Abstract

A 30-year-old woman, who had been received warfarin for anticoagulation after prosthetic mitral valve replacement, transiently aboided warfarin administration to success the conception. Then warfarin was reintroduced at 13th week of gestation.At late gestational period, she complained of mild heart faliure in NYHA class II following increases in HR, LV volumes, LA/Ao ratio and CTR. After 37th week of gestation warfarin was substituted for heparin (15, 600U/day), and cesarean section was performed keeping her APTT at 1.5 times the control value. The mother was free from thromboembolic complication, and the infant was free from embryopathy or hemorrhagic complication. The level of the infant indicated that warfarin should be stopped at least 10 days before labor. In this case methyl ergometrine caused a rapid increase in pulmonary-arterial pressure and bradycardia. Therefore methyl ergometrin Should be used carefully for a post MVR patient with the assessment of hemodynamic functions.

Full Text
Published version (Free)

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call