Chronic heart disease in pregnancy: exploring Marfan syndrome

Author:

Dunn Cheryl1

Affiliation:

1. Graduate Tutor, Midwifery, Northumbria University, Newcastle

Abstract

Coronary heart disease is the biggest killer in the UK, causing more than a quarter of deaths in 2018 ( British Heart Foundation, 2018 ). Congenital defects are the most common cause of heart disease in pregnancy ( Wylie and Bryce, 2016 ). This article will discuss Marfan syndrome and the impact this has on pregnancy and childbirth. Current literature and research will be appraised and discussed to explore mode of delivery during the second stage of labour and calculate the most appropriate method of delivery. Additionally, this article will address how the midwife can support women with Marfan syndrome during the pregnancy booking, antenatal period and intrapartum period without labelling them, and discuss how this may be achieved in relation to the uncertainty reduction communication theory.

Publisher

Mark Allen Group

Subject

Maternity and Midwifery

Reference23 articles.

1. Berger CR. Beyond initial interaction: uncertainty, understanding, and the development of interpersonal relationships. Oxford: Blackwell; 1979

2. Angiotensin II Blockade and Aortic-Root Dilation in Marfan's Syndrome

3. Burrow GN, Duffy TP, Copel JA. Medical complications during pregnancy. 6th edn. Philadelphia: Elsevier Saunders; 2004.

4. Cardiac disease in pregnancy

5. Hemodynamic assessment in a pregnant and peripartum patient

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