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Perinatal Outcome in Pregnancy with Heart Disease at Tertiary Care Center

Rita Saxena Assistant Professor, Dept. of Obstetrics and Gynecology, Geetanjali Medical College and Hospital, Udaipur, Rajasthan 313001, India. , Rita Saxena1 , Vasavi Bysani2 , Anjana Verma3 , Anuj Pandya4

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Indian Journal of Obstetrics and Gynecology 6(3):p 291-296, May-June 2018. | DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.6318.16

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Abstract

Cardiac disease is an important cause of maternal mortality and morbidity both in antepartum and postpartum period. Objective of the present study was to determine the incidence, etiology and the type of the heart disease and maternal and fetal complication in pregnant women with heart disease.

Methods: This study was conducted in the department of obstetrics and gynecology at Geetanjali medical college a tertiary care center Udaipur, 35 women with heart disease which were previously established or diagnosed during pregnancy were enrolled in the study over the period of 1 year. 

Results: In 35 women pregnancies were complicated by the heart disease in the study.The incidence of the heart disease were less than 1%. The principle cause of of the cardiac lesion was Rheumatic Heart Disease (RHD) (62.86%). While congenital heart disease was seen in 8.57%. Among the women who had RHD, mitral stenosis seen in 27.7% was most common lesion followed by MR in 18.18% and 4.55% patients of aortic lesions and combined valvular heart lesion in 13.66%. 1 (2.86%) patient had maternal mortality due to pulmonary edema with severe MS. Majority of the patients belonged to NYHA class 1.  57.14% underwent caesarean section and 42.86% underwent vaginal delivery. In Maternal complications 45.71% had preterm deliveries and 40% had IUGR component. Various neonatal complications like low birth weight in 40% and prematurity in 34.29% and 14.29% required NICU admission , 11.43% were still births and one congenital heart lesion in 2.86%. 

Keywords: Pregnancy with Heart Disease; Rheumatic Heart Disease; Maternal Complications; Fetal Complications.

 

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DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.6318.16

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