Maternal Hemodynamics PDF Download

The objective The aim of this study is to assess maternal hemodynamics immediately in the postpartum period, and also after 2 and 6 months, in the parturients who were diagnosed with preeclampsia and eclampsia and to evaluate the long- term risks of developing heart dysfunction, heart failureDesign Prospective observational case-control study Population 90 postpartum women after mild and severe preeclampsia and eclampsia (main group) and 55 patients after an uncomplicated pregnancy (control group). The parameters of maternal hemodynamics were recorded on 1,3,5,9,14 day postpartum period, as well as after 2 and 6 months after delivery. Indicators of the control group compared with the hemodynamic parameters in nonpregnant patients of reproductive age without somatic diseases (30 cases).Methods The following indicators were assessed by echocardiography: end-systolic volume (ESV), end-diastolic (EDV), stroke volume (SV), cardiac output (CO), stroke index (SI) and cardiac index (CI), mean velocity of circumferential fiber shortening (MVCF), heart rate (HR), mean blood pressure (MBP) and systemic vascular resistance (SVR).Results After uncomplicated pregnancy on the third day we observed increase in the cardiac parameters (SV, CO, SI, CI) and the simultaneous decrease in SVR demostratedby reduction in vascular resistance in carotid, ophthalmic and renal arteries as compared to non-pregnant patients (P