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GOOD
MORNING
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CARDIO VASCULARDISEASES
Presente
Manpree
M.Sc.[N]
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DISEASES
Changes in Cardiovascula
Dynamics duringPregnancy:
An increase in cardiac output by 30
An increase in blood volume by 20
A rise in stro!e volume by 20 to
early pre"nancy
A #all in t$e blood pressure in t$e
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Incidence$e overall incidence o# c
diseases in pre"nancy is #al
bot$ developin" parts o# t$e &
is less t$an (% in $ospital deliv
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)actors Responsible )or *ardio )
Advanced a"e
*ardiac arr$yt$mias
+istory o# previous $eart #ailu
Appearance o# ,ris! #actopre"nancy
Inade.uate supervision
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/##ects on +eart esion on 1re"n
1reterm delivery1rematurity
IGR is .uite common in cyanotic
diseases
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GRADING
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*linical #indin"s Lateral displacement of the heart oc
late pregnancy Soft systolic murmur is sometimes h
diastolic murmur! a harsh s
murmur and fi"rillation
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INVESI!AIONS
#
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#ont$
"# ray
EC!
Do$$ler ul%raso
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*omplication
Maternal Complication:-
Pulmonary edema
Congestive cardiac failure
Pulmonary emboli and throm
Subacute bacterial endocardit
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$e #etal complications are1reterm labor1reterm labor
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Ade.uate rest
ANENAAL CARE$e #ollo&in" advices are "iven to t$e
&omen
*ON
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%ospitali&ation*ON4
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1ositionOy"enAnal"esia)luids*are#ul &atc$ o# t$e pulse and
respiration*ardiac monitorin" and pulse
Intranatal *are (ststa"e o# lab
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The second stage of labor:
&orce$s or Ven%ouse u$udendal or $erineal anaes%hesia
In%ravenous ergome)i%h %he delivery o*
an%erior shoulder shou
*ON4
*ON
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'he third stage of la"or(
No ergo% con%aining $re$ara%ion
'e used *or %he +rds%age o* la'or I* %he 'lood loss is e,cess-
syn%
may 'e used as i% has less e.'lood vessels %han ergome%rine
I* %he )omen is in hear% o,y%ocics should 'e avoided
I* syn%ocinon is given 'y in
accom$anied 'y in%ravenous *ru
*ON4
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1ostnatal care) Patient is to be observed closely for t
24 hours) Oxygen in administered
) reast feeding is not contraindicated
there is failure) !nticoagulant therapy is n
contraindication of breast feeding
Mana"ement o# cardiac #ailure in pre
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Mana"ement o# cardiac #ailure in pre
Pro$$ed u$ $osi%ion
In/ec%ion mor$hine 01 mg I2 2oni%oring )i%h EC! and
o,yme%ery
Diure%ic# *rusemide 3loo$4 56I8V
O,ygen adminis%ra%ion
Digo,in 681 mg I828 *ollo)
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6ummari7ation
#ardio*ascular cha
'ypes
+radings
#linical features
,n*estigation
Management
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8
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+AN96
