This study aims to assess maternal cardiac function in the postpartum period, after 2 and 6 months in the parturient with preeclampsia and eclampsia.
The present study included 90 postpartum women after preeclampsia and eclampsia and 55 patients after an uncomplicated pregnancy. The maternal hemodynamics parameters were recorded on days 1, 3, 5, 9, and 14 of the postpartum period, after 2 and 6 months.
PE is accompanied by increased peripheral vascular resistance. The indicator of vascular resistance, SVR, is elevated for both mild and severe PE. With mild PE, a significant increase in SVR is observed up to 5 days of the postpartum period, with severe PE/E up to 9 days. We found that in case of severe PE, SVR remains elevated to 6 months after delivery. ESV, SV, SI, CO, and CI remain low with severe PE up to 6 months. The revealed decreasing of contractile function of the heart is a sign of asymptomatic heart failure.
The puerperal hemodynamics after PE and E is characterized by impaired contractility of the myocardium and an increase in the indices of peripheral resistance.