A PROSPECTIVE STUDY ON FOETOMATERNAL OUTCOME IN CASES OF PREGNANCY WITH HEART DISEASES IN A TERTIARY HOSPITAL
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 1
Abstract
BACKGROUND Cardiac diseases comprise almost 4% of pregnancies in women in India. There is a risk of pregnant women with both congenital and acquired heart diseases to develop a variety of adverse foetomaternal adverse events which can compromise the health of both mother and baby. Objective- Our study was aimed at identifying pregnancies with congenital and acquired heart diseases, to assess the effect of heart diseases on maternal, foetal and neonatal health. MATERIALS AND METHODS The study was a prospective observational study carried out on 40 patients in IPGMER over a one-year period. All patients were subjected to detailed history taking and clinical examination and investigations. The mode of delivery, period of gestation, antenatal, intranatal and postnatal complications were calculated as well as the detailed history of delivery of the baby and neonatal parameters like birth weight, and APGAR score were assessed. RESULTS 29 patients had acquired heart disease while 11 had congenital heart disease. Among the CHD group 7 developed heart failure. Cardiological complications as well as maternal mortality were higher in the AHD group than CHD group. LBW and preterm delivery were more common among AHD group but congenital heart lesion was more common among CHD patients. Mode of delivery did not differ in the two groups. CONCLUSION A high index of suspicion and vigilant interdisciplinary approach can optimise the foetomaternal outcome in pregnant women with heart disease.
Authors and Affiliations
Shyamal Dasgupta, Poushali Sanyal, Jhuma Biswas, Chiranjit Ghosh, Sandip Sengupta, Shubhashis Samajder, Asmita Jadhav, Varsha Saboo
Keywords
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- EP ID EP283324
- DOI 10.14260/jemds/2018/5
- Views 58
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