchronize the visits with other appointments to improve patient’s compliance.
Conditions that can precipitate heart failure include:
Fever
Malaria
Infections like UTI, Respiratory infections
Stress
Anaemia
Fluid overload
Arrhythmias etc.
Care to be provided to pregnant women with cardiac disease?
They require High protein diet and low salt with Routine supplementations with iron, folic acid etc.
Malaria chemoprophylaxis
Weigh every clinic visit
During labor in pregnant women with heart disease, ——- labour is preferred.
Induction of labour is not contraindicated so far there is no ——-
Spontaneous
prolonged induction delivery time
Pregnant women with heart disease should receive ————- antibiotics to prevent———
Prophylatic
Infective endocarditis
Caesarian section can be done for both obstetric and sometimes abdominal /gastric reasons, True or false
Caesarean section is done purely for obstetric reasons
In pregnant women with heart disease, Treat infections vigorously if it occurs with ——— antibiotic to prevent infective endocarditis
Parenteral
