Case Report on Management of Pregnancy in a Patient with Small Muscular Ventricular Septal Defect

Lina Fating

doi:10.9734/jpri/2021/v33i38a32091

Abstract

Introduction: Maternal morbidity and mortality during pregnancy is significantly associated with hypertensive disorders. Patient history: A 33 years old female was admitted in AVBRH with chief complaint of breathing difficulty with G2P1A1L1 having 30 weeks of gestational age with previous LSCS and conception with small muscular ventricular septal defect, normal function and rhythm for the period of gestation. Obstetric history: Patient had bad obstetric history of 1 induced abortion. Clinical findings: The patient had undergone various investigations like blood tests, USG, Physical examination and antenatal per abdominal examination. Medical Management: Patient was treated with calcium supplement and iron supplement. Nursing management: Administered fluid replacement i.e. DNS and RL, Foetal monitoring, hourly vital sign monitoring. Conclusion: Timely treatment of Ventricular Small Muscular Septal Defect and Management in pregnancy improved the outcome of pregnancy.

Highlights

Septal ventricular defect (VSD) is a type of congenital heart disease (CHD) which accounts for one third of all heart defects diagnosed during the first year of postnatal life, with a prevalence of 4 per 1000 live births
A 33 years old female was admitted in AVBR Hospital on date 20/01/2021 with chief complaint of breathing difficulty since last night, and blood pressure was high i.e. 150/100 mm/hg
Therapeutic intervention: Present case received the medical treatment with Tab

Summary

INTRODUCTION

The recent increased prevalence of VSD among neonates can be attributed to improved diagnostic strategies and screening such as frequent use of fatal echocardiography [1], Compared to the results of older studies, the reporting of VSD at birth have risen significantly, possibly due to advancements in screening. She is belonged to nuclear family and her husband had medical history of Diabetes Mellitus She was mentally stable, conscious and well-oriented. Relevant past interventions with outcomes: Present case had the bad obstetric history (abortion). After abortion, she took the treatment for regular menses and she was conceived. Septal ventricular defect (VSD) is a type of CHD which accounts for one third of all heart defects diagnosed during the first year of postnatal life, with a prevalence of 4 per 1000 live births. VSD is the most common subtype of CHD in Taiwan, with prevalence per 1000 live births of 4.01 [4]

PATIENT INFORMATION

DISCUSSION

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CONCLUSION