心脏病史女性孕前保健和管理  

Preconception care and management of women with heart disease

作　　者：傅勤[1] 林建华[1] FU Qin;LIN Jian-hua(Department of Obstetrics and Gynecology,Renji Hospital,School of Medicine,Shanghai Jiao Tong University,Shanghai 200129,China)

机构地区：[1]上海交通大学医学院附属仁济医院妇产科,上海200129

出　　处：《中国实用妇科与产科杂志》2018年第12期1328-1332,共5页Chinese Journal of Practical Gynecology and Obstetrics

基　　金：国家科技部"十二五"支撑计划项目(2014BAI05B05)

摘　　要：心脏病女性在妊娠期易发生心血管并发症,是孕产妇非产科因素死亡的重要原因,应加强孕前保健和管理。结合患者病史和检查进行孕前风险评估,能够手术矫正者建议其孕前手术治疗,不宜妊娠者应建议其避孕,允许继续妊娠者孕期应联合多学科管理,提高妊娠分娩安全性。Women with heart disease are at risk of cardiac complications during pregnancy and delivery,which is one of the leading causes of non-obstetric maternal mortality in China,so pre-conception health care should be planned accordingly.Pre-pregnancy risk assessment should include a complete medical history and physical examination.The women who is suitable for operation are advised to receive surgery before pregnancy.Effective contraception choices are recommended for women with contraindication to pregnancy.Multidisciplinary teams must be involved in the care of the women who are pregnant in order to improve maternal and child outcomes.

关 键 词：心脏病 孕前保健 风险评估 

分 类 号：R715.3[医药卫生—妇产科学]