Abstract

FEATURES OF THE STATE OF THE CIRCULATORY SYSTEM MOTHER AND FETUS IN THE SECOND TRIMESTER OF PREGNANCY IN WOMEN WITH MITRAL STENOSIS OF RHEUMATIC ETIOLOGY

Tuksanova D. I.*, Negmatullaeva M. N., Nosirova M. Sh. and Akhmedov F. K.

Abstract

Introduction: The spectrum and prevalence of cardiovascular disease during pregnancy varies widely between countries. According to the latest information, 1-4% of all pregnancies in industrialized countries are complicated by cardiovascular diseases (CVD). The link between heart disease and pregnancy is becoming more common. Purpose: Studying the state of central hemodynamic of the mother, regional fetal blood flow for early diagnosis of activation of the rheumatic process and decompensation of blood circulation. Materials and Methods: We observed 113 pregnant women, of which 58 were observed from the first trimester and 55 were newly admitted. The diagnosis of heart disease was made jointly with a cardiologist on the basis of complaints, medical history, clinical and additional methods of examination, all patients observed were aged 20 to 42 years. Results and Discussion: Indicators of CH, uterine and fetoplacental blood flow changed more noticeably. Thus, in patients with a single heart rate lower than that, heart rate was increased by 19.5%, which kept the cardiac output for a minute at satisfactory values. Conclusion: Thus, in total, in the second trimester of pregnancy, 31 patients with mitral stenosis were presented with indications for termination of pregnancy, when the leading criteria, in addition to clinical, laboratory biochemical, were indicators of volemia, CH, which indicated a decrease in single and minute cardiac performance, an increase in heart rate, and a gradual progressive decrease in Total peripheral resistance and coefficient of integral tonicity.

Keywords: preeclampsia, dopplerometry, mitral stenosis, circulation of the mother and fetus, heart defects.