Case Report on Rheumatic Heart Disease In Pregnancy

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Ms. Rohini Salve, Ms. Priya Rewatkar , Roshan Umate, Amol Gaikwad

Abstract

Introduction: Cardiovascular disease is accountable for 10% to 15% of maternal temporality and causes problems in 1% to 3% of all pregnancies. In low-income countries, Rheumatic Heart Disease (RHD) accounts for over 90% of all congestive heart failure in pregnant women. Patient History: At 15 weeks of pregnancy, the patient, a 27-year-old woman in her first pregnant, was refer by a physician with a detection of RHD. On   30/5/21,she was admitted to the AVBRH Hospital's Sawangi Meghe Wardha with the primary complaint of trouble breathing, easy fatigability, and lower limb pain. Clinical Findings:-  The patient had done all necessary investigations by physicians order Medical management: Patients who develop signs or symptoms of heart disease during pregnancy should receive medical attention and be limited in their activities. Diuretics can be used to treat congestive symptoms, if both beta-blockers and non-dihydropyridine calcium channel antagonists are contraindicate, digitalin may be tried. Nursing management: - maintained fluid which administered ex. NS, vital signs checked and recorded, rest and quiet environment, provide adequate nutrition, monitor/IO chart, explain treatment and home care. Conclusion: The patient has been admitted to AVBRH's ECG/ECO department, where she will receive continued medical and nursing treatment, and her health is stable and being monitored.

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