Patent ductus arteriosus primary prevention: Difference between revisions
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{{CMG}}; '''Associate Editors-In-Chief:''' [[Priyamvada Singh|Priyamvada Singh, M.B.B.S.]] [mailto:psingh13579@gmail.com]; {{CZ}}; [[User:KeriShafer|Keri Shafer, M.D.]] [mailto:kshafer@bidmc.harvard.edu]; '''Assistant Editor(s)-In-Chief:''' [[Kristin Feeney|Kristin Feeney, B.S.]] [mailto:kfeeney@elon.edu] | {{CMG}}; '''Associate Editors-In-Chief:''' [[Priyamvada Singh|Priyamvada Singh, M.B.B.S.]] [mailto:psingh13579@gmail.com]; {{CZ}}; [[User:KeriShafer|Keri Shafer, M.D.]] [mailto:kshafer@bidmc.harvard.edu]; '''Assistant Editor(s)-In-Chief:''' [[Kristin Feeney|Kristin Feeney, B.S.]] [mailto:kfeeney@elon.edu] | ||
{{Patent ductus arteriosus}} | {{Patent ductus arteriosus}} | ||
==Overview== | ==Overview== | ||
The development of a fetal heart starts during the first trimester of pregnancy. Thus, many a times the fetal heart has already developed, by the time the female becomes aware of being pregnant. There are some risk factors that if avoided before and during pregnancy can decrease the occurrence of congenital heart | The development of a fetal heart starts during the [[first trimester]] of [[pregnancy]]. Thus, many a times the fetal heart has already developed, by the time the female becomes aware of being pregnant. There are some risk factors that if avoided before and during pregnancy can decrease the occurrence of [[congenital heart disease]]s. | ||
==Prevention== | ==Primary Prevention== | ||
===General=== | |||
The development of a [[fetal]] [[heart]] starts during the first trimester of [[pregnancy]]. Thus, many a times the fetal heart has already developed, by the time the female becomes aware of being pregnant. Some steps taken before and during pregnancy that can help in preventing the [[congenital heart disease]]s are as follow- | |||
* All females planning for [[pregnancy]] should start taking [[folate]] (400micrograms/day). This is so because, the [[birth defect]]s occur most commonly during first trimester of pregnancy even before the female is aware of being pregnant. | |||
* Avoid medications like [[lithium]], anti-acne drugs ([[retinoic acid]]) and some anti-epileptic drugs. | |||
* Ensuring the female has proper [[immunity]] against [[rubella]] (before getting pregnant). | |||
* Ensure proper and complete treatment of [[upper respiratory tract infection]]s. | |||
* All females planning for pregnancy should start taking folate (400micrograms/day). This is so because, the birth | * Avoid [[viral infection]]s | ||
* Avoid medications like lithium, anti-acne drugs (retinoic acid) and some anti-epileptic drugs. | |||
* Ensuring the female has proper immunity against | |||
* Ensure proper and complete treatment of upper respiratory tract | |||
* Avoid viral | |||
* Avoid intravenous drug abuse | * Avoid intravenous drug abuse | ||
* Avoid alcohol | * Avoid [[alcohol]] | ||
* Avoid strong chemicals (solvents) | * Avoid strong chemicals ([[solvents]]) | ||
* Avoid | * Avoid [[x-ray]]s | ||
* Women with some | ===Specific=== | ||
* Females with phenylketonuria may need to follow a special phenylketoneuric diet before pregnancy and during the first trimester. | * Women with some [[disease]]s like [[diabetes]], [[seizure]]s etc should consult their physicians before and during [[pregnancy]] for special management strategies for these diseases to prevent the occurrence of [[congenital heart disease]]s. | ||
* Genetic counselling can be offered to parents who have previous history of a child with birth defect or with family history. | * Females with [[phenylketonuria]] may need to follow a special phenylketoneuric diet before pregnancy and during the [[first trimester]]. | ||
* [[Genetic counselling]] can be offered to parents who have previous history of a child with [[birth defect]] or with family history. | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
| Line 38: | Line 33: | ||
[[Category:Cardiology]] | [[Category:Cardiology]] | ||
[[Category:Congenital heart disease]] | [[Category:Congenital heart disease]] | ||
[[Category:Pediatrics]] | |||
Latest revision as of 14:22, 24 January 2013
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-In-Chief: Priyamvada Singh, M.B.B.S. [2]; Cafer Zorkun, M.D., Ph.D. [3]; Keri Shafer, M.D. [4]; Assistant Editor(s)-In-Chief: Kristin Feeney, B.S. [5]
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Overview
The development of a fetal heart starts during the first trimester of pregnancy. Thus, many a times the fetal heart has already developed, by the time the female becomes aware of being pregnant. There are some risk factors that if avoided before and during pregnancy can decrease the occurrence of congenital heart diseases.
Primary Prevention
General
The development of a fetal heart starts during the first trimester of pregnancy. Thus, many a times the fetal heart has already developed, by the time the female becomes aware of being pregnant. Some steps taken before and during pregnancy that can help in preventing the congenital heart diseases are as follow-
- All females planning for pregnancy should start taking folate (400micrograms/day). This is so because, the birth defects occur most commonly during first trimester of pregnancy even before the female is aware of being pregnant.
- Avoid medications like lithium, anti-acne drugs (retinoic acid) and some anti-epileptic drugs.
- Ensuring the female has proper immunity against rubella (before getting pregnant).
- Ensure proper and complete treatment of upper respiratory tract infections.
- Avoid viral infections
- Avoid intravenous drug abuse
- Avoid alcohol
- Avoid strong chemicals (solvents)
- Avoid x-rays
Specific
- Women with some diseases like diabetes, seizures etc should consult their physicians before and during pregnancy for special management strategies for these diseases to prevent the occurrence of congenital heart diseases.
- Females with phenylketonuria may need to follow a special phenylketoneuric diet before pregnancy and during the first trimester.
- Genetic counselling can be offered to parents who have previous history of a child with birth defect or with family history.