| Abstrakt: |
The authors describe their management policy with pregnant patients suffering from portal hypertension syndrome, based on the results of comprehensive examinations and deliveries in 44 women. Principal indications for abortions in such patients are active liver cirrhosis, third-degree varicosity of esophageal and gastric veins, dilatation of the esophagus. Natural labor is permitted when there are no threatened bleedings. Therapy is administered in accordance with obstetrical indications. In case esophagogastric bleedings develop emergency measures to arrest the bleeding are taken, rapid delivery and, if necessary, emergency surgical intervention. Knowledge of risk factors helps the problem of pregnancy maintenance and delivery mode to be solved by obstetricians and specialists in portal hypertension. This management policy promoted successful deliveries in 42 of 44 cases. |
