The main purpose of this paper is to make an analysis on the two articles describing the specialty or a population of my interest. The paper provides the description of the targeted population and disease state which has been described in the articles. The paper is also a reflection of the importance of the topic to be explored, and the main interventions used in the study. This paper provides the reflection about the various outcomes which have been measured in the studies, and the learning from the findings of the studies. This paper is also a reflection of the limitations of the study, and the initiatives for the quality improvement, and the desired outcomes.
Article 1: Recognition and management of maternal cardiac disease in pregnancy
This article is about the recognition and management of maternal cardiac disease in pregnancy. The main focus of this article is on the maternal cardiac disease and its impact on the pregnancy. This paper is a reflection of the most common and familiar causes resulting from the cardiac disease. This article has made its emphasis on the maternal deaths as a result of the heart diseases.
What were the targeted population and disease state described in the research articles?
The author has used the sample size of 12 patients in order to find the patient's conception about the maternal cardiac disease in pregnancy. In my view, the author should have increased the number of sample in order to collect the proper data about the topic. He has chosen a very short number of sample, and through this, it is difficult to derive the actual data.
Why was this important topic to explore?
This topic is very important to explore, and there is a very great relationship between the maternal cardiac disease and the rate of deaths in pregnancy. The association between maternal heart disease and pregnancy is estimated at about 1%. The importance of this partnership is that, despite the risks to both mother and fetus, proper obstetric management lead, most of the time, a good perinatal outcome. The physiological changes that occur during pregnancy pose a challenge to the functional reserve of the cardiovascular system which may not be adequately coped in more severely ill patients, which is manifested by varying degrees of congestive heart failure, acute pulmonary edema and eventually, death. The morbidity for women with heart disease who become pregnant will depend on the type of heart disease and functional capacity at the time of conception (classification according to NYHA I-IV). Heart disease that are most risk of decomposition are those with a fixed resistance to increased circulatory demand (e.g., mitral stenosis, aortic coarctation), the right to left shunt (eg tetralogy of Fallot) and pulmonary hypertension (considered alone as the more severe condition).
It is estimated that approximately 98% of cardiac patients who become pregnant have class I or II. For most of them pregnant shall forward smoothly and with a mortality of about ...