Pulmonary Hypertension Complication Pregnancy:Analysis of 10 Cases

Objective:To analysis the clinical characteristics of pulmonary hypertension(PH)complicating pregnancy,then to explore the delivery time and the monitoring as well as the treatment during perinatal period.Methods:The data of 10 cases with PH treated in our hospital from June 2005 to January 2009 were retrospectively analyzed.Results:1 case was primary pulmonary hypertension(PPH);9 cases were secondary PH(SPH),in which 4 cases were rheumatic heart disease and 5 cases were congenital heart diseases.3 cases were slight PH,6 cases were moderate PH,and 1 were severe group.4 cases NYHA class were Ⅰ～Ⅱ and 6 cases NYHA class were Ⅲ～Ⅳ.4 cases were term delivery,5 cases were premature delivery,and 1 got artificial abortion.8 cases were cesarean section,and 1 was vaginal delivery.2 cases were very low birth weight infants,1 infant was death and 1 mother was death.Conclusions:The patient of PPH should avoid conceiving.For SPH patients whether to conceive depends on cardiac function,the level of pulmonary arterial pressure and should better get pregnancy after surgery or medication.It should terminate pregnancy in the first trimester for moderate or severe patients.Cesarean section is more suitable for those in the second or third trimester.The prognosis of the mother and neonate depends on several factors.