RESUMO
The authors take into consideration specific cases of pregnancy with remarkable oedema caused by cardiac insufficiency, gestosis, pre-eclampsia and eclampsia. They emphasize that in these conditions and in other similar ones use of diuretics cannot be precluded. They report the case of a pregnant woman with severe cardiac insufficiency and considerable oedema observed at the Obstetric Clinical of Rome University. Thanks to diuretic therapy, the pregnancy could be followed through to full term.
Assuntos
Diuréticos/uso terapêutico , Pré-Eclâmpsia/tratamento farmacológico , Adulto , Quimioterapia Combinada , Eclampsia/tratamento farmacológico , Ácido Etacrínico/administração & dosagem , Feminino , Furosemida/administração & dosagem , Humanos , GravidezRESUMO
Prosthetic heart valves require permanent anticoagulant treatment. In the case of pregnancy, serious problems arise in that coumarin drugs lead to increased incidence of fetal death and malformation. On the other hand, the omission of anticoagulant treatment implies considerable risks of systemic embolism and even of maternal death. Review of the literature and the few cases published so far do not prove that antiplatelet agents are effective and safe and offer sufficient protection against thromboembolism. The use of heparin may reduce the incidence of complications. The authors come to the conclusion that women with prosthetic heart valves should be advised to avoid pregnancy. Biovalves should be applied in those who wish to bear children.
Assuntos
Próteses Valvulares Cardíacas , Heparina/uso terapêutico , Complicações Cardiovasculares na Gravidez/prevenção & controle , Tromboembolia/prevenção & controle , Anormalidades Induzidas por Medicamentos/etiologia , Adulto , Bioprótese , Cumarínicos/efeitos adversos , Cumarínicos/uso terapêutico , Feminino , Morte Fetal/induzido quimicamente , Humanos , GravidezRESUMO
The Author considers some cases of pregnancies following to cardiovascular operations; these cases were observed at the Clinica Ostetrica e Ginecologica of the University of Rome since 1953 until today. It is in evidence that: 1) operations for mitral valve commissurotomy almost always contributed to carry out those pregnancies successfully; 2) operations for radical corrections of congenital malformations - including three cases of tetralogy of Fallot - favoured an almost normal evolution of pregnancy.
