OF A NURSE IN MANAGEMENT AND MAINTENANCE OF PREGNANCY IN WOMEN
WITH PROSTHETIC VALVES
F. Isaković, N. Imširović, R. Gulamović, A. Okanović and M.
Clinic, University Clinical Center Tuzla, Bosnia and Herzegovina
Valve prostheses in pregnant women are considered
to be a serious risk for management and maintenance of pregnancy.During
the whole period of pregnancy such women are to receive anticoagulation
therapy which may endanger the life of a mother and that of a
foetus as well. It is well known that heparin does not pass the
placenta and it is administered intravenously only.Low molecular
heparin which can be administered subcutaneosly has been available
to us for two years only. During the period from 1995 through
1997 at the Internal Clinic in Tuzla, we had managed to help three
women with prosthetic valves to maintain their pregnancy.Two women
had prosthetic mitral valves and one had a prosthetic aortic valve.
Owing to incessant and careful keeping under observation of these
women by our doctors and gynaecologists including maximum commitment
of our nurses to work, these women are happy mothers now.