Peripartum Cardiomyopathy

Question 1

If ejection fraction less than 30

Answer 1

Advise not to breast feed and bromocriptin

Question 2

Do you give Prophulylactic DVT

Answer 2

Yes

Question 3

How to diagnose peripartum cardiomyopathy

Answer 3

Brain natriuretic peptide (BNP) l
Echo less than 45%

Question 4

Best contraception

Answer 4

I’mplanon
Progesterone injection
Merina
Coil avoid due to effect of vasovagal

Question 5

If persistent conditions and EFS less than 40

Answer 5

50 % recurunce and increase risk of maternal death 10%
If complete recovery risk of recurrent 20-25
If EFS less the 25 pregnancy contraindicated
Breast feeding not advisable
Sorogathey
Anti coagulation
No different between frozen or fresh embryos .