Maternal and perinatal outcomes of pregnancies complicated by cardiac disease at a tertiary level hospital

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Original Article

Author :

Naga Veni Prapurna Pulakhandam, Niharika Chaudhary*, Y Annapoorna

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Abstract :

Introduction: Heart disease in pregnancy is one of the leading non-obstetric causes of maternal mortality and is the leading cause of maternal intensive care unit admissions in the world. Objective: To study the prevalence of heart disease in antenatal mothers and fetal outcome with obstetric management. Materials and Methods: The presence of comorbidities and the occurrence of obstetric, fetal, and cardiovascular complications during delivery among women with heart disease hospitalized for delivery were studied in 35 women at GSL Medical College, Rajahmundry for a period of 1 year from 01/01/2019 to 1/1/2020 Results: Over a period of 12 months, 35 subjects were recruited. During this period, there were 5005 deliveries. The majority of women were aged between 20-25yrs and were unbooked cases belonging to NYHA class I or II. Cesarean section and operative vaginal delivery were more common. Despite the multidisciplinary approach, 3 women succumbed to the disease of which one was a case of severe rheumatic heart disease with valve failure, the second was a case of postpartum cardiomyopathy and the third was a case of severe pulmonary arterial hypertension. Fetal outcome in cardiac patients is usually good and only a little different from those patients who do not suffer from heart disease. Conclusions: Pregnant women with heart disease were more likely to experience adverse events during delivery. These women require a multidisciplinary team for optimal maternal and foetal outcomes.  

Keyword :

Heart disease, Multidisciplinary approach, Pregnancy, Rheumatic heart disease.
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