Authors :
Dr. Jyoti kurtakoti; Dr. Rahul kore; Dr. Pushpa Agrawal; Dr. Aishwarya; Dr. Arundhati Jayanandan; Dr. Ameer Norat; Dr. Pravin Jadhav; Dr. Sachin Swami
Volume/Issue :
Volume 8 - 2023, Issue 4 - April
Google Scholar :
https://bit.ly/43uxUln
Scribd :
https://bit.ly/3mUU4wU
DOI :
https://doi.org/10.5281/zenodo.7851434
Abstract :
Management of pregnant women with heart
disease remains challenging due to the advancement of
innovations in cardiac surgery and correction of complex
cardiac anomalies, and more recently, with the
successful performance of heart transplants, cardiac
diseases are not only likely to coexist with pregnancy, but
will also increase in frequency over the years to come. In
developing countries with a higher prevalence of
rheumatic fever, cardiac disease may complicate as
many as 5.9% of pregnancies with a high incidence of
maternal death. A prospective clinical study was
conducted in Department of Anaesthesia, at a tertiary
care hospital and medical college for period of
September 2019 to October 2021. 50 pregnant women
who received epidural analgesia were enrolled in the
study. In our study we used low dose 0.0625% of
bupivacaine (10 ml) with 2mcg/ml of Fentanyl as bolus
and top up (5 ml of same concentration) is effective with
haemodynamic stability and without any side effects.
Keywords :
Parturient, Heart Disease, Labour Epidural Analgesia.
Management of pregnant women with heart
disease remains challenging due to the advancement of
innovations in cardiac surgery and correction of complex
cardiac anomalies, and more recently, with the
successful performance of heart transplants, cardiac
diseases are not only likely to coexist with pregnancy, but
will also increase in frequency over the years to come. In
developing countries with a higher prevalence of
rheumatic fever, cardiac disease may complicate as
many as 5.9% of pregnancies with a high incidence of
maternal death. A prospective clinical study was
conducted in Department of Anaesthesia, at a tertiary
care hospital and medical college for period of
September 2019 to October 2021. 50 pregnant women
who received epidural analgesia were enrolled in the
study. In our study we used low dose 0.0625% of
bupivacaine (10 ml) with 2mcg/ml of Fentanyl as bolus
and top up (5 ml of same concentration) is effective with
haemodynamic stability and without any side effects.
Keywords :
Parturient, Heart Disease, Labour Epidural Analgesia.
