Newborn infants of mothers with cardiopathy or nephropathy
Raynaud, E.J.
Pediatrie 44(8): 627-632
1989
ISSN/ISBN: 0031-4021 PMID: 2622703 Document Number: 330966
The prognosis for pregnancy in chronically ill women (mainly heart or kidney diseases) has improved dramatically. However, despite a decrease in the parent's mortality, foetal mortality and morbidity remains unchanged because of the consequences of the mother's disease and treatment on foetal physiology. The mother must be informed of the risks and the medical supervision during the pregnancy. The follow-up and the medical and/or surgical management during pregnancy and at birth are discussed. Pregnancies in women with heart diseases often have a favourable outcome. In women with renal failure, transplantation can result in a successful pregnancy and the birth of a healthy child. The pediatrician is involved in all decisions during pregnancy and must undertake long-term surveillance of the child in order to detect for any somatic or psychological abnormality which might appear later on in life.