CHOICE OF ANESTHESIA METHOD FOR CAESAREAN SECTION IN WOMEN WITH MITRAL STENOSE

Аннотация

This problem is most acute in pregnant women, in whom cardiovascular pathology is one of the main causes of maternal mortality. At the same time, according to the majority of obstetricians and gynecologists, 80-90% of pregnant women with MS have compensated circulation. The mortality rate of pregnant, parturient, and puerperant women with mitral stenosis (MS) is particularly high, reaching 5%. Pregnant lethality increases by up to 17% in cases of atrial fibrillation development. Therefore, this particular contingent of pregnant women with MS requires an individual approach to the choice of anesthesia method, reliably ensuring safe delivery. To objectively estimate the functional state of the cardiovascular system in 68 patients aged 20–28 years at gestational periods of 12-18 to 36-38 weeks, we studied the hemodynamic state by the time of labor delivery (termination of pregnancy) in patients with MS of varying severity. In parallel, the functional state of fetal-utero-placental blood flow (FUPBF) was studied in the same population of women using Doppler ultrasonography.