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Volume 10
Issue 1
Online publication date 2012-03-22
Title The choice of optimum obstetrical tactics in pregnant women with rheumatic heart disease: Delivery through natural maternal passages or Caesarean operation?
Author Munira Asatova, Tashpulat Abdukarimov
Abstract The choice of optimum tactics of labor management and post-natal period in pregnant women with valvular heart disease is one of the most effective ways of decreasing of maternal and perinatal mortality. We carried out the comparative investigation of the results of labors in pregnant women with mitral heart disease depending on the method of delivery. The obtained results showed that during delivery of pregnant women with mitral heart disease through natural maternal passages the indices of central hemodynamics were relatively more stable; the course of post-natal period and the new-born children’s condition was more favorable. 
Abdusalamova, K., Vakkasova, E., Abdurakhmanova, L., Siddikova, O., 2009. “Features of pregnancy and birth outcomes in women with heart diseases” [Osobennosti techeniya beremennosti i ishod rodov pri zabolevaniyah serdca], in Russian, 3rd Congress of Association of Cardiologists of Central Asia 

Apresyan, S., 2009. “Pregnancy and childbirth in extragenital diseases” [Beremennost i rodi pri extragenitalnih zabolevaniyah], in Russian, Moscow; GEOTAR-Media 

Glotova, O., 2005. “Optimization of obstetric tactics in patients with mitral heart disease” [Optimizaciya akusherskoy tactiki u bolnih s mitralnim porocom serdca], Doctoral dissertation 

Mravyan, S., Petrukhin, V., 2007. “Evaluation of temporal parameters of heart rate variability in women with heart disease,” Russian Journal of Obstetric and Gynecology [Rossiysky Jurnal Akusherstva i Ginekollogii], in Russian, No.3, pp.9-12 

Oakley, C., Child, A., Iung, B., 2003. “Expert consensus document of management of cardiovascular disease during pregnancy,” Europe Heart J., Vol.24, pp.761-81
Repina, M., Kuzmina-Krutetskaya, S., 2008. “Acquired heart diseases and pregnancy (in practical medical help),” Journal of Obstetrics and Female Diseases [Jurnal Akusherstva i Jenskih bolezney], in Russian, No.1, pp.100-108
Swiet, M., 2000. “Maternal mortality: The confidential enquiries into maternal deaths in the United Kingdom,” Am J Obstet Gynecol, Vol.182, pp.760-66 

Szekely, P., Snaith, L., 1994. “Maternal mortality in rheumatic heart disease,” In: Szekely, P., Snaith, L. (Eds.), Heart Disease and Pregnancy, Edinburgh: Churchill-Livingstone, pp.129-33 

Zabolotskih, I., Malyshev, J., Shehovtsova, S., 2002. “Prediction of hemodynamics during prolonged anesthesia” [Prognosirovaniye gemodinamiki pri dlitelnih anestesiyah], in Russian, The handbook for physicians, Krasnodar

Keywords Pregnancy, labor, rheumatic heart disease, anemia, treatment
Pages 19-22
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