Delivering care to women with congenital heart disease: the role of clinical nurse specialist

Q2 Nursing
Hajar Habibi, Ella McDonnell, Carlo Tongol, Mark Johnson, Roshni Patel, Claudia Montanaro, M. Gatzoulis, I. Rafiq
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引用次数: 0

Abstract

Congenital heart disease is now the most common reason for women to attend a high-risk joint cardiac–obstetric clinic. With advances in medical care and surgical techniques, most children born with congenital heart disease reach childbearing age and have a good prognosis for long-term survival with a good quality of life. Pregnancy remains a major life event for these women, posing additional risks with the potential for severe morbidity and mortality. The hemodynamic changes induced by pregnancy can unmask undiagnosed congenital heart disease or exacerbate pre-existing conditions. Therefore, specialist care is essential for a successful pregnancy outcome. Women with complex congenital heart disease embarking on pregnancy need the support of a multidisciplinary team, including cardiologists, obstetricians, anaesthetists, midwives and adult congenital heart disease clinical nurse specialists. Clinical nurse specialists in particular play a crucial role in coordinating, supporting, educating and advocating for the mother and fetus through preconception, pregnancy, the puerperium and beyond.
为患有先天性心脏病的妇女提供护理:临床专科护士的作用
先天性心脏病是目前妇女前往高风险心脏产科联合门诊就诊的最常见原因。随着医疗保健和外科技术的进步,大多数先天性心脏病患儿都能达到生育年龄,并且预后良好,可以长期存活,生活质量良好。怀孕仍然是这些妇女的人生大事,会带来额外的风险,并可能导致严重的发病率和死亡率。妊娠引起的血流动力学变化可能会掩盖未确诊的先天性心脏病或加重原有疾病。因此,专科护理对于成功妊娠至关重要。患有复杂先天性心脏病的妇女在怀孕时需要多学科团队的支持,包括心脏病专家、产科医生、麻醉师、助产士和成人先天性心脏病临床护理专家。临床专科护士在协调、支持、教育和宣传母亲和胎儿的孕前、孕期、产褥期及以后的整个过程中发挥着至关重要的作用。
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来源期刊
British Journal of Midwifery
British Journal of Midwifery Nursing-Maternity and Midwifery
CiteScore
1.30
自引率
0.00%
发文量
95
期刊介绍: British Journal of Midwifery (BJM) is the leading clinical journal for midwives. Published each month, the journal is written by midwives for midwives and peer reviewed by some of the foremost authorities in the profession. BJM is essential reading for all midwives. It contains the best clinical reviews, original research and evidence-based articles available, and ensures that midwives are kept fully up-to-date with the latest developments taking place in clinical practice. In addition, each issue of the journal contains a symposium on a particular theme, providing more in-depth clinical information.
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