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  • Title: Pregnancy after heart valve replacement--case report.
    Author: Ezemba N, Eze JC, Onah HE, Anisiuba BC, Aghaji MA, Ezike HA.
    Journal: Afr J Med Med Sci; 2004 Sep; 33(3):271-4. PubMed ID: 15819477.
    Abstract:
    There is an increased risk of thromboembolism, anticoagulant-related haemorrhage, foetal-wastage, and congestive cardiac failure in pregnant women with mechanical heart valves. Pregnancy in such patients is a high risk venture. In order to have a good outcome, the care of such patients must necessarily be multidisciplinary and in a well-equipped centre with adequate support services. One such patient who had mechanical mitral valve replacement in 1986 and was on warfarin anticoagulant presented in April 2003 with a first trimester pregnancy. She was in stable haemodynamic state and went through pregnancy without event. Delivery was by an elective caesarian section at 38 weeks gestation. The care of this patient during pregnancy, delivery, and puerperium is the basis of this report.
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