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- 岡田 悦子
- 国立福山病院産科
書誌事項
- タイトル別名
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- Maternal and fetal outcome in pregnancies complicated with cardiac diseases
- シンシッカン ガッペイ ニンプ ノ ボジ ノ ヨゴ ニ ツイテ
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The investigation was carried out on 82 pregnant women with firm diagnoses of cardiac disease, who delivered 84 infants, including two cases of twin pregnancies, during a six and a half year period from January 1971 through June 1977 at the Obstetrical Floor of National Fukuyama Hospital. As a result;<br>(1) In 39 cases (47.6%), diagnosis was rheumatic heart disease, and 30 cases (36.6%) had congenital heart disease. Other 13 cases (15.9%) were associated with miscellaneous heart disease.<br>(2) According to functional classifications of the New York Heart Association, 74 cases (90.2%) was evaluated as either Class I or II, and other 8 cases (9.8%) was either Class III or IV.<br>(3) Five cases (6.1%) developed cardiac insufficiencies; one case at home, one case during hospitalization and repeatedly during cesarean section, and three cases during labors.<br>(4) Two women (2.4%) resulted in fatal outcome. One case with mitral stenosis, who was poorly managed by a general physician and developed pulmonary edema at home, died immediately after emergent admission and delivery of dead fetus at the 29th gestational week. One case with patent ductus arteriosus died 5 months after recovery from cardiac arrest due to a massive hemorrhage from placenta previa during cesarean section.<br>(5) As pregnancy complications, nine cases (11.0%) had premature deliveries, two cases (2.4%) with breech presentations, two cases (2.4%) with twin pregnancies, and two cases (2.4%) developed severe toxemia of pregnancy.<br>(6) Seventy six infants (90.5%) were delivered vaginally; 31 cases (36.9%) by either vacuum extractions or forceps deliveries, and two cases (2.4%) by breech extractions. Cesarean sections were performed on 6 cases (7.3%), however, only one case (1.2%) was for cardiac reason.<br>(7) Perinatal mortality rate was 1.2% due to fore mentioned intrauterine fetal death.<br>(8) As perinatal morbidities, 8 cases (9.5%) was IUGR, 5 cases (6.0%) with SFD, 3 cases (3.6%) with asphyxia neonatorum, 4 cases (4.8%) with respiratory insufficiencies, and one case (1.2%) had congenital heart disease.<br>Modern management of cardiac disease in pregnancy was also discussed.
収録刊行物
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- 岡山医学会雑誌
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岡山医学会雑誌 89 (11-12), 1561-1567, 1977
岡山医学会
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詳細情報 詳細情報について
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- CRID
- 1390001204877650560
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- NII論文ID
- 130006859677
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- NII書誌ID
- AN00032489
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- ISSN
- 18824528
- 00301558
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- NDL書誌ID
- 1917382
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- IRDB
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