A CLINICAL STUDY OF CASE PROFILE, MATERNAL AND FETAL OUTCOME IN PREGNANCY WITH CARDIAC DISEASE
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2014, Vol 1, Issue 5
Abstract
Cardiac disease complicates about 1% of pregnancies. It is a major cause of maternal morbidity & mortality. AIM: To study clinical profiles of pregnant women with cardiac diseases and the maternal and fetal outcome cases. METHODOLOGY: It is a retrospective study for a period of 18 months from October 2012 – March 2014 conducted at Vanivilas hospital attached to Bangalore Medical College. 80 women with cardiac disease were included, and their associated co-morbid conditions, mode of delivery and follow-up up to 5 days were noted. Maternal complications like heart failure, pulmonary edema, cardiac arrest, ICU admissions, and death were noted. Fetal outcomes were studied in terms of apgar score, presence of congenital heart disease, SGA, NICU admissions, death etc., RESULTS: 87.5% of the patients were booked elsewhere. Only 8.75% of them were in the NYHA class 3 or 4. 67.5% patients had RHD. There were no maternal deaths, only 7.5% required ICU care. 42.5% had prior cardiac surgeries. About 93% had vaginal deliveries which were assisted by forceps in only 42.5% cases. There were 7.5% NICU admissions with perinatal mortality of 5% and the mean birth weight was 2.23kg. CONCLUSION: Heart disease in pregnancy is a high risk condition has a major impact on pregnancy. Early diagnosis by proper antenatal care and interventions could be the key to the prevention of complications.
Authors and Affiliations
Srinivas K. , Sahana Rao, Radhika Radhika
Keywords
Related Articles
- EP ID EP221378
- DOI 10.18410/jebmh/2014/47
- Views 95
- Downloads 0
A COMPARATIVE STUDY IN HERNIOPLASTY WITH AND WITHOUT DRAIN AND THE ASSOCIATED COMPLICATIONS
BACKGROUND The present study is a comparative study to compare in Lichtenstein’s mesh repair, the need of a subcutaneous suction drain in inguinal hernias at Government General Hospital, Guntur. To study the advantages a...
A STUDY OF POSTERIOR LUMBAR INTERBODY FUSION WITH LOCALLY HARVESTED SPINOLAMINECTOMY BONE GRAFT AND PEDICLE SCREW FIXATION IN SPONDYLOLISTHESIS
BACKGROUND Posterior Lumbar Interbody Fusion (PLIF) and Transforaminal Lumbar Interbody Fusion (TLIF) create intervertebral fusion by means of a posterior approach. Successful results have been reported with allograft, v...
MATERNAL AND FOETAL OUTCOMES IN GESTATIONAL HYPERTENSION
BACKGROUND Hypertensive disorders are a common cause of maternal morbidity and mortality and they have been recognised since the times of Hippocrates. Hypertension in pregnancy is defined as systolic blood pressure of mo...
COMPARATIVE STUDY OF EFFICACY OF TWO ANTIRETROVIRAL REGIMENTS (ZIDOUVDINE+LAMIVUDINE+NEVIRAPHINE VS STAVUDINE+LAMIVUDINE+NEVIRAPINE) IN HIV/AIDS PATIENTS
BACKGROUND: AIDS, the acquired immunodeficiency syndrome, is the worst disease in the history of medicine due to HIV infection in many sexually active people. This disease is treated with two regimens of drugs in the ART...
EVALUATION OF DIABETIC MACULAR OEDEMA WITH SPECTRAL DOMAIN OPTICAL COHERENCE TOMOGRAPHY AND FUNDUS FLUORESCEIN ANGIOGRAPHY
BACKGROUND Macular oedema is an important cause of visual morbidity in Diabetic Retinopathy. It can be assessed by both Fundus Fluorescein Angiography (FFA) and Optical Coherence Tomography (OCT). The aims of this study...