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Unformatted text preview: Maternal heart disease in pregnancy Diagnosis Diagnosis involves taking a good history and examination. This involves proper identification of typical signs and symptoms, and following up with confirmatory tests. For women with pre- existing heart disease, they should be followed up closely as pregnancy increases the demand of the heart. Echocardiography will demonstrate evidence of heart disease and should be ordered if there is reason to believe there are any structural abnormalities of the heart. Treatment 1. Management: Ante-natal management Establish risk preferably prior to conception and ensure appropriate level of antenatal management. Ensure patient not taking teratogenic drugs e.g. ACEI Consider detailed cardiac echo of the foetus Consider anti-coagulant therapy in patients with prosthetic valves (warfarin throughout pregnancy). 2. Management: Intra-partum management Allow spontaneous labour at term with scheduled IOL (induction of labour) in women who need invasive...
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- Fall '10