Im 26 years old and I have a Congenital Heart Defect, VSD.can I posibly have a baby? Im not having a boyfriend now because Im afraid I cannot give birth.Pls help me about it.Can I be happier?
2007-09-29 05:08:10 · 4 answers · asked by Anonymous in Health ➔ Diseases & Conditions ➔ Heart Diseases
YES, This article will help you out:
Special Concerns:
* Pregnancy and prenatal care
o The presence or lack of early care is not a factor in CCVM.
o A major objective of medical management is to minimize the factors that interfere with the limited circulatory reserve of pregnant women with VSD.
o Because anxiety is a special concern in a primigravida, the expectant mother should be prepared mentally for pregnancy, labor, delivery, and puerperium.
o Diuretics can be used judiciously to manage edema of cardiac failure, but they should not be used to treat edema of normal pregnancy.
o Pregnant women with heart disease should limit themselves to moderate isotonic exercise.
o Maternal mortality in pregnant women with heart disease has been associated with the functional class.
o VSD associated with pulmonary vascular disease is 1 of the 2 major maternal cardiac risks; the other is pulmonary edema.
* Labor and delivery
o In women with functionally mild unoperated lesions and in patients after successful surgical repair, management of labor and delivery is the same as for pregnant women without a VSD.
o The recommendations of the American Heart Association state that no antibiotic prophylaxis is required for a normal vaginal delivery.
o For pregnant women with functionally important congenital cardiac disease (unoperated or operated), the management of labor, delivery, and the puerperium is crucial to minimize risk.
o Induced vaginal delivery is preferred over cesarean delivery. Cesarean delivery results in twice the blood loss of vaginal delivery. In addition, it is associated with risks of wound infection, uterine infection, thrombophlebitis, and potential postoperative complications.
* Effect of CCVM on society
o Cardiovascular malformations are the leading cause of premature mortality from congenital anomalies.
o The progressive reduction in the mortality rate over the past 20 years reflects the major advances in the management of heart defects in infants.
o Premature mortality computed as years of potential life lost before age 65 years is a way of measuring the long-term effect of heart defects.
o Three defects rank among the most frequent causes of premature death due to congenital malformations, VSD being 1 of them. The other 2 are hypoplastic left heart and transposition of the great arteries.
o The direct and indirect costs are great. The economic cost to society remains difficult to delineate. For each infant or child who dies from complications of a VSD, society is denied the fruit of his or her labor.
* Points to remember
o After a bicuspid aortic valve, VSD is the most common congenital heart defect.
o The axiom “the louder the murmur, the smaller the defect” does not always apply.
o The murmurs heard in early infancy, which disappear by age 1 year, probably represent spontaneous closure of the defects.
o Perimembranous defects account for 80% of all VSDs.
o The recognition of the diastolic murmur of aortic insufficiency, in the presence of classic findings of VSD, should make the diagnosis of supracristal variety likely.
o The supracristal VSD most commonly occurs in Asian patients.
o The supracristal VSD is also known as a doubly committed VSD.
o Elevated pulmonary resistance may be maintained in some patients despite therapy directed at the VSD and may, in fact, represent a primary disease of the pulmonary vessels.
o The defects observed in adulthood are usually small or medium sized because the vast majority of patients with isolated large defects come to medical and often surgical attention early in life.
o An experienced pediatric cardiologist can accurately assess newly referred patients with murmurs on clinical examination with a sensitivity of 96% and a specificity of 95%.
Send me the picture of the baby.
http://www.emedicine.com/ped/topic2402.htm
2007-09-29 10:45:57 · answer #1 · answered by Dr.Qutub 7 · 1⤊ 1⤋
It is possible to have a child, although I would consult with you doctor prior to becoming pregnant.
Becoming pregnant will put addition strain on your heart and could possibly put you and the baby at risk.
I might suggest as far as a relationship goes being up front with you partner and telling them of your problem and the chances of having children are slim. You might even condsider adopting a child.
I know that there are allot of people out there that don't worry about these things and can figure out unique ways around them. If you do find a partner and he truly loves you it won't matter if you can't have children, and if you decide to adopt then I am sure that your partner would agree.
I wish you the very best in finding a partner that will provide you with the say love and care that you would return.
Best Regards.
2007-09-29 05:25:45 · answer #2 · answered by Randy W 5 · 0⤊ 0⤋
Ventricular Septal Defect can be surgically corrected. Child birth after recovery should be possible.
Consult a cardiologist.
2007-10-02 03:41:34 · answer #3 · answered by A.V.R. 7 · 0⤊ 0⤋
Medical advise such as you are seeking should not be looked for in this type of forum, if you are unable to afford proper medical attention on your own, there are plenty of free clinics available for help.
I am a trained nurse and even I would not offer such advise not knowing your full history, play it safe, see a doctor.
2007-09-29 05:15:54 · answer #4 · answered by Anonymous · 1⤊ 1⤋