Experience of Painless Delivery by a Pregnant Woman Complicated with a Severe Mitral Insufficiency
重症僧帽弁閉鎖不全症を合併した妊婦に対する和痛分娩の経験

Chisa HASEGAWA, Yasuo KONO, Satoshi YOKONO
2017 THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA  
Among the physiological changes seen in pregnant women starting from the third trimester through to postpartum, circulating plasma levels during late pregnancy are increased by 40-50% from pre-pregnancy levels. When the strain from the sympathetic system is aggravated by the stimulus of labor pain, sudden changes in circulation can occur which sometimes lead to circulatory failure, complicating the condition of the heart. I was able to manage the delivery of a multipara woman, that was
more » ... , that was complicated with severe mitral insufficiency and pulmonary hypertension without heart failure, and perform a painless delivery using epidural anesthesia. It is believed that pregnant women with heart conditions can increase their chances of a successful delivery with improvements in convalescence management. I believe that patients with heart conditions can become pregnant and deliver safely if attention is paid to fluid management during pregnancy and the appropriate painkilling assistance is provided during labor.
doi:10.2199/jjsca.37.442 fatcat:5hdwmn34vvdrzoqpuupon6i374