Management of heart diseases in pregnancy at a tertiary centre: A case series
Journal Title: Indian Journal of Obstetrics and Gynecology Research - Year 2017, Vol 4, Issue 4
Abstract
Introduction: Cardiac disease in the pregnant patient can present challenges in cardiovascular and maternal-fetal management. The present study is a retrospective analysis of the cases treated at our institute of heart disease in pregnancy. Objectives: The study was conducted to study the epidemiological, clinical and outcomes in patients of cardiac illness in pregnancy Materials and Method: All pregnant patients of cardiac illness were admitted to the institute from 2015 to 2016 were studied. Data was collected from patient records operative notes and discharge summaries. Results: 80 institutional deliveries were conducted in the above time period. Five cases cases of heart diseases complicating pregnancy were studied:2 cases of peripartum cardiomyopathy, one each of aortic stenosis, pulmonary stenosis and mitral stenosis with mitral regurgitation. However, one patient of peripartum cardiomyopathy patient was excluded as the patient was brought in an unconscious condition with poor Glassgow coma scale and on ventilator support and relatives declined treatment and was lost to follow up. All the other patients had satisfactory outcome. Conclusion: Early identification of the cardiac lesions can lead to effective and safer delivery at places where advanced care is available.
Authors and Affiliations
Harsha Ramdurg
Perioperative morbidity of Vulval cancer
Introduction: The present study is a retrospective analysis of vulval cancer patients who had been treated with surgery as primary mode. The cases studied were in tertiary care hospital south India of March 2008 to Febru...
Klippel Trenaunay syndrome with pregnancy – A rare presentation
Introduction: Klippel Trenaunay syndrome (KTS) is a rare congenital disorder, the etiology of which is unknown and it is characterised by vascular malformations. The incidence of pregnancy with Klippel Trenaunay syndrome...
Herlyn- Werner- Wunderlich syndrome: Case report of a rare congenital mullerian anomaly
Herlyn –Wener- Wunderlich Syndrome is a rare congenital mullerian anomaly. It consists of uterus didelphys, obstructed hemivagina, and ipsilateral renal agenesis. It is also called OHVIRA (Obstructed Hemivagina with Ipsi...
Histopathological pattern of endometrium in Adenomyosis
Objective: To study the histopathological pattern of endometrium and associated pathological conditions in patients who had abnormal uterine bleeding due to adenomyosis. Material and Methods: This was a study done at M.S...
Window of lost opportunities: Time to consider a mandatory cervical cancer screening protocol??
We report 2 cases of carcinoma cervix treated at our institution where a window to detect malignancy at an early stage was available, yet missed. Case 1: A 38 year old nulligravida, post-renal transplant patient, reporte...