Dissertation > Excellent graduate degree dissertation topics show

The Effect of Different Cardiac Function on Maternal-fetal Prognosis on Pregnant Women with Heart Disease

Author: LuLi
Tutor: ZhuQiYing
School: Xinjiang Medical University
Course: Obstetrics and Gynaecology
Keywords: pregnancy with heart disease delivery way maternal-fetal prognosis antenatal examination
CLC: R714.2
Type: Master's thesis
Year: 2012
Downloads: 47
Quote: 0
Read: Download Dissertation

Abstract


Objective: To investigate the types of pregnancy with heart disease the choice ofthe ways of childbirth the influence of different cardiac function of pregnant women onmaternal-fetal prognosis and importance of prenatal care, provide theory basis for clinicalconsultation and treatment. Methods: Clinical data of102cases of pregnant women withheart diseases from February2002to February2011were analyzed retrospectively in thefirst affiliated hospital of Xin jiang Medical University. Use spss l3.0to carry onstatistics analysis. All measurement material uses x士s to indicate and uses the texamination. Results:1) The highest incidence of cardiac disease was due to congenitalheart disease (37.25%), sequelae of abnormal cardiac rhythm (21.57%) and rheumaticheart disease (16.67%). The last part was peripatum cardiomyopathy, hypertensive heartdisease and other types of heart disease.2) The cardiac surgery can obviously improvethe cardiac function of pregnant women, make its security through the pregnancy duringdelivery. At the same time, it is suggested that it gets severity heart attack of the pregnantwomen after surgical treatment more safety during pregnancy.3) In102delivered women,14cases (13.73%) vaginal delivery,88cases (86.27%) cesarean section, cardiac functionlevel III-IV group cesarean section rate was higher than the cardiac function level I-IIgroup, the difference between the test group was significantly (P＜0.05).4) The patientsaverage gestational ages and neonatal weight were lower in women with cardiac functionlevel111-IV than those women with cardiac function level I-II (P＜0.05);The cardiacfunction level I-II group of maternal heart failure rate was significantly lower than thecardiac function level III-IV group,2=57.421, P=0.000(P＜0.05), The differencebetween the test group was significant;The cardiac function level I-II group of maternal death rate and cardiac function level III-IV group of maternal death rate,2=1.503,P=0.220(P＞0.05), the difference between the test group was not statistical;Theincidence of premature delivery, low weight of newborns, suffocation and perinatalmortality of neonates were higher in women with cardiac function level111-IV thanthose women with cardiac function level I-II (P＜0.05);5) Routine examination rate wassignificantly higher in cardiac function I-II level group, compared with that cardiacfunction III-IV level group, namely2=6.980, P=0.008(P＜0.05). The inspectiongroup are statistically significant differences;The incidence of preterm delivery and lowbirth weight are different between regular prenatal group and those who did not. Theinspection group are statistically significant (P＜0.05);But neonatal asphyxia andneonatal mortality were no difference between routine prenatal group and those who didnot.(P＞0.05) Conclusions: The incidence of congenital heart disease is the mostcommon. The cardiac surgery can obviously improve the cardiac function of pregnantwomen. Cardiac function level III-IV group cesarean section rate was higher than thecardiac function level I-II group, the women with cardiac function level III-IV group allshould do cesarean section termination of pregnancy. Maternal-fetal prognosis aredirectly influenced by maternal cardiac function. To strengthen the management of thewomen of pregnancy with heart disease, regular antenatal examination timely andproper termination of pregnancy, Thus it can obviously improve the pregnancy outcomeof maternal-fetal.

Related Dissertations

  1. Polyethylenimine Conjugated Stearic Acid-g-chitosan Oligosaccharide Micelles for Antitumor Gene Therapy,R450
  2. Synthesis and properties of new functionalized graphene oxide drug carriers,TQ460.4
  3. Clinical analysis of 268 cases of premature,R714.2
  4. Retrospective Clicical Analysis of 37 Cases with Eclampsia,R714.2
  5. Study on Preparation and Application of Compound Estriol Vaginal Bioadhesive Film,R943
  6. Study on Related Factors, Delivery Methods and Pregnancy Outcomes in 333 Cases of Fetal Macrosomia.,R714.7
  7. Preparation and Applications of Silk Fibroin Microspheres under Electric Fields,R318.08
  8. Full-term Pregnancy Oligoamnios Clinical Analysis of 103 Cases,R714.7
  9. Dendrimer coated gold nanoparticles as non-viral vectors for gene transfer studies,R450
  10. Synthesis and Properties Investigation of Hierarchically Porous Bioactive Glasses,R318.08
  11. Preparation of Poly(Lactic Acid) Block Copolymer-Albumin and Its Property of Drug Release,TQ460.1
  12. The Gestational Age and Delivery Type for Maternal and Perinatal Prognosis with Severe Preeclampsia,R714.24
  13. Nano-hydroxyapatite / collagen composite materials gentamicin sulfate sustained release characteristics of systems biology,R318.08
  14. Maternal Health Care and Determinants of Caesarean Section in Rural South Anhui,R719.8
  15. The Study about Pregnancy and Childbirth of Married Women of Reproductive Age in Xinjiang Reproduction and Constraction Corps,R169.1
  16. Technology and Property of Composite Coating by Arc Spraying Feeding from Outside,TG174.4
  17. Designed, Synthesis, and Property of Biodegradable Poly (ε-Caprolactone)/Glycopolymer Biohybrids,R318.08
  18. Half-effective Target Plasma Concentration of Remifentanil Tci for Intubation during Inhalational Induction with 1.3MAC Sevoflurane,R614
  19. Studies on Methazolamide Thermosensitive in Situ Gel,TQ460.1
  20. The Study and System Application Information-based on the Delivery Response System in Iron Company,F270.7;F224
  21. A Study of Project Delivery System Selection Based on Production Frontier Theory,F284

CLC: > Medicine, health > Obstetrics and Gynaecology > Obstetrics > Pathological pregnancy ( abnormal pregnancy )
© 2012 www.DissertationTopic.Net  Mobile