Heart and pregnancy

During pregnancy, childbirth and the postnatal period there were significant changes in a woman's body, which have a strong influence on the cardiovascular system. During pregnancy increases the load on the heart is associated with an increase in the mass of circulating blood, minutes of the heart and other factors. This burden is particularly increases in childbirth when strivings; women with cardiac disease during this period may develop acute circulatory insufficiency (see).
After the expulsion of the fetus may be a danger of collapse (see), especially under heavy blood loss during delivery. Pregnancy and childbirth may adversely affect the course of diseases of the heart, especially rheumatic etiology. For diseases such as rheumatic fever and rheumatic heart disease, the outcome of pregnancy and childbirth depends on the severity of the defect, the activity of rheumatic process and condition of blood circulation. To especially grave consequences pregnancy childbirth can result in severe mitral stenosis (see heart Defects), rheumatic myocarditis (see), endocarditis (see), circulatory failure. In these cases, the pregnancy should be terminated at an early date. The issue of abortion in the later stages solved after a stationary observation and treatment. Indication for abortion in the later period is the presence of severe circulatory failure, endocarditis, joining heart disease obstetric pathology (late toxicosis, multiple births, polyhydramnios and others).
When a compensated heart defects preservation of pregnancy is allowed after careful examination of the functions of the cardiovascular system. In early signs of circulatory failure pregnant placed into a hospital where they treated to full compensation circulation and solve the question about the method |of delivery. The issue of keeping or termination of a pregnancy in the early and late in its terms shall be resolved by medical specialists - obstetrician-gynecologist and physician. Active supervision and treatment of pregnant women with heart disease contribute to the favourable outcome of pregnancy and significant reduction of maternal mortality.