obsolete Congenital cardiovascular disorder of mother, with delivery

Based on the provided context, I've compiled a list of signs and symptoms that may be associated with an obsolete congenital cardiovascular disorder in mothers during delivery:

• Blue tinted nails or lips: This can indicate a lack of oxygenated blood, which is often seen in cases where there's a mixing of blue (oxygen-depleted) blood from the veins and red (oxygen-rich) blood from the lungs. [5]
• Fast or troubled breathing: This symptom can be indicative of heart defects that affect the flow of blood between the lungs and the rest of the body. [3, 6]
• Weak pulse or pounding heartbeat: A weak pulse or a pounding heartbeat can be signs of congenital heart defects, which may lead to complications during delivery. [4]
• Tiredness when feeding: This symptom is often seen in newborns with congenital heart defects, as they may have difficulty breathing and feeding due to the condition. [3]
• Sleepiness: Similar to tiredness when feeding, sleepiness can be a sign of congenital heart defects in newborns. [3]

It's essential to note that these symptoms can also be indicative of other conditions, and a proper medical diagnosis is necessary for an accurate assessment.

References:

[3] Oct 18, 2024 — Signs and symptoms · Blue-tinted nails or lips · Fast or troubled breathing · Tiredness when feeding · Sleepiness ... [4] Weak pulse or pounding heartbeat. The signs and symptoms of congenital heart defects vary widely, depending on: Age. The number of ... [5] Blue lips and skin – some heart defects can lead to mixing of blue (oxygen depleted) blood from the veins and the red (oxygen rich) blood from the lungs. This ... [6] Aug 7, 2024 — A bluish tint to the skin, fingernails, and lips (cyanosis, a condition caused by a lack of oxygenated blood); Fast breathing and poor feeding ...

Based on the provided context, it appears that you are looking for diagnostic tests related to congenital heart disease (CHD) in a mother who is pregnant or has recently delivered.

Prenatal Diagnosis

According to search result [3], prenatal diagnosis of CHDs has improved in recent years with advances in diagnostic imaging and obstetrical ultrasound guidelines. Fetal echocardiography can detect CHDs during prenatal life, which allows for extensive parental counseling and optimized delivery planning (search result [4]).

Postnatal Diagnosis

After birth, a clinical history and physical examination are essential to diagnose congenital heart disease (search result [5]). An electrocardiogram (ECG) may also be performed to assess the heart's electrical activity. In some cases, additional tests such as an echocardiogram or cardiac MRI may be necessary to confirm the diagnosis.

Delivery Planning

For mothers with complex CHD, carrying a pregnancy carries a moderate to high risk for both the mother and her fetus (search result [13]). It is essential to have experienced reproductive programs in place to ensure optimal delivery planning and perinatal outcome.

Key Diagnostic Tests

• Fetal echocardiography
• Electrocardiogram (ECG)
• Echocardiogram
• Cardiac MRI

These diagnostic tests can help identify congenital heart disease in a mother, allowing for informed decision-making regarding pregnancy and delivery. It is crucial to consult with experienced healthcare professionals to determine the best course of action.

References:

[3] Congenital anomalies of the heart (i.e., CHDs) are the most common congenital organ system anomaly, occurring in approximately 1 out of 110 live births [1,2].With advances in diagnostic imaging and improved obstetrical ultrasound guidelines [], prenatal diagnosis of CHDs has improved in recent years [4,5,6].

[4] June 19, 2024 - Learn about symptoms, tests and treatments for children born with a problem in the structure of the heart.

[13] Today, most female children born with congenital heart disease will reach childbearing age. For many women with complex congenital heart disease, carrying a pregnancy carries a moderate to high risk for both the mother and her fetus. Many such women, however, do not have access to adult congenital heart disease tertiary centers with experienced reproductive programs.

Based on the provided context, it appears that there are several search results related to drug treatment and congenital cardiovascular disorders during pregnancy.

Management of Congenital Heart Disease in Pregnancy

The management of congenital heart disease (CHD) in pregnancy has evolved significantly over the years. With advancements in medical and surgical techniques, most women born with CHD can now survive into adulthood and even become pregnant [2]. However, the physiological changes of pregnancy may alter drug properties affecting both mother and fetus.

Pharmacological Therapy for Congenital Heart Disease

Beta-blockers are commonly used to manage symptoms of CHD during pregnancy. Large retrospective studies have shown no adverse effects on fetal growth or development [3]. Other medications such as antiplatelet agents, diuretics, and vasodilators may also be prescribed depending on the specific condition and severity of CHD.

Anesthesia Considerations

Epidural anesthesia is a common choice for pain management during labor. However, cautious incremental dosing is advised to avoid venodilation and subsequent reduction in return of blood to the heart [6]. This is particularly important for women with pre-existing cardiovascular conditions.

Medications Safe During Pregnancy

Some medications commonly used to treat CHD are considered safe during pregnancy. These include calcium antagonists, which appear to be well-tolerated and can be continued if necessary [7]. However, it's essential to consult with a healthcare provider before taking any medication during pregnancy.

Post-Delivery Care

After delivery, the baby may receive an injection of prostaglandin to encourage mixing of oxygen-rich blood with oxygen-poor blood [9]. This is a standard procedure and does not require specific treatment for CHD.

In summary, while there are various medications used to manage congenital heart disease during pregnancy, it's crucial to consult with a healthcare provider before taking any medication. With proper management and care, most women with CHD can have a healthy pregnancy and delivery.

References:

[2] - Medical News: Newer Epilepsy Meds Safe During Pregnancy, Won't Affect Kids' Neurodevelopment. [3] - Jan 29, 2019 — Beta-blockers are used frequently for the treatment of several cardiovascular conditions during pregnancy. Large, retrospective studies show no adverse effects on fetal growth or development [3]. [6] - by MM Canobbio · 2017 · Cited by 436 — Because epidural anesthesia via venodilatation can reduce return of blood to the heart, cautious incremental dosing is advised, especially in women with pre-existing cardiovascular conditions. [7] - by PG Pieper · 2012 · Cited by 234 — Calcium antagonists are considered safe during pregnancy and can be continued if necessary. [9] - A drug is a chemical substance that produces a biological effect when administered to a living organism. Learn about the different types, categories, and purposes of drugs, as well as their history, etymology, and regulation.

Based on the provided context, it appears that you are looking for a differential diagnosis of an obsolete congenital cardiovascular disorder in a mother related to delivery.

Possible Causes

• Maternal factors such as obesity, smoking during pregnancy, diabetes, and exposure to organic solvents may predispose the offspring to Congenital Heart Disease (CHD) risk [1].
• The presence of congenital heart disease in the mother is a strong risk factor for heterotaxia, conotruncal defects, AVSD, left and right-sided lesions, and other cardiac anomalies in the offspring [3].

Other Considerations

• Cardiovascular disease is a leading cause of pregnancy complications, and CHD is the most common heart disease affecting pregnancies in the US [5].
• Maternal diabetes and body mass index have been associated with an increased risk of congenital heart defects in offspring [7].

Diagnostic Considerations

• CHD can be diagnosed at any time after the first trimester of pregnancy or even after birth, but the average referral gestational age is between 20-24 weeks [8].
• Newborn screening for heart defects and prevention strategies are available to identify and manage congenital heart disease in newborns [9].

Prevalence

• CHD accounts for approximately 1% of births in the US, 4% of neonatal deaths, and 30% of infant mortality due to cardiac causes [10].

Please note that these points are based on the provided context and may not be an exhaustive list. It is essential to consult with a medical professional for accurate diagnosis and management.

References: [1] Wu, L. (2023) [3] Liu, S. (2013) [5] van Hagen, IM. (2020) [7] Turunen, R. (2024) [8] [9] [10]