Case Report on Management of Pregnancy in a Patient with Small Muscular Ventricular Septal Defect

Abstract

Introduction: Maternal morbidity and mortality during pregnancy is significantly associated with hypertensive disorders. Patient history: A 33 years old female was admitted in AVBRH with chief complaint of breathing difficulty with G2P1A1L1 having 30 weeks of gestational age with previous LSCS and conception with small muscular ventricular septal defect, normal function and rhythm for the period of gestation. Obstetric history: Patient had bad obstetric history of 1 induced abortion. Clinical findings: The patient had undergone various investigations like blood tests, USG, Physical examination and antenatal per abdominal examination. Medical Management: Patient was treated with calcium supplement and iron supplement. Nursing management: Administered fluid replacement i.e. DNS and RL, Foetal monitoring, hourly vital sign monitoring. Conclusion: Timely treatment of Ventricular Small Muscular Septal Defect and Management in pregnancy improved the outcome of pregnancy.