Cadiovascular Disease in Pregnancy (Rheumatic heart disease, congenital heart defects and mitral valve prolapse account for the greatest incidence of cardiac disease in pregnancy)
Clinical manifestations indicative of cardiac decompensation are those of impending CHF:
- frequent cough, progressive dyspnea
- progressive general edema, jugular vein distention (JVD)
- syncope with exertion
- excessive fatigue for level of activity
- dysrhythmia
- congested breath sounds
- cardiac decompensation increases with length of gestation; highest incidence of CHF is observed at 28 to 32 weeks’ gestation

TREATMENT
Management of the pregnant client
- good nutritional intake; iron supplement; may require decrease in calories to avoid excessive weight gain
- limited physical activity
- sodium and fluids may be limited but not severely restricted
- diuretics and digitalis may be given
- may be hospitalized at 28 to 32 weeks’ gestation because of impending CHF
- if coagulation problems occur, heparin is used because it does not cross the placenta
- prophylactic antibiotics (penicillin) to prevent infection (endocarditis) Cadiovascular Disease in Pregnancy (Rheumatic heart disease, congenital heart defects and mitral valve prolapse account for the greatest incidence of cardiac disease in pregnancy)
Clinical manifestations indicative of cardiac decompensation are those of impending CHF:
- frequent cough, progressive dyspnea
- progressive general edema, jugular vein distention (JVD)
- syncope with exertion
- excessive fatigue for level of activity
- dysrhythmia
- congested breath sounds
- cardiac decompensation increases with length of gestation; highest incidence of CHF is observed at 28 to 32 weeks’ gestation

TREATMENT
Management of the pregnant client
- good nutritional intake; iron supplement; may require decrease in calories to avoid excessive weight gain
- limited physical activity
- sodium and fluids may be limited but not severely restricted
- diuretics and digitalis may be given
- may be hospitalized at 28 to 32 weeks’ gestation because of impending CHF
- if coagulation problems occur, heparin is used because it does not cross the placenta
- prophylactic antibiotics (penicillin) to prevent infection (endocarditis)

Cadiovascular Disease in Pregnancy (Rheumatic heart disease, congenital heart defects and mitral valve prolapse account for the greatest incidence of cardiac disease in pregnancy)

Clinical manifestations indicative of cardiac decompensation are those of impending CHF:
- frequent cough, progressive dyspnea
- progressive general edema, jugular vein distention (JVD)
- syncope with exertion
- excessive fatigue for level of activity
- dysrhythmia
- congested breath sounds
- cardiac decompensation increases with length of gestation; highest incidence of CHF is observed at 28 to 32 weeks’ gestation

TREATMENT
Management of the pregnant client
- good nutritional intake; iron supplement; may require decrease in calories to avoid excessive weight gain
- limited physical activity
- sodium and fluids may be limited but not severely restricted
- diuretics and digitalis may be given
- may be hospitalized at 28 to 32 weeks’ gestation because of impending CHF
- if coagulation problems occur, heparin is used because it does not cross the placenta
- prophylactic antibiotics (penicillin) to prevent infection (endocarditis)