Clinical study of cardiac disease complicating pregnancy
Journal Title: MedPulse -International Medical Journal - Year 2015, Vol 2, Issue 3
Abstract
Objectives: To evaluate maternal and fetal outcome of pregnancies complicated by cardiac disease. Materials And Methods: A retrospective analysis of 61 pregnant women with cardiac disease from August 2013 – August 2014 at Cheluvamba hospital, Mysore. Results: In the present study, incidence of cardiac disease is 0.46%.Rheumatic heart lesions constituted 73.7% and congenital heart disease constituted 26.23%.Out of the RHD cases 51.1% of cases had involvement of single valve whereas 48.8% had multiple valves lesions.70.49% of cases belong to NYHA grade 1, 14.75% cases were NYHA grade 3 and 1.63% belong to NYHA grade 4. Prior surgical correction was seen in 19.6% of cases. 24.59% cases were complicated by anemia and 6.55% cases complicated by PIH. 62.2% cases delivered spontaneously vaginally, 14.47% of instrumental deliveries and 21.3% cases by caesarean section.6 cases complicated with congestive cardiac failure, acute pulmonary edema, atrial fibrillation. There were 22.9% NICU admissions with perinatal mortality of 6.5% and mean birth weight of 2.5 kg. One maternal death was seen. Conclusion: Heart disease in pregnancy is a high risk condition and has major impact on pregnancy. Early diagnosis by proper antenatal care and intervention could be the key to prevention of complications.
Authors and Affiliations
Prameela Prameela, Kavya D Sharma
Keywords
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