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
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- EP ID EP101756
- DOI 10.14260/jemds/2016/622
- Views 104
- Downloads 0
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