It is every woman’s dream to have her own child. Only when she becomes a mother can her life be complete, and a child is the link to family harmony and happiness. However, for female heart valve replacement patients, pregnancy and childbirth need to be very careful, otherwise it will not only cause harm to their own bodies, but also bring harm to the health of the baby. The Department of Cardiothoracic Surgery of Wuhan Union Medical College Hospital would like to introduce the corresponding precautions for female heart valve patients in reproductive age, hoping that it will be helpful to all female heart valve replacement patients. Wuhan Union Medical College Hospital Department of Cardiothoracic Surgery Hong HaoIf you feel that you are not suitable for pregnancy at the moment or because of physical reasons, the doctor suggests that you have to have an abortion, Wuhan Union Medical College Hospital Department of Cardiothoracic Surgery introduces you to the anticoagulant treatment during the abortion: when you have an abortion, you should stop taking warfarin for 3-5 days before the operation, and then operate after the lab tests are normal, or you should stop taking warfarin for 5 days before the operation, inject heparin, and then stop taking heparin for 4-6 hours before the operation. Anticoagulation was started 24-48 hours after postoperative bleeding stopped, and anticoagulation was started at the original preoperative dose, and warfarin dosage was adjusted according to the results of coagulation tetrogram. If a woman after valve replacement surgery can get pregnant, cardiothoracic surgery experts from Wuhan Union Medical College Hospital remind that the following must be noted: because warfarin can pass through the placenta and enter the fetus, taking warfarin in the first trimester of pregnancy has the risk of causing fetal malformation, and heparin can not pass through the placenta, therefore, it is generally recommended to stop taking warfarin in the first trimester, and change it to subcutaneous injection of heparin for anticoagulation, even though it is very inconvenient to take injections every day, but for the sake of the baby. Although daily injections are inconvenient, please be careful for the sake of your baby! Although there are reports of normal babies born on warfarin, what mother would disregard her baby’s health for her own momentary convenience. Here is the perinatal anticoagulation: (1) change warfarin to heparin 1-2 weeks before the expected date of delivery, counteract with ichthyoglobulin if there is much bleeding after delivery, and start taking warfarin orally if there is no sign of bleeding 24-48 hours after delivery of the fetus. (2) If cesarean section is used, the treatment during surgery is the same as the anticoagulation treatment during abortion. (3) In case of spontaneous delivery, warfarin should be used without stopping after the operation, vitamin K1 should be injected after the contraction starts, and anticoagulation should be started 24-48 hours after the delivery of the fetus without any bleeding signs. The above are some anticoagulation-related instructions for female patients of childbearing age who have undergone heart valve replacement surgery, hoping that it will be helpful to the majority of female heart valve patients. The Department of Cardiac Surgery of Wuhan Union Medical College Hospital hopes that with the advancement of medical science, the majority of female heart valve patients of childbearing age will be able to become mothers in the near future.