Cardiovascular Anesthesia
Online ISSN : 1884-7439
Print ISSN : 1342-9132
ISSN-L : 1342-9132
Two cases of neuraxial labor analgesia after art of congenital heart disease. —Tetralogy of Fallot restoration and aortic valve replacement—
Tabito KinoShingo IrikomaSotaro Kokubo
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2015 Volume 19 Issue 1 Pages 7-11

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Abstract

 It has been reported that pregnant women who have undergone surgery to correct congenital heart disease have little cardiac reserve; thus, it is necessary to consider adjustments to the method of delivery for the purpose of minimizing the load on the heart. Epidural labor analgesia was administered to a primiparous woman who had previously undergone surgery for congenital heart disease. Forceps delivery was performed to shorten the second stage of labor, and patient-controlled epidural analgesia was also used. Heart failure and arrhythmia had not occurred during the pregnancy. No considerable changes in blood pressure progression of labor, and the statuse of the fetus was good throughout labor. In such cases, epidural labor analgesia may promote stable hemodynamics in pregnant women who are considered to be at risk during delivery, and thus, avoiding the need for a hysterotomy.

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© 2015 Japanese Society of Cardiovascular Anesthesiologists
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