Summary
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1.
The normal heart in pregnancy may closely simulate heart disease.
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2.
The extent of cardiac disease in pregnancy is discussed.
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3.
Mitral stenosis is the predominant lesion in heart disease complicated by pregnancy.
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4.
Auricular fibrillation causes approximately four times more deaths than any of the others.
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5.
Ante-natal supervision, with early hospitalisation in those cases needing it, materially reduces the mortality rate.
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6.
The management of the confinement is discussed.
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7.
The prevention of heart failure in the first twenty-four hours of the puerperium is described.
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8.
Anæsthetics and heart disease in pregnancy are discussed. The anæsthetist is of more importance than the anæsthetic.
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9.
The problem of future pregnancies is dealt with.
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10.
Heart disease in pregnancy is a part of a greater problem. Social medicine in relation to it is discussed.
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Donovan, G.E. The heart in pregnancy: With special reference to public health. Ir J Med Sci 19, 169–178 (1944). https://doi.org/10.1007/BF02948235
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DOI: https://doi.org/10.1007/BF02948235