After delivery of Hea disease patient the following should be given
Ace inhibitors
Methergine
Furosemide
IVF fluids 1000 ml over next 4 hours
Inj. furosemide is given to decrease preload in hea disease patient post delivery. Labour Management of Cardiac Patient Limit I.V. fluids Position - semi recumbent Pain relief - opioids and epidural analgesia avoid straining in 2nd stage of labour- Cut sho it by forceps/vaccum Inj. furosemide and I.V./ I.M. Oxytocin given to decrease preload methyl ergometrine is C/I Observation in high risk ward for 24 hrs.
Medical Illness Complicating Pregnancy