Nursing Care after Cardiac Surgery for Termination of Pregnancy in Five Pregnant Women with Co-morbid Cardiac Disease

Abstract

Objective: To summarize the clinical data and nursing experience of 5 cases of pregnant women with combined heart disease in pregnancy after cesarean section, followed by termination of pregnancy and then cardiac surgery in the postoperative period, to provide clinical experience for the care of such patients in the future. Methods: Retrospective analysis of the treatment and nursing process of 5 cases of pregnant women with pregnancy-related heart disease admitted to the hospital’s department from May 16, 2023, to September 19, 2024, after cesarean section for termination of pregnancy, followed by cardiac surgery. For postoperative patients after cesarean section, using the “waist bag” type sandbag hemostasis method to prevent intra-abdominal pressure poly drop caused by heart rate, blood pressure abnormal treatment, and hemostatic effect, reduces the frequency of hemostatic drugs ^[1]. Strict monitoring of vital signs and hemodynamic monitoring, to maintain access and stability of the internal environment, digestive system care. Result: Five pregnant women with heart disease who underwent surgery all recovered and were discharged after appropriate nursing measures were taken. The average length of hospital stay for the five patients was (20 ± 14.3) days. Conclusion: For pregnant women with complicated heart disease who undergo cesarean section to terminate pregnancy followed by cardiac surgery, it is essential to strengthen specialized monitoring and clearly define key observation points. Focused treatment and nursing care can help reduce postoperative complications, support patient recovery and self-care, and shorten hospital stays. This approach provides valuable clinical guidance for managing similar cases in the future. It is of clinical significance for future cardiac surgery after cesarean section in pregnant women with complicated heart disease.