Pregnancy Clinical Trial
Official title:
Anaesthetic Management of Women With Heart Disease For Labor and Delivery
Heart disease among pregnant women is increasing in incidence. The cardiovascular changes associated with pregnancy may be particularly hazardous for both mother and fetus in a subset of these patients. The period of greatest risk is peripartum while these patients are under the care of the obstetrician and anesthesiologist. We will evaluate the anesthetic management of all women with heart disease whose pregnancies were followed at the University Health Network and/or Mount Sinai Hospital between 1986 and 2001.
Heart disease among pregnant women is increasing in incidence. The cardiovascular changes
associated with pregnancy may be particularly hazardous for both mother and fetus in a
subset of these patients. The period of greatest risk is peripartum while these patients are
under the care of the obstetrician and anesthesiologist. Exposing a compromised patient to
general anesthesia is further complicated by the cardiovascular stress response to
intubation and surgery, the cardiorespiratory implications of mechanical ventilation, the
cardiac depression and vasodilation from general anesthetics, residual post-operative
respiratory depression from general anesthetics and narcotics and the stress of weaning from
mechanical ventilation and post-operative pain.
In the Adult Congenital Heart Program, obstetric patients are followed the by a specialized
team of cardiologists, obstetricians and anesthesiologists who also follow all pregnant
women referred with acquired cardiac disease. From this referral practice approximately 100
patients per year are now followed during their pregnancy and delivery. In conjunction with
the ongoing system we intend to identify all parturients who delivered at the University
Health Network (Toronto General Hospital) or Mount Sinai Hospital between the years 1986 and
2001. We will evaluate the anesthetic management of all women with heart disease whose
pregnancies were followed at the University Health Network and/or Mount Sinai Hospital
between 1986 and 2001.
;
Observational Model: Defined Population, Primary Purpose: Screening, Time Perspective: Longitudinal
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