CARDIAC DISEASE IN PREGNANT WOMEN- AN EXPERIENCE IN A TERTIARY HOSPITAL IN KERALA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 23
Abstract
BACKGROUND Maternal cardiac disease contributes to a significant proportion of maternal mortality cases and severe maternal morbidity. The proportion of cardiac disease such as Congenital Heart Disease (CHD) and Rheumatic Heart Disease (RHD) varies in different countries. This is a descriptive study in which we retrospectively analysed all women with cardiac disease who delivered in Government Medical College, Kottayam, from 01/01/2011 to 31/12/2013. Aims and Objectives1. To study the proportion of different types of cardiac disease complicating pregnancy in parturients who delivered in Government Medical College and Hospital, Kottayam during the study period of three years. 2. To study the maternal and foetal outcome in parturients with cardiac disease during pregnancy, delivery and first postpartum week. MATERIALS AND METHODS It is a descriptive study and the data of women who met the inclusion criteria were collected from the hospital records using a proforma. The type of heart disease, cardiac complication developed during pregnancy, delivery and first post-partum week were recorded and analysed. RESULTS Out of 14,413 deliveries during study period, there were 181 women with cardiac disease (1.26%). Out of the cardiac diseases, CHD were 60.22% and RHD were 36.46%; 6.08% cases developed cardiac complications; 71.82% delivered vaginally and 27.62% underwent caesarean delivery; 91.16% foetuses were born term; 8.84% were born preterm; still birth was 1.66%. CONCLUSION The proportion of women having cardiac disease were found comparable with that in other studies. RHD topped the list in other studies. But in our study, majority was CHD. There were no maternal deaths due to cardiac disease in the observed study period.
Authors and Affiliations
Deepa Mathews, Asha Gopinath, Prasad Puthenpurayil Mani
Keywords
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- EP ID EP439396
- DOI 10.14260/jemds/2018/634
- Views 74
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