کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
5563314 | 1562867 | 2017 | 12 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Hypertension pulmonaire et grossesse
ترجمه فارسی عنوان
فشار خون ریوی و بارداری
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کلمات کلیدی
پرفشاری خون ریوی، بارداری، بیهوشی، سزارین، پرفشاری خون ریوی، حاملگی، بیهوشی، تحویل سزارین،
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
بیهوشی و پزشکی درد
چکیده انگلیسی
Because of high maternal mortality, pulmonary hypertension (PH) remains a formal contraindication to pregnancy despite clear therapeutic advances. Therapeutic education including adequate contraception should be offered to any patient with PH. Management of pregnancy should be carried out in a PH referral center. A therapeutic abortion must be systematically proposed and practiced as soon as possible. If pregnancy is continued, regular multidisciplinary follow-up is required to adapt the background treatment and screen for respiratory, hemodynamic and obstetric complications. Vaginal or cesarean delivery requires a dedicated team and must be scheduled. Cesarean section, carried out between 34Â and 36Â weeks of gestational age, remains the preferred mode of delivery because it avoids hemodynamic constraints linked to pain during labor and to expulsive efforts. Nevertheless, vaginal delivery is possible under strict monitoring and reduces the risk of bleeding, infection and venous thromboembolic disease compared with cesarean section. Neuraxial anesthesia is preferred regardless of the delivery route, as general anesthesia is probably associated with higher mortality. Close monitoring in intensive care unit is required during several days in the post-partum period due to the high rate of complications.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Le Praticien en Anesthésie Réanimation - Volume 21, Issue 4, September 2017, Pages 192-203
Journal: Le Praticien en Anesthésie Réanimation - Volume 21, Issue 4, September 2017, Pages 192-203
نویسندگان
Karim Bouattour, Nicolas Boquillon, Audrey Stalla-bourdillon, Sonia Levenet, Agnès Lecinq, Mickael Soued, Frédéric J. Mercier,