Abstract

TOIRAC LAMARQUE, Abelardo; PASCUAL LOPEZ, Viviana  and  BLANCO ROMAN, Gladys. Pregnancy in the cardiac patient. Part I. Clinical and epidemiological characterization: the basics. MEDISAN [online]. 2012, vol.16, n.8, pp. 1195-1206. ISSN 1029-3019.

A longitudinal and prospective case-control study was carried out in "Tamara Bunke Bider" Gyneco-obstetric Teaching Hospital of Santiago de Cuba, during a period of 8 years, in order to characterize the pregnant woman or puerpera with some heart disease to achieve a differentiated care, adjusted to an interdisciplinary and comprehensive care protocol, designed from previous experience gained in other patients with high risk. One hundred and thirteen pregnant women with clinical diagnosis and paraclinical confirmation of heart disease (cases) were divided into groups and 226 (control) were selected from a total of 25 412 no cardiac pregnant women. The classification was performed by means of anatomical criteria of Carrera-Macías, functional assessment of New York Heart Association, the levels of risk of cardiac death of Clark and, finally, the type-categories raised by this working group for this purpose. The results are certainly satisfactory and encouraging, with the aforementioned comprehensive obstetric and perinatal treatment and necessary cardiac and cardiosurgical care offered by the Heart Center of "Saturnino Lora Torres" Clinical Surgical Teaching Hospital of this province.

Keywords : pregnancy; delivery; puerperium; heart diseases; maternity hospitals.

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