Delivery of normal fetus in a woman with a cyanotic congenital cardiac anomaly
العناوين الأخرى
ولادة جنين سليم لامرأة لديها آفة قلبية ولادية مزرقة
المصدر
Journal of the Arab Board of Health Specializations
العدد
المجلد 5، العدد 4 (31 ديسمبر/كانون الأول 2003)، ص ص. 48-51، 4ص.
الناشر
المجلس العربي للاختصاصات الصحية
تاريخ النشر
2003-12-31
دولة النشر
سوريا
عدد الصفحات
4
التخصصات الرئيسية
الملخص AR
This is a description of the management of a 23-year-old patient who had undergone a Glenn procedure (cavopulmonary anastomosis) and subsequently became pregnant.
The patient had a diagnosis of univentricle associated with severe pulmonic stenosis.
She had a history of mild cyanosis and three consecutive abortions postoperatively.
Her red blood count, hemoglobin, and hematocrit values were elevated, and the arterial blood O2 saturation was 86%.
She sought medical advice prior to her next pregnancy.
Repeated phlebotomies were performed until the hemoglobin was 14 g/dl and the hematocrit was 43%.
The patient was prescribed aspirin 100 mg daily immediately following the diagnosis of her first post-phlebotomy pregnancy.
During this time, her hematocrit was maintained below 44%.
At the beginning of her ninth gestational month, fetal systolic and diastolic blood flows were monitored through the umbilical arteries by pulsed wave Doppler modality.
When the chorional vascular resistance index (Pourcelot index) rose to 0.9 and disturbances in diastolic blood flows were noticed in the 37th week of gestation, the patient was delivered by cesarean section.
The newborn baby was normal on echocardiography one month after delivery.
We believe that the palliative surgical procedure (Glenn's) that the patient had undergone allowed her to reach childbearing age and played a significant role in reducing the overall risks of pregnancy, usually abundant in such a clinical setting of complex congenital cardiac anomalies.
Periodic fetal blood flow monitoring during the last month of pregnancy was helpful for the early detection of intrauterine fetal distress and reduction of perinatal mortality.
الملخص EN
This is a description of the management of a 23-year-old patient who had undergone a Glenn procedure (cavopulmonary anastomosis) and subsequently became pregnant.
The patient had a diagnosis of univentricle associated with severe pulmonic stenosis.
She had a history of mild cyanosis and three consecutive abortions postoperatively.
Her red blood count, hemoglobin, and hematocrit values were elevated, and the arterial blood O2 saturation was 86%.
She sought medical advice prior to her next pregnancy.
Repeated phlebotomies were performed until the hemoglobin was 14 g/dl and the hematocrit was 43%.
The patient was prescribed aspirin 100 mg daily immediately following the diagnosis of her first post-phlebotomy pregnancy.
During this time, her hematocrit was maintained below 44%.
At the beginning of her ninth gestational month, fetal systolic and diastolic blood flows were monitored through the umbilical arteries by pulsed wave Doppler modality.
When the chorional vascular resistance index (Pourcelot index) rose to 0.9 and disturbances in diastolic blood flows were noticed in the 37th week of gestation, the patient was delivered by cesarean section.
The newborn baby was normal on echocardiography one month after delivery.
We believe that the palliative surgical procedure (Glenn's) that the patient had undergone allowed her to reach childbearing age and played a significant role in reducing the overall risks of pregnancy, usually abundant in such a clinical setting of complex congenital cardiac anomalies.
Periodic fetal blood flow monitoring during the last month of pregnancy was helpful for the early detection of intrauterine fetal distress and reduction of perinatal mortality.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Shibly, Husam& Dahhan, Mouhiba. 2003. Delivery of normal fetus in a woman with a cyanotic congenital cardiac anomaly. Journal of the Arab Board of Health Specializations،Vol. 5, no. 4, pp.48-51.
https://search.emarefa.net/detail/BIM-145760
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Shibly, Husam& Dahhan, Mouhiba. Delivery of normal fetus in a woman with a cyanotic congenital cardiac anomaly. Journal of the Arab Board of Health Specializations Vol. 5, no. 4(December 2003), pp.48-51.
https://search.emarefa.net/detail/BIM-145760
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Shibly, Husam& Dahhan, Mouhiba. Delivery of normal fetus in a woman with a cyanotic congenital cardiac anomaly. Journal of the Arab Board of Health Specializations. 2003. Vol. 5, no. 4, pp.48-51.
https://search.emarefa.net/detail/BIM-145760
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 51
رقم السجل
BIM-145760
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر