Family Planning and Pregnancy: US and Europe Perspectives
50:03-50:59
So I came to the to my final recommendations and as we have seen that pregnancy in patients with aortic disease should be managed by a multidisciplinary team and an expert center and is crucial to see them in a regular basis both throughout pregnancy and in postpartum care, so echo is then the most important diagnostic modality in these patients and the frequency of course should be determined on a very individual base. As we have seen that aortic dissection during pregnancy still has a substantial maternal and fetal morbidity and mortality and on the other hand if surgery is performed in these patients and there is a viable fetuses the cesarean section prior to surgery should strongly be considered. Thank you very much for your attention and if there are any more questions regarding the treatment during pregnancy, I'm happy to answer them afterwards
では最後のまとめです。大動脈疾患をお持ちの妊娠女性は、複数の診療科の専門医から構成されるチームおよび専門的な医療施設において管理される必要があり、妊娠期間全体を通じて、また出産後も定期的な経過観察が必要です。最も重要な検査は心エコー検査であり、検査頻度はそれぞれの患者さんによって異なります。妊娠中の大動脈解離に関しては、母体および胎児の罹患率・死亡率は依然としてかなり高いといえます。予防的手術の予定があり、胎児が生存可能な状態にある場合には、手術前の帝王切開を積極的に検討すべきです。ご清聴ありがとうございました。妊娠中の治療に関するご質問は、Q&Aで回答させていただきます。
