Is pregnancy suitable for patients with rheumatic heart disease?

  Rheumatic heart disease is a heart lesion caused by rheumatic fever activity, which involves the heart valves and occurs mostly in the winter and spring. Women with rheumatic heart disease often have the question: Is rheumatic heart disease suitable for pregnancy? Women of childbearing age with rheumatic heart disease are not completely unable to conceive, but it is best to choose the right time to conceive under the guidance of a doctor.  Patients with rheumatic heart disease should be prepared for childbirth at an early and young age, which is the best time for rheumatic heart disease patients to have children. As age increases, the later the risk of rheumatic heart disease increases.  In addition, whether a patient with wind heart disease can become pregnant and the burden of delivery and puerperium depends on a variety of factors such as the type of valvular lesion in wind heart disease, the extent of the lesion the functional status of the heart, the presence of complications, the evolution of blood activity mechanics during pregnancy and detailed medical conditions.  The suitability of pregnancy for patients with strokes can be referred to the following: 1. The suitability of pregnancy for patients with strokes Heart valve lesions that are mild, with class I-II cardiac function, are usually permissible for pregnancy, but should strive to have children at a young age, because cardiac compensatory function decreases substantially with age.  (1) Patients with stenosis of class I-II mitral stenosis are not suitable for pregnancy because of the risk to cardiopulmonary hemodynamics after pregnancy.  (2) Patients with wind heart disease have severe cardiac lesions, with cardiac function above grade III, or with a history of heart failure, although they are grade I-II, and are over 35 years of age, and those who have been pregnant in the past and have a history of heart failure during pregnancy are prone to recurrence, so pregnancy is not recommended.  (3) Pregnancy is not advisable for patients with wind heart disease who have pulmonary hypertension, chronic atrial fibrillation, high atrioventricular block, complicated bacterial endocarditis, high incidence of heart failure or shock during pregnancy and delivery.  In conclusion, the best time to have a baby is at an early stage and at a young age in patients with wind heart disease, the later the greater the risk to the disease, and the proper time to conceive must be chosen under the guidance of a doctor.