Hemodynamic changes caused by the administration of preglandin vaginal suppository in pregnant woman with pulmonary hypertension.

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The incidence of cardiovascular complication is usually quoted as 1-2 per cent of all pregnancies, especially pulmonary hypertension is very rare. As the maternal mortality is highest, therapeutic abortion usually has been recommended until the second trimester.<BR>One case of pulmonary hypertension with pregnancy is reported.<BR>A 40-year-old woman, para 3, gravida 3, was admitted in the 18th week of pregnancy for therapeutic abortion because of pulmonary hypertension. The Preglandin vaginal suppository was elected to induce abortion, and the cardiac cathterization using Swan-Ganz catheter was carried out for hemodynamic monitoring. With administation of Preglandin vaginal suppository every 3 hours, there was no remarkable hemodynamic change through the delivery course. Other than mild palpitation and dyspnea at the time of expulsion, the delivery course was almost uneventful.<BR>This case suggests that hemodynamic monitoring is helpful to manage safely delivery course of the patient with severe cardiovascular complication.
近畿産科婦人科学会の論文