EVALUATION OF PREGNANCY OUTCOME IN HEART DISEASE COMPLICATING PREGNANCY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 43
Abstract
OBJECTIVES To evaluate the maternal and foetal outcome in pregnancies complicated by heart disease. METHODS A retrospective evaluation of 62 pregnant cardiac patients, who were managed in a tertiary care centre over a period of one year (January 2015 to December 2015), regarding the incidence, aetiology of cardiac disease, obstetric and cardiac complications, maternal and foetal outcome. RESULTS The incidence of heart disease in pregnancy in the present study is 0.9%. Rheumatic heart disease (Mitral stenosis) is still the predominant cause (44 cases, 71%) of heart disease in pregnancy followed by congenital heart disease (11 cases, 17.7%). In miscellaneous group, peripartum cardiomyopathy (9 cases, 14.5%) is the leading cause. Maternal and foetal outcome was poor in NYHA functional class III and IV. Most of the women delivered vaginally (33 cases, 51.6%), spontaneous in onset and at term gestation. However, 12 cases (37.5%) delivered prematurely; 30.7% of cases had cardiac complications during the present study. Maternal mortality was high (11.3%). There were 7 cases of maternal death. All of these patients were in NYHA class III and IV, unbooked, presenting for the first time and with the complications. CONCLUSION The study concludes pregnancy in women with heart disease not only poses a risk of maternal mortality and also morbidity due to heart failure, stroke and cardiac arrhythmias and foetus is also affected with prematurity, Intrauterine Growth Restriction (IUGR) and risk of perinatal mortality.
Authors and Affiliations
Mahalakshmi , Nirmala , Shravanya
Keywords
Related Articles
- EP ID EP101756
- DOI 10.14260/jemds/2016/622
- Views 114
- Downloads 0
THE GAMMA NAIL FOR PERITROCHANTRIC FRACTURES: A STUDY OF 32 CASES
The Gamma Nail was designed to treat unstable intertrochantric and subtrochantric fractures of the femur. Unstable peritrochantric fractures of the femur are very common. Thirty two such cases are treated using th...
PARTICIPANT’S RISK PERCEPTION AND ATTITUDE TOWARDS THE PANDEMIC OF H1N1 INFLUENZA & ITS VACCINE
In April 2009, the Mexican Secretariat of Health reported an outbreak of respiratory disease. In affected patients, a novel swine origin influenza A (H1N1 09) virus was detected. Evidence that this new strain could p...
PREVALENCE AND RESISTANCE PATTERN OF ACINETOBACTER SPECIES IN HOSPITALIZED PATIENTS IN A TERTIARY CARE CENTRE
[b]BACKGROUND:[/b] Acinetobacter species are one of the most frequent nosocomial pathogen causing bacteremia, urinary tract infection, secondary meningitis, skin and soft tissue infections and in particular nos...
IMPLEMENTATION OF SIGMA METRICS FOR EVALUATION OF ANALYTICAL QUALITY IN CLINICAL BIOCHEMISTRY LABORATORY OF A TERTIARY CARE HOSPITAL
BACKGROUND Amelioration of analytical quality in clinical laboratories is recognised as an emerging concern worldwide. Quality has been described as conformance to the requirement of users and the satisfaction of their n...
BISPECTRAL INDEX (BIS) GUIDED COMPARISON BETWEEN CLINICAL EFFECTS OF ETOMIDATE AND FENTANYL VERSUS DEXMEDETOMIDINE AND FENTANYL FOR CONSCIOUS SEDATION IN ERCP PROCEDURE
BACKGROUND Endoscopic retrograde cholangiopancreatogram (ERCP) is recently being done under conscious sedation using intravenous anaesthetic agent and fentanyl. Dexmedetomidine, a new alpha 2 agonist with analgesic and s...