文档介绍：MEDICAL COMPLICATIONS IN PREGNANCY 妊娠合并内科疾病
陈晓军
复旦大学附属妇产科医院
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Endocrine
disorders
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Infections
Dermatological disorders
Connective tissue disorders
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Neurological and psychiatric
Pulmonary disorders
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Renal and urinary tract disorders
Hematological disorders
Gastrointestinal disorders
瓦 Cardiovascular
diseases
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Heart Diseases
Diabetes
Hepatitis
Heart Disease in Pregnancy
妊娠合并心脏病
Heart disease in pregnancy
. Interaction between heart disease and pregnancy （心脏病与妊娠的相互影响）
■ Peripartum cardiomyopathy, PPCM
（围产期心肌病）
2Medical treatment of pregnant women
complicated with heart disease （妊娠合
并心脏病的治疗）
I want a baby..
. 27 years old 八
■ Atrial septal defect lcm
■ Feel discomfort only after ordinary activity
。Can I have a baby?
⑦ What is the risk for me and my baby?
<2> What should I do during the course of pregnancy?
<2> By which way should I delivery my baby?
。Any special thing to be paid attention to after birth?
Heart Disease
■ Incidence: 1-4% of pregnancies
■ One of the leading causes of maternal death (%)
. Death rate %-%
Interaction between pregnancy and heart disease
32-34 weeks of pregnancy
Intrapartum
Puerperium
(3 days postpartum)
Heart disease
Clinical significance of heart disease in pregnancy
■ Mother: heart failure; infective endocarditis; hypoxia and cyanosis; thrombenbolism
■ Baby: miscarriage （流产）,still birth （死 产）,fetal growth restriction （生长受限）, fetal and newborn distress （呼吸窘迫）, preterm delivery （早产）
■ Increased caesarean section rate （咅ij 宫产）
■ Drug effect
■ Hereditary congenital heart disease （先天性 心舰病）