妊娠和分娩对于有心脏病的孕妇而言,是一次严峻的考验,它是孕产妇死亡的四大主要原因之一(心脏病、产后出血、妊娠高血压综合征、羊水栓塞)。患心脏病的孕妇有3个时期需要特别注意:血容量增加一般始于妊娠6周,至孕32～34周时达到高峰。分娩期是心脏负担最重的时期,也是病人最危险的时刻。产后3天,心脏负担仍然较重,要警惕心力衰竭的发生。因此,妊娠32～34周、分娩期、产后3天是心脏病孕妇需要闯过的三关。首先,建议原来有心脏病的女性,要事先征得医生的同意后再决定是否怀孕。一旦怀孕,从妊娠早期开始就应加强产前检查。第二,怀孕4个月起就要限制食盐的摄入,预防和纠正贫 Pregnancy and childbirth are a serious test for pregnant women with heart disease, one of the four major causes of maternal death (heart disease, postpartum hemorrhage, pregnancy-induced hypertension, amniotic fluid embolism). Pregnant women with heart disease in 3 periods need special attention: increased blood volume generally starts 6 weeks of pregnancy, reached a peak of 32 to 34 weeks of pregnancy. Childbirth is the most important period of heart burden, but also the most dangerous moment of the patient. 3 days postpartum, the burden of the heart is still heavier, to guard against the occurrence of heart failure. Therefore, 32 to 34 weeks of pregnancy, childbirth, 3 days postpartum is the heart of pregnant women need to break through the third. First of all, it is recommended that women with heart disease originally have to seek the consent of a doctor before deciding whether to become pregnant. Once pregnant, prenatal testing should be strengthened from early gestation. Second, we must limit the intake of salt from the fourth month of pregnancy to prevent and correct poverty