Evaluation of Foetal Outcome in Pregnancy with Heart Disease in Tertiary Center in South Gujarat
Journal Title: Indian Journal of Obstetrics and Gynecology - Year 2018, Vol 6, Issue 3
Abstract
Objectives: Evaluation of foetal outcome in pregnancy with heart disease in tertiary center in south Gujarat. Material & Method: This is a prospective analytic study of 30 pregnant women with heart disease attending antenatal outpatient department or coming as emergency patient in labour room of New Civil Hospital, from july 2016 till August 2017. Inclusion Criteria: All the pregnant women with heart disease attending antenatal outpatient department or coming as emergency patient in labour room of New Civil Hospital, from july 2016 till August 2017. Exclusion Criteria: Patients not giving consent, pregnant patient with some other systemic disease. Reult: Mean age of the patients enrolled was belonged to 20-25 years (73%). 57% of the subjects had Rheumatic heart disease. Mitral valve is the most common valve affected in RHD. In our study 75% of subjects were in NYHA grade 1 and 2. 60% of the babies were full term with gestational age more than 37 weeks & birth weight >2.5kg. In our study most common complication was Prematurity (37%) and second most common was IUGR (17%). Conclusion: a pregnant cardiac patient has to be in constant supervision of obstetrician, physician, cardiologist and neonatologist to improve the fetal outcome. Early diagnosis, preferably pre conceptional is crucial to reduce complications and morbidity. Careful history taking and physical examination are key to diagnose heart disease early and to prevent fetal complications.
Authors and Affiliations
Manali Kapadia
Keywords
Related Articles
- EP ID EP549575
- DOI 10.21088/ijog.2321.1636.6318.6
- Views 75
- Downloads 0
Study of Early Perinatal outcome in Lower Segment Caesarean Section in Severe Foetal Distress
Introduction: Fetal distress contributes to increased caesarean section rate.Predicting adverse outcome in early perinatal period is important in severe fetal distress. Aim of the Study: To study the risk factors for foe...
Immediate Maternal and Neonatal Effects of Forceps and Vacuum - Assisted Deliveries
Introduction: In certain conditions when normal delivery cannot be allowed for various reasons, assisted vaginal delivery is the method of choice. Vaginal delivery being assisted by instruments can either be of vacuum ex...
Prevalence of Hypothyroidism in Pregnancy with TSH Estimation
The commonest endocrinological problem in pregnancy is hypothyroidism and affects both maternal and fetal outcome. The aim of the study was to determine the prevalence of hypothyroidism in asymptomatic females presenting...
Compare the Efficacy of Rectal Misoprostol with Intravenous Oxytocin in Managing the third Stage of Labour
Aim: To compare the efficacy and side effects of 800 micrograms rectal Misoprostol with intravenous oxytocin in managing the third stage of labour. Materials and methods: This study was done in 300 women undergoing full...
A Clinical Review of Emergency Peripartum Hysterectomy at G.G.G. Hospital, Jamnagar
Aims: To review the causes, indications, age groups, maternal and fatal outcomes in case of peripartum hysterectomies taken place in tertiary health care set up like G.G.G. Hospital, Jamnagar. Methods: All women who had...